When Heel Pain Isn’t Plantar Fasciitis: Other Common Causes and Treatments

While plantar fasciitis is often the first condition considered when someone experiences heel pain, it’s not always the culprit. Heel pain can stem from a variety of other medical issues, each requiring a unique approach for diagnosis and treatment. Understanding these potential causes is crucial for effective management and relief. This blog explores common conditions that can cause heel pain other than plantar fasciitis, shedding light on their symptoms, diagnosis, and treatment options.

Exploring Other Causes of Heel Pain

Heel pain can be misleading and may be attributed to several different conditions:

1. Achilles Tendinitis:

   • Symptoms: Pain along the back of the heel, worsening with activity.

   • Causes: Often due to overuse, particularly in runners and athletes.

   • Treatment: Rest, ice, compression, elevation (RICE), physical therapy, and in some cases, orthotics to relieve stress on the tendon.

2. Heel Bursitis:

   • Symptoms: Deep aching pain at the back of the heel, which may worsen as the day progresses.

   • Causes: Inflammation of the bursa at the back of the heel, often aggravated by wearing shoes that rub or press on the back of the heel.

   • Treatment: Anti-inflammatory medications, better-fitting shoes, and in severe cases, corticosteroid injections.

3. Heel Pad Syndrome:

   • Symptoms: Deep, bruise-like pain in the center of the heel pad, often felt during walking or running.

   • Causes: Atrophy or breakdown of the fatty pad of the heel, making it less effective in absorbing the impact of walking or running.

   • Treatment: Cushioned shoes or heel cups to restore cushioning, and avoiding prolonged periods on hard surfaces.

4. Stress Fracture:

   • Symptoms: Sharp, severe pain in the heel, often after intense or prolonged activity.

   • Causes: Overuse injury common among athletes, where repetitive stress causes a tiny crack in the bone.

   • Treatment: Rest is crucial; walking may be painful until the fracture heals. Protective footwear or a boot may be necessary.

5. Tarsal Tunnel Syndrome:

   • Symptoms: Tingling, burning, or a sensation similar to an electric shock in the heel.

   • Causes: Compression of the posterior tibial nerve as it passes through the tarsal tunnel on the inside of the ankle.

   • Treatment: Orthotic devices, corticosteroid injections, and in severe cases, surgery to relieve nerve pressure.

Diagnosis of Heel Pain

Accurate diagnosis is key to treating heel pain effectively. A healthcare provider will typically perform a physical examination, review symptoms, and may order imaging tests such as X-rays or MRIs to rule out bone fractures or other abnormalities.

Comprehensive Treatment Approaches

Treatment for heel pain that isn't caused by plantar fasciitis often involves a combination of the following:

• Physical Therapy: To strengthen the muscles around the heel and ankle, improving stability and reducing pain.

• Medication: NSAIDs to reduce inflammation and pain.

• Proper Footwear: Shoes that fit well and provide adequate support can prevent further irritation.

• Surgery: In cases where conservative treatments fail, surgical intervention might be considered to correct the underlying issue.

Heel pain has many potential causes beyond plantar fasciitis. Identifying the correct cause is crucial for effective treatment and recovery. If you're experiencing persistent heel pain, consulting a healthcare professional for a thorough assessment is essential.

Are you suffering from heel pain and need clarity on its cause? Contact We Fix Feet for a comprehensive evaluation and tailored treatment options. Book an appointment online or call us at 0115 9328832 to start your journey toward recovery.