Pain in the back of the heel can be caused by a variety of conditions, some of the most common causes include:
- Achilles tendonitis: This is an inflammation of the Achilles tendon, the large tendon that connects the calf muscle to the heel bone. It can be caused by overuse, tight calf muscles, or wearing shoes with poor heel support.
- Haglund’s deformity: This is a bony bump that forms on the back of the heel, often caused by wearing shoes with a rigid heel counter or by an inherited foot structure.
- Bursitis: This is an inflammation of the bursa, a small fluid-filled sac that acts as a cushion between the heel bone and the Achilles tendon.
- Calcaneal stress fractures: This is a small crack in the heel bone, caused by overuse or trauma.
- Heel spurs: This is a bony growth that forms on the heel bone, often caused by excessive stress or strain on the heel.
Treatment for pain in the back of the heel will depend on the underlying cause, but some common treatments include:
- Rest: The first and most important step is to rest the affected heel as much as possible and avoid activities that put pressure on the heel.
- Ice: Apply an ice pack or cold compress to the heel to reduce swelling and numb the area. Do this for 15-20 minutes at a time, several times a day.
- Stretching and strengthening exercises: Stretching exercises can help to improve flexibility and reduce stress on the heel. Strengthening exercises can help to improve muscle tone and support the heel.
- Orthotics: Shoe inserts or orthotics can help to redistribute pressure on the heel and provide added support.
- Physical therapy: A physical therapist can help to develop a treatment plan and exercises that are tailored to your specific needs.
- Medications: Over-the-counter pain relievers such as ibuprofen can help to alleviate pain and reduce inflammation.
It’s important to see a medical professional for a proper diagnosis and treatment plan, as heel pain can be caused by other conditions as well. Early diagnosis and treatment can help to prevent serious complications and ensure a full recovery.