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Plantar fasciitis is the usual cause for heel pain, which is also called heel spur syndrome, if there is a spur present. The other possible causes for heel pain are stress, arthritis, tendonitis, nerve irritation and in rare cases, a cyst.
In case of plantar fasciitis, there is first irritation and then inflammation of the plantar fascia that extends from heel to toes. Faulty foot structure like arch problems is the most common cause for this condition. Even flat surfaces, use of non-supportive footwear on hard surfaces, long hours on the feet and obesity also lead to plantar fasciitis.
SymptomsThe most common symptoms for pain in the heels are pain in the heel bottom, pain that worsens on arising and pain that increases over time. People suffering from this heel pain complain of more pain while getting up in the morning and after sitting for a long time.
The pain tends to reduce after a few minutes of walking wherein the fascia is stretched. Sometimes the pain may subside, only to return after standing for long periods on their feet.
DiagnosisA foot examination and a thorough medical history are required to reach a diagnosis after ruling out possible other causes than plantar fasciitis for the heel pain. The doctor may also need x-rays and other imaging modalities to find out the type of heel pain you suffer from.
Non-surgical treatmentPlantar fasciitis treatment starts with these non-surgical treatments that can be done at home.
If pain persists after trying all this for a few weeks, your foot and ankle surgeon may suggest these treatment options.
Most heel pain patients respond to non-surgical treatments; only a few require surgery. It is your doctor who will decide what approach is best for your condition.
However even if you consider surgery, the causes for heel pain still remain and may cause it to recur. So practice long term care by wearing supportive shoes, doing stretching exercises and constantly using orthotic devices.