Plantar fasciitis (PLAN-tur fas-e-I-tis) is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia). Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning. Heel Pain Inflammation overview: This is classically seen during the morning and while resting. This is a buildup of white blood cells and inflammation through your plantar fascia and possibly your Achilles tendon at the insertion site. This is similar to delayed onset muscle soreness like after a long workout.
Bursitis — Bursitis means inflammation of a bursa, a sac that lines many joints and allows tendons and muscles to move easily when the joint is moving. In the heel, bursitis may cause pain at the underside or back of the heel. In some cases, heel bursitis is related to structural problems of the foot that cause an abnormal gait (way of walking). The most common cause of heel pain in adults is plantar fasciitis. Patients with plantar fasciitis report increased heel pain with their first steps in the morning or when they stand up after.
Achilles tendonitis occurs when the tendon that attaches the calf muscles to the heel becomes painful or inflamed due to overuse injuries. Find out how this condition is diagnosed and treated. Heel Pain in Adults By Robert H. Sheinberg, D.P.M., F.A.C.F.A.S., D.A.B.F.A.S. The most common cause of pain in the heel is inflammation of the ligament that attaches the heel bone to the ball of the foot. This ligament may become inflamed by excessive pulling and stress .
TABLE 1 discusses this condition and other selected heel and back-of-the-foot problems encountered by older adults, including inferior calcaneal bursitis, Achilles tendon enthesopathy . Retrocalcaneal bursitis happens when the bursae around your heel become inflamed. Bursae are fluid-filled sacs that form around your joints. The bursae near your heels are behind your Achilles.