Many of us are familiar with heel pain – whether it be while playing sports, running, walking or jumping. Heel pain is one of the most common foot problems.
These are some of the ways in which heel pain can manifest itself:
Three areas of the heel are particularly susceptible to inflammation: the Achilles' tendon, the plantar tendon and the heel hump.
Inflammation is usually triggered by overuse. Overuse may be due to heavy exercise or performing new physical activities that the body is not used to. Pain in the Achilles' tendon area can occur as a result of shortening of the calf muscles.
At the beginning of the diagnosis, the patient will be asked various questions about previous illnesses and other complaints to determine whether these may be having an effect on the heel.
The doctor pays particularly close attention to the patient’s physique, gait, stance and joint mobility. The nerve functions are also checked.
As there is a variety of different diseases that lead to heel pain, special diagnostic methods are used:
The following diseases can be identified in this way:
Surgical intervention is rarely necessary for heel pain. The most common conservative therapies include:
Anti-inflammatory drugs or other measures (e.g. ultrasound) may also be used.
There are certain heel conditions that do require surgical treatment.
If it is not possible to treat the heel spur with conservative therapy, there is a surgical procedure that can relieve pressure on the plantar fascia. During this procedure, the tendon of the flexor muscle in the lower leg is loosened. This provides greater mobility in the ankle joint and relieves stress on the plantar fascia in the sole of the foot. The heel spur may also be removed through endoscopic surgery.
When the rear upper corner of the heel bone irritates the Achilles' tendon attachment, causing severe pain, surgical intervention is necessary. In this minimally invasive procedure, pressure on the Achilles' tendon is relieved by removing the upper corner of the heel bone. The reduced pressure allows the inflammation to heal.
In the case of Achilles' tendonitis (achillodynia), an operation is carried out to remove the inflamed sheath of the tendon. Heel surgery is also carried out to sew up tears in the Achilles' tendon.
Daily calf-stretching exercises can have a preventative effect on heel conditions. If heavy foot strain is foreseeable, it is important to practise specific exercises designed to gradually prepare the foot for the strain.
A deformation of the heel bone is referred to as Haglund’s deformity (or Haglund’s exostosis). With this condition, part of the heel bone is heavily protruded and forms a bony bump. This causes calcification at the base of the Achilles' heel.
If all previous treatment attempts have been unsuccessful or insufficient, surgical intervention may be necessary. This may be the case, for example, with a heel spur or Haglund’s deformity.
