Heel Pain (Part One)
Plantar Fasciitis and Heel Spur or Epicalcaneal Bursitis
Plantar fasciitis is the most common cause of pain in the bottom part of the heel. About 2 million patients are treated for this condition every year.
Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.
Anatomy
The plantar fascia, the band of the foot, is a long thin ligament that stretches directly under the skin on the bottom of your foot. It connects your heel to the front of your foot and supports the arch of your foot.
Causes
The plantar fascia is designed to absorb high stresses and strains as we walk. However, sometimes, too much pressure damages or tears the fascia. The body's natural response to injury is inflammation, which results in heel pain and stiffness of the plantar fascia.
Risk Factors
In most cases, plantar fasciitis develops without a specific, identifiable reason. However, there are many factors that can make you more prone to the condition:
- Tighter, strained calf muscles making it difficult to flex your foot and bring your toes toward your shin
- Obesity
- Very high arch
- Repetitive impact activity (Running)
- New activity or increase in activity
Heel Spurs – Epicalcaneal Bursitis - Heel Spur
Although many people with plantar fasciitis have heel spurs, the spur is not necessarily the cause of the pain in plantar fasciitis. One in 10 people has a heel spur, but only one in 20 (5%) people with a heel spur experiences pain in the heel. Because the heel spur is not the cause of plantar fasciitis, consequently the pain can be treated without removing the heel spur.
The epicalcaneal spur does not cause heel pain from plantar fasciitis
Symptoms
The most common symptoms of plantar fasciitis include:
- Pain in the bottom of the foot near the heel
- Pain with the first few steps after getting out of bed in the morning, or after a long period of rest, such as after a long drive. The pain subsides after a few minutes of walking.
- Significant pain after (not during) exercise or activity.
very good and very informative indeed, but to understand it better, I think there are a few photos related to plantar fasciitis
Sent by gani obrazhda, më 12 October 2012 në 16:52
Hello doctor, I wish you health and thank you for this information, but I have a question: Can the pain in the toe also be caused by twisting the foot, and why does it start first in the right foot because the doctor tells me that I have taken rheumatism?
Sent by Kushtrim , më 12 June 2013 në 10:26
Hello! The pain in the thumb can also be caused by cold, but within a short period of time, the discomfort passes.....Regarding rheumatism, there is a test that shows whether you have rheumatism or not --- this test is the Rheumatoid Factor, so to confirm rheumatism, this test must be done. But generally, rheumatism does not affect the leg but the fingers of the hand
Sent by Dr.Lediani, më 13 June 2013 në 09:08
Thank you, Mr. Ledian the orthopedist recommended me to wear orthopedic silicone inserts, to try and avoid surgery because I get a fever when I fall asleep and I feel a different temperature in my right leg.
Greetings, peace, health
Sent by Kushtrimi, më 14 June 2013 në 02:40
Hello doctor and thank you for the information. During your explanations, I saw that this pain can also be caused by arthritis. Please explain it to me in more detail
Sent by agustin, më 31 July 2013 në 08:12
Hello respected Mr. Kushtrim! Can you put those extensions for at least one month, because they ease walking by somewhat reducing the pain..
Sent by Ledian, më 02 Agust 2013 në 02:38
I am very pleased with your very valuable instructions, thank you very much
Sent by zyli skura, më 20 Agust 2013 në 14:38
Hello Dr. Ledian, I have a question. I've been having problems for 2 weeks, near the thumb and heel, and I'm feeling itching, stiffness, and severe burning while running. I have visited the orthopedist and was prescribed a 6-week ECOMER CAPSULE therapy. Can you tell me how effective these capsules are and how long it might take for the pain to go away since I am an athlete and need to be able to run. Thank you very much
Sent by nexhdet, më 13 October 2013 në 18:11
Thank you very much for the explanation, I have a lot of pain in my ribs but more so on the left side. I have been using an orthopedic supplement but the pain is just like before. In the morning when I wake up, I have a lot of pain and when I take a short break, I never had so much pain as I do now. Could you please help me find a medication, dear Dr. Ledian?
Sent by Ganimetja, më 13 January 2014 në 17:40
Response for Mrs. Ganimete! Madam, you need to visit an orthopedist to establish a diagnosis, that is, the name of the disease, then we can discuss the treatment modalities
Sent by Ledian Fezollari, më 22 January 2014 në 01:35
Response to Mr. Nexhad! The medications are to soothe the pain and to somewhat reduce the inflammation, meanwhile, what will provide a definitive solution are the exercises..
