Causes and risk factors
In a few individuals, the growth of the heel bone is hastened as compared to the muscles and the tendons. As a result of this, tightness and stretching of the muscles can occur, which can cause inflammation of the growth plate leading to complaints. Repetitive trauma to the weaker structure of the heel also can contribute to the causation. Prolonged standing also adds up to the pressure on the heel resulting in inflammation. This condition is more commonly seen in people who are involved in sports like athletics, basketball, and soccer. This kind of injury is commonly seen in people who are newly involved in certain sports. Pronated foot, flat foot, short leg syndrome, obesity, and poor fitting shoes can also evoke this condition.
Clinical presentation:
The onset of complaint is gradual. The characteristic feature is pain in heel. The pain can be unilateral or bilateral. Dull aching pain is felt. The pain is aggravated by activity and is better by rest. Raising the toe invokes pain. Patient experiences pain on walking. Limping is seen. Swelling with stiffness is an associated complaint seen. On examination, tenderness is present.
Investigations:
Considering the symptoms, a local examination is carried out by the orthopedic doctor. X-ray of the foot is often not so useful for diagnosis. It is mostly done to rule out certain other conditions. Other investigations like MRI scan can also be done.
Treatment:
The treatment aims at relieving the complaint. Rest and restriction of movement which aggravates the pain are advised. Application of ice pack is advised to reduce the swelling. Analgesic or nonsteroidal anti-inflammatory drugs are advised by the orthopedic doctor for relief of the pain. A cast is applied for immobilization for 2-12 weeks. Use of elastic wrap or compression stocking is advised. Physiotherapy exercises are advised which will help to improve the strength and flexibility.
Other Modes of treatment:
Certain other modes of treatment can also be helpful in coping up with the symptoms. Taking into consideration the symptoms in a holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivatives can also be beneficial in combating the complaints. Certain yoga exercises can also be helpful in strengthening the muscles.
