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What is this pain under my heel?

What is this pain under my heel?

It is really interesting how often we hear this, or how often this question is discussed in online forums, in consultations and around the family BBQ.

Why is it such a common question? Simply because it is such a common area of pain, one morning you can wake up with it and it often spends months and even worst case scenario years hanging around. The podiatrists at South Eastern Sports Podiatry secretly think that it can be really successfully dealt with, but it first needs to be diagnosed accurately.

It is important to consider the anatomy around the area, as it is not always your plantar fascia where the pain stems from.

Fat Pad:

This is the area just underneath the skin, its main function is to absorb and cushion from the impact of running and walking.

Calcaneum:

More commonly known as your heel bone, this has many attachments, more example, the plantar fascia and the plantar intrinsics all join to this bone. It can be subject to large forces, however these large forces can cause bruising and bone stress to develop

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Plantar Fascia:

Definitely the most common cause of heel pain, a long fibrous connective tissue that can withstand huge forces that the body put on it, it can repair itself, however is slow.

Medial Calcaneal Nerve:

This nerve supplies the medial side of the foot and heel, it can often become thickened and irritated, this gives off symptoms similar to that of many of the other structures around the area, however it also not thought of as regularly.

Careful diagnosis needs the understanding of how these tissues interact with each other, quite often we see multiple levels of tissue damage that need to be treated independently of each other.

Making sure we have this understanding of why the pain is there is the first step to not only understanding of the injury but also cure.

If you have had heel pain and would like more information, please email the clinic at admin@sespodiatry.com.au or you can book an appointment https://www.sespodiatry.com.au/appointments/