Heel pain

Heel pain in adults can be very intrusive and disabling. It can also be persistent and difficult to treat. It is important to get an accurate diagnosis as there are many causes of pain in the heel. The commonest are:

  • Plantar fasciitis (or fasciosis)
  • Achilles tendonitis

Pain can be referred from the back into the leg in sciatica which is one example of why a true diagnosis is important. Treatment to the heel is not going to make any difference if the cause is from the back!

After an examination and scans if necessary, most patients with heel pain will be referred to our Physiotherapy & Podiatry team.

  • 75-80% of all patients with plantar fasciitis will get significantly better with physiotherapy & podiatry
  • Orthotics are necessary to offload the plantar fascia.
  • Physiotherapy is necessary to stretch the tissues of the foot and calf as well as assess the whole muscle function of the lower limb.
  • If symptoms persist then an injection of local anaesthetic & steroid can be very effective.
  • For further persistence Shockwave treatment is offered consisting of 3, 10 minute treatments on consecutive weeks.
  • Finally, if symptoms have become refractory then surgery may be solution to consider.

If you have heel pain, Mr Uglow will assess you to identify the true cause and then initiate the appropriate treatment.

sole The plantar fascia spreads across the sole of the foot from the heel to the base of the toes and is placed under stretch every step that we take.  As we get older the tissue finds it harder to sustain the forces that go across it and it may begin to fail resulting in pain & swelling.