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Plantar Fasciitis
The most common cause of heel or rear foot pain is plantar fasciitis or as it is sometimes referred, 'heel spurs'. This condition occurs mainly in runners and is often associated with a biomechanical abnormality, such as excessive pronation or supination of the foot. Pain is worse in the morning and improves during the day. There is a point of tenderness on the inside border of the heel bone that often extends along the inside border of the foot. Treatment involves avoidance of aggravating activity, ice, stretching, inserts for the shoes and wearing footwear with adequate support.
Above: Mobilisations and stretches of the foot and ankle by specialised therapistFat Pad Syndrome
Another common cause of heel pain is the fat pad syndrome or contusion. This is also known as a 'bruised heel'. This may develop acutely from a fall onto the heels or chronically from excessive heel strike with poor heel cushioning. Treatment involves rest, the use of a heel cup, good footwear and taping.
Above: Trigger point massage of the planta fascia under the foot.Calcaneal Stress Fractures
Calcaneal stress fractures result from overuse. They require X-ray and treatment as the fracture heals.
For more information about how physiotherapy can help, or to book an appointment please call 0161 883 0077.
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