Why Suffer From Heel and Arch Pain?

By Myles Schneider, DPM

Annandale Foot and Ankle Center

. https://www.annandalepodiatry.com/

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Why Suffer From Heel and Arch Pain?

Heel and arch pain is one of the most common foot complaints we see. There are a variety of reasons why one can have pain in the heel and arch. Some of them are plantar fasciitis, heel spurs, bursitis, nerve problems, bone cysts, fractures, tendinitis, growing pains in adolescents, gout and arthritis to name a few. The most common one is plantar fasciitis.

Plantar Fasciitis

Plantar fasciitis is usually associated with pain and stiffness around the heel, under the arch and sometimes extends up the back of the leg when one gets out of bed in the morning. It can range from being very sharp to dull, though intense at times. It is usually relieved with rest. However, it can become very painful as you stand and start moving again.

The longer the symptoms are left untreated, the longer it can take to get rid of the pain. It can occur in one foot or both feet. The good news is that almost all people who suffer from this painful condition as well as most other causes of heel and arch pain respond to conservative care without the need for surgery.

Diagnosis and Treatment

No matter what the cause of the heel and arch pain is, the diagnosis is made after a careful history and physical examination of the feet, which could include x-rays. Occasionally the need for more testing such as ultrasound, MRI, EMG (nerve conduction studies) and/or blood tests.

The initial treatment is aimed at getting the pain under control while keeping the patient active. These may include ice, elevation, modifying one's physical activities, taping and padding, wearing good supportive shoes, stretching exercises, massage, over-the-counter arch supports, anti-inflammatory medications and sometimes cortisone injections. Very rarely more aggressive treatment such as extracorporeal shock wave therapy (ESWT) or surgery may be indicated.

Prevention of Reoccurrence

Once the symptoms are under control it is very important to address what the cause of the problem was in the first place. Some of the long-term recommendations could include

Good supportive shoes for everyday activities.

Sport specific shoes for those who are fitness enthusiasts.

Custom made orthotics to compensate for inefficient foot and leg functioning.

Specific stretching and/or strengthening exercises as needed.

Finally, a review of one's fitness and physical activities to prevent overuse problems.