Heel pain is the most common complaint of patients who apply to orthopedic outpatient clinics with foot-ankle problem. Even with just 1-2 hours of walking, both feet are under tons of weight and stress.
During walking, one heel is exposed to 110% of body weight on one side. During running, this load doubles the body weight on one heel. In other words, the heel carries the load that occurs during the movement and prevents the anatomical structures from being damaged.
Feet can handle these loads, but exceeding the limit they can carry causes serious complaints. Heel pain may develop by exposing the feet to excessive load (sports, unsuitable shoes, etc.).
Heel pain may improve over time with rest and supportive treatment. However, since patients do not care about the initial complaints, which are mostly mild, and do not take the necessary precautions, the complaint gets worse and prolongs, seriously affecting the daily life of the patient.
Heel pain can have many causes. Many diseases, from simple fatigue such as overloading the foot, to heel spurs, calcification, rheumatism, and Achilles tendon rupture, cause heel pain complaints.
Disorders that cause heel pain are divided into two main groups according to the location of the pain; pain under the heel and pain in the back of the heel.
pain under the heel
Trauma; After hitting a hard object such as a stone, the fat tissue covering the bone under the heel is crushed. No color change is observed. With rest, the pain subsides over time.
Heel spur (plantar fasciitis)
Pain in the back of the heel
Achilles tendon inflammation
Retrocalceneal bursitis; It is the inflammation of the cystic structure of the bursa in front of the Achilles tendon.