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Heel pain is extremely common and
affects about 10% of patients with FOOTPAIN.
There are numerous causes of Heel pain. In order to make the correct
diagnosis, a full history and physical examination will be required.
X-rays and blood tests may also be taken to assist the diagnosis.
The most common cause of Heel pain is plantar fasciitis, which is
present when the strong ligamentous band, which runs from the heel to
the forefoot, becomes inflamed. Patients usually report pain, which is
worse after a period of rest (Post static dyskinesia), and pain under
the heel and arch of the foot.
Plantar fasciitis is often self limiting, meaning it resolves without
treatment. If however the pain is severe, then intervention may be
necessary.
The following regime is successful in 80% of cases:
- A programme of stretching
exercises and the use of footwear with a built in arch support
- A programme of stretching
exercises, anti inflammatory measures and a custom made in shoe
support
- Cortisone injections or a series
of injections with long acting local anaesthetic
- Surgical release of the plantar
fascia
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