Home care such as rest, ice, proper-fitting footwear and foot supports are often enough to ease heel pain.
Heel pain is not usually caused by a single injury, such as a twist or fall, but rather the result of repetitive stress and pounding of the heel. A heel pain sufferer commonly feels pain either under the heel (plantar fasciitis) or just behind it (Achilles tendinitis). When the plantar fasciitis is stretched too far its soft tissue fibers become inflamed, usually where it attaches to the heel bone. Heel bursitis - inflammation of the back of the heel, the bursa (a fibrous sac full of fluid). Chronic inflammation of the heel pad - caused either by the heel pad becoming too thin, or heavy footsteps. Rheumatoid arthritis - rheumatoid arthritis, sometimes referred to as rheumatoid disease, is a chronic (long lasting), progressive and disabling auto-immune disease condition that causes inflammation and pain in the joints, the tissue around the joints, and other organs in the human body.

New research from the US suggests that wearing shoes such as high heels, pumps and sandals was strongly linked in women's later life with heel and ankle pain.
On the next page we look at the symptoms of heel pain, diagnosis and when to seek medical advice.
The sufferer usually feels pain either under the heel (plantar fasciitis) or just behind it (Achilles tendinitis), where the Achilles tendon connects to the heel bone. Heel pain is typically mild and usually disappears on its own; however, in some cases the pain may persist and become chronic (long-term). The heel bone is not yet fully mature and rubs excessively, resulting in the formation of too much bone. Among females can be caused by starting to wear high heels before the bone is fully mature. Patients with osteomyelitis typically experience deep pain and muscle spasms in the inflammation area, as well as fever.

As this occurs a thick ligament (the plantar fascia) that is attached to the bottom of the heel and fans out into the ball of the foot is stretched excessively.
It is important to realize that it is not the spur that causes the pain and therefore the spur does not need to be removed in most cases.
Women who wear high heels and people who walk for exercise will often develop this problem because of the tightness that results in the calf muscle as a result of these activities.

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