Sent by Ledian Fezollari, më 22 January 2014 në 01:37
Thank you doctor, your instructions were very valuable, the pains in my thumb have completely gone away
Sent by Pellumb, më 29 January 2014 në 15:05
What I read above, I liked very much, but I recommend to doctors to suggest to their patients to read this page, otherwise, I came across it 6 months after the injury I had
Sent by Gani, më 30 January 2014 në 15:05
The article and the explanations are quite good. I also have foot pain, from the toes to the joints in both feet, especially at night. I can never stay and sleep without socks, and those thick ones,,, I thank you in advance for your answer
Sent by Qazim, më 31 January 2014 në 05:27
Hello Dr. Ledijan, six years ago I had a fractured shinbone, and I had to wear a cast on my leg. Until now, I only experienced a little pain, but recently my calf has been hurting a lot, and sometimes I can't even put my foot on the ground. Please recommend what I should use. Regards
Sent by ramize ameti, më 11 February 2014 në 14:23
First of all, thank you very much, Doctor. I have had pain in the heels of both feet after visiting the orthopedist, who recommended orthopedic insoles. After a few weeks, my right heel has healed, but in the left one, I have severe pain, usually when I stand on the other foot the next day I barely wake up in the morning from the pain. Please, Doctor, do you have any advice on how to cure these unbearable pains? Since I need to work on my feet. I have also used ibuprofen, no effect. Please, any advice from you, Doctor. Thank you
Sent by Selamija, më 13 February 2014 në 02:24
Hello esteemed Dr. Ledian. First, I want to thank you very much for this information, but I wanted to ask you something. My father has been experiencing pain in his thumb for some days. He has visited the orthopedist and has received injections, but he says it's only temporary relief. I wanted to ask if this is something dangerous and if it's related to any disease, of course, apart from the diseases that the thumb itself causes?! I await your response :)
Sent by Djellza, më 07 April 2014 në 12:56
Hello Dr. Ledian. During a soccer game, I felt a stretch accompanied by pain exactly in the middle part of the bottom of my foot (precisely at the "fibrous band Plantar Fascia"). This pain continued even in the next game after 3 days but only when I was running vigorously. Now please, if you can, tell me what to do?
Sent by gzim rashiti, më 26 April 2014 në 04:10
Hello Dr. Ledian, I have pain in my heel when I rest it hurts and I cannot walk. My heel hurts. GREETINGS DR. LEDIAN
Sent by gzim, më 03 May 2014 në 13:39
Hello, I wanted to ask a question. I have a problem with my leg when I am walking, my right leg turns red and I can't walk, I have to stop right there. Waiting for your answer, greetings
Sent by arsim, më 09 November 2014 në 16:13
Thank you for the help you provide in the impossibility of being visited by H. Pashaj
Sent by hajrie pashaj, më 27 November 2014 në 04:40
I am 16 years old, I have a lot of pain at night, I can't sleep from the pain, and I want you to send me to a pharmacy
Sent by denis misha, më 06 December 2014 në 16:01
Thank you for the help you provide
Sent by lulja, më 17 April 2015 në 11:26
Thank you very much for the advice, it is very helpful
Sent by dea, më 28 June 2015 në 08:33
I am 20 years old and my legs hurt only in the evening, usually when I sleep. What is your advice, can you tell me?
Sent by mevlyde, më 07 July 2015 në 14:47
Dr. LEDIAN, I have had a pain in my ankle for a long time. The doctor tells me that I have a sprain according to the x-ray. How can I get rid of this pain? I have also done physiotherapy but without improvement. With respect, Bujari
Sent by Bujar skudrini, më 10 July 2015 në 00:05
I liked Dr. Ledion for the treatment of the leg pain in the thigh. And I will apply it immediately... thank you, Dr. Ledion
Sent by Lucia, më 11 October 2016 në 10:32
Where can we find Dr. Lediani?
Sent by Maks ruzaj, më 20 November 2016 në 07:57
Hey, I have a problem with severe neck pain all day, but when I sleep and wake up in the morning, the pain eases a bit, but then my ears start hurting too. My doctor suggested doing physiotherapy. Greetings, please reply to me
Sent by Gezim , më 02 December 2017 në 15:57
Let's visit up close, Mr. Gezim....0674933565
Replay from Dr. Ledian Fezollari, më 03 December 2017 në 15:18
Hello doctor! My 9-year-old son has been complaining about pain in his left heel, especially at the bottom part that connects to the leg, especially when he wakes up. It hurts a lot, he has difficulty putting his foot down, and limps in his first steps. Afterward, it calms down. I should mention that I have enrolled him in soccer training. It's been some time since he started complaining about this pain. Could you please give me some advice on what to do?
Sent by Deni, më 05 December 2017 në 16:52
For example...you need to make a foot graph and an ankle graph in two projections...and bring it together with the graph to visit..
Replay from Dr. Ledian Fezollari, më 05 December 2017 në 17:38
Hello, my 12-year-old daughter has developed a lump about 2 cm under the skin. It hurts when she tries to walk. It's not like she's been physically active or injured herself anywhere. What do you suggest? Thank you!
Sent by Evila Sherifaj, më 07 December 2019 në 12:50
Sure...do you have the possibility to bring it for a visit?
Replay from Dr. Ledian Fezollari, më 07 December 2019 në 13:03
Hello Doctor, how are you health-wise, are you well? I wanted to ask you a question, I believe it has to do with orthopedics. My wife frequently has pain in the sole of her foot but to be honest, she tried using a Balea machine which is for scraping or removing calluses on the soles of the feet, so it has scraped much more than what was needed. Now, she often has pain especially in the morning when she starts to walk. So, I thank you for your understanding and await a reply from you, dear doctor. What would you recommend and what measures should be taken to heal?
Sent by fatmir, më 04 September 2021 në 14:30
For example, Fatmir... the lady most likely has plantar fasciitis... come for a visit one day... to check it closely
Replay from Dr. Ledian Fezollari, më 04 September 2021 në 14:35
Hello doctor.
My mother had an X-ray of her thumbs after suffering from continuous pain for a long time, and it showed bone growth in both thumbs. What should be done in this case, is surgery recommended or medication? Thank you
Sent by ada, më 09 December 2021 në 07:12
Come for a visit
0674935565
Replay from Dr. Ledian Fezollari, më 09 December 2021 në 16:37