Heel pain is one of those complaints commonly diagnosed by a podiatrist, a foot doctor. To no surprise, the most common diagnosis for heel pain is plantar fasciitis. Heel Spur Syndrome is another name that is used to identify the condition. 

Plantar means the bottom of the foot. The fascia is a long ligament that runs along the foot. Itis means inflammation (tonsillitis). The name plantar fasciitis means tearing and inflammation of that long ligament at the bottom of your foot. This is a result of small micro-tears in the fascia due to overstress. 

A heel spur can develop as a result of the pull and stress of the fascia on the bone. However, the spur is usually not the cause of pain. In fact, many people with bone spurs do not have any pain at all. The pain comes from abnormal motion in your feet, usually pronation. When the feet turn in and collapse, the fascia takes on an extra stress at the heel. It only takes a small change in your activity or a change in shoes to cause a small tear if you are prone to this condition.

 If you have low arches you are probably prone to heel spurs but you can also get them if you have high arches. The tearing that occurs at the fascia, near the heel, is microscopic. It is not a full rupture but it is enough to weaken the fascia. Once the fascia is weakened it tears more just from the constant weight of the body putting a large force load on your feet. When your foot is injured it is worse.

When you have plantar fasciitis you feel a sharp pain at the heel usually when you first get up, evens out, and then gets worse throughout the day. Some only feel the pain when they’re jogging or walking. The problem is often diagnosed by palpation or pressing on the inside of the heel or inside of the arch. These are the portions of the fascia that are under the greatest stress and have more inflammation. Xrays are used to rule out other conditions such as stress fractures or a tumor.

This description should give you fairly accurate picture of what happens when your heel pain is caused by inflammation and tears of your fascia and is called plantar fasciitis. If you have more questions, give your podiatrist a call.

To your success at healthy aging.

Ruthan Brodsky