One of the common causes of heel pain is because of an injury to the plantar fascia. The plantar fascia is a tough fibrous tissue located below the foot. It is actually a ligament and it attaches behind the heel bone to the toes of the foot. It is responsible for the arch of the foot and plays a very important role in the foot's biomechanics.
The plantar fascia is constantly under stress when walking or running. When we carrying heavy loads, the plantar fascia pulls all the bones of the foot together, pulling it tight to provide a solid structure for bearing weight.
At times, the plantar fascia can get injured. Plantar fasciitis is a condition wherein the plantar fascia undergoes a painful inflammatory process. This is fairly common in individuals who are active in sports particularly running. It is also common in elderly individuals in which the plantar fascia weakens due to degenerative processes.
Pain caused by plantar fasciitis is easily treated with the RICE method (rest, ice, compress and elevation. Giving the foot a rest is the most basic form of treatment. This allows to the foot heal.
Cold stimuli reduces pain and inflammation. Compression helps reduce swelling and also immobilize the foot. Elevating the foot above the heart also diminish swelling by preventing the pooling of blood on the affected foot and also assist in venous return.
If pain persists after these basic steps, it is advisable to visit a podiatrist to advice and assist you to make a proper diagnosis and give appropriate treatment.
For chronic heel pain that does not respond to treatment, shockwave therapy or ESWT for heel pain can be recommended.
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