Hell pain
December 21st, 2009If you have heel pain and any of the following apply to you, you should consult a doctor before doing anything to try to relieve the pain。
Common Causes:
The most frequent causes of heel pain are not single injuries, such as a fall or twist, but repetitive or excessive heel pounding.
Plantar fasciitis is inflammation of the thick connective tissue on the sole of your foot that attaches to your heel. The pain is usually felt at the bottom of your heel and is often worse in the morning because of stiffness that occurs overnight. The following increase your risk of developing this painful problem:
Shoes with poor arch support or stiff soles
Quick turns that put stress on your foot
Tight calf muscles
Repetitive pounding on your feet from long-distance running, especially running downhill or on uneven surfaces
Pronation — landing on the outside of your foot and roll inward when walking or running; to know if you pronate, check the soles of your shoes to see if they are worn along the outer edge
Bone spurs in the heel can accompany plantar fasciitis, but are generally not the source of the pain. If you treat the plantar fasciitis appropriately, the bone spur is likely to no longer bother you.
Heel bursitis (inflammation of the back of the heel) can be caused by landing hard or awkwardly on the heel, or by pressure from shoes.
Achilles tendinitis is inflammation of the large tendon that connects your calf muscle to your heel. This can be caused by:
Running, especially on hard surfaces like concrete
Tightness and lack of flexibility in your calf muscles
Shoes with inadequate stability or shock absorption
Sudden inward or outward turning of your heel when hitting the ground
Home Care:
Rest as much as possible for at least a week.
Apply ice to the painful area. Do this at least twice a day for 10 to 15 minutes, more often in the first couple of days.
Take acetaminophen for pain or ibuprofen for pain and inflammation.
Wear proper-fitting shoes.
A heel cup, felt pads in the heel area, or an orthotic device may help.
Night splints can help some types of heel pain.
Additional steps:
Apply moleskin to avoid pressure if you have bursitis.
See a physical therapist to learn stretching and strengthening exercises. These help prevent plantar fasciitis or Achilles tendinitis from returning.
Call your health care provider if:
Your pain is getting worse despite home treatment
There is little progress after 2 to 3 weeks of home treatment
Your pain is sudden and severe
You have redness or swelling of your heel or you cannot bear weight.












