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- $Unique_ID{BRK01193}
- $Pretitle{}
- $Title{What Could Cause Severe Foot Pain Near the Heel}
- $Subject{heel pain sports cause musculoskeletal system connective tissue
- tendons tissues achilles corticosteroid systems tissues bone bones heels
- fracture spurs bony calcaneus tendon fractures}
- $Volume{M-17}
- $Log{
- Achilles Tendinitis*0006203.scf
- Heel Pain*0006204.scf
- Anatomy of the Ankle and Knee*0016901.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What Could Cause Severe Foot Pain Near the Heel
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- QUESTION: Over a short period of time, I have developed a severe pain in my
- left foot near the heel. I thought it would go away by itself, but it is
- worse now than before. Can you possibly tell me what could be the cause and
- the cure? I could use some help.
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-
- ANSWER: There are several possibilities, there may be an injury or
- inflammation to the tendons and surrounding tissues, or there may be a stress
- fracture in the bone of the heel. The best way to find out is to get a
- careful examination by your doctor. He can isolate the area of pain, for the
- exact location of the pain is an important clue in determining the diagnosis.
- Once the cause is found, it can be treated.
- The Achilles tendon is often the site of injury, sometimes caused by
- nothing more than walking. The Achilles tendon is the major tendon to the
- heel, running down the back of the foot. Athletic activity can aggravate the
- problem. Often the best treatment is just resting the foot.
- Older people often lose the fat pad from their heels, creating a hard,
- bony surface on which to walk. This causes pain. Again, it is aggravated by
- walking or running. Rest and an anti-inflammatory drug is often the only
- treatment necessary. Sometimes the foot is wrapped in a supportive bandage,
- to relieve pressure on the sore part.
- A fracture of the heel is seen more commonly in athletes, but it can also
- occur in the nonathlete as he goes about his daily activity. Sometimes the
- fracture is so slight that an x-ray done immediately shows nothing. As the
- problem progresses, the fracture becomes more noticeable on the x-ray.
- Protecting the foot with some sort of brace or cast is usually the best
- treatment, and about six weeks of total rest of the foot is required for it to
- heal.
- Although heel spurs, which are bony growths that extend out from the
- calcaneus or heel bone may be seen frequently, they are not always the cause
- of the pain. When they are, an injection of corticosteroid and lidocaine (a
- local anesthetic) can often relieve the problem.
- Heel pain usually responds best to conservative treatment of rest,
- support and anti-inflammatory medication. It can become quite irritating and
- sometimes even debilitating, if it interferes with walking. So don't ignore
- your painful heel. It may start out as just a nag, but it can become
- increasingly painful if you don't treat it with some respect and . . . some
- rest.
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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