What Causes Heel Pain

There are not one but many causes of the pain that we feel directly under the heel. The main cause of the same is what we commonly call heel spur. Medically referred as Plantar Fasciiitis, the treatment of the same depends upon the alternative we select to ensure a speedy recovery from the same. The methods also determine as to what problems & consequences one can expect during the recovery period.

There is a structure at the bottom of the foot that is tight & ligamentous which is required for a person to stand up straight or in an arch.  This structure is attached to the calcaneus bone and is located directly underneath our heel. The width of this structure is about two centimeters underneath our heel and then it broadens as it moves further towards the toes where it is attached to them. Just before entering the toes, this structure is known to split into five different slips, each one entering in to one toe. This will help you understand as to why the epicenter of pain is the heel, because this structure is really small in that region.

The foot’s bony alignment serves as the structural framework for our body and it enables you to arch or stand erect. If this framework begins to flatten out due to any reason, then the plantar fascial band will help in resisting this flattening which is abnormal.  Thus this band will undergo a lot of stress and the maximum amount of stress will be transferred to the heel region as that is the smallest and also the weakest part of the plantar fascial band.

An interesting point to make note of here is the fact that the pain which we associate with a plantar fasciitis or a heel spur as we popularly call it is known to be very specific. Many people are known to describe the same as a sharp pain resulting out of the tightness of the tissues and compare the pain felt with that given by a nail being poked in to the heel. This pain is known to be at its worst possible moment in the morning when a person wakes up and gets out of the bed for the first time after a long interval like sleeping for the night.

There is an excruciating pain when a person tries to take the initial four to five steps. It is then known to subside slowly as the foot begins to warm up and get used to movement. The pain can last for anywhere between a few seconds to as long as forty five minutes. 

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