Heel Pain

Heel pain is one of the most common forms of foot pain in adults. Heel pain is a common condition in which weight bearing on the heel causes extreme discomfort. Heel pain usually occurs as a result of normal daily activities and / or  exercise. The heel bone (calcaneus) is the largest bone in the foot and the heel is the first part of the foot to contact the ground during walking or any form of exercise. The foot doctor, Podiatrist, David P. Rosenzweig, Board Certified in Podiatric Surgery commonly treats heel pain at his Rye Brook (Westchester County), New York and Greenwich, Connecticut office.

Heel pain is most often caused by plantar fasciitis -- a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other medical causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst. Because there are several potential causes, it is important to have heel pain properly diagnosed by a podiatrist.

Retro Heel Pain (Retro Calcaneus Bursitis) or Haglund's Deformity

When retro hell pain (Retro Calcaneus Bursitis) exists in conjunction as Achilles tendinitis in the same leg, this is known as Haglund's deformity.

Retro Calcaneus Bursitis is a painful inflammation of the bursa at the back of the heel bone. Achilles tendinitis is inflammation of the Achilles tendon.

The most common cause for heel pain is inflammation of the fibrous connective tissue on the sole of the foot (plantar fasciitis). Other causes include the following:

  Achilles tendonitis
  Bone bruises
  Excessive pronation (tendency of the foot to turn inward)
  Haglund's deformity (bony growth at the back of the heel that usually occurs when shoes repeatedly aggravate tissue and underlying bone)
   Heel spurs (also called bone spurs)
  Inflammatory conditions (e.g., ankylosing spondylitis, diffuse idiopathic skeletal hyperostosis, rheumatoid arthritis, bursitis)
Sever's disease (relatively common condition in active growing children and adolescents)
  Soft-tissue sarcoma of the foot (rare)
  Stress fractures of the foot or ankle
  Tarsal tunnel syndrome

Nonsurgical Medical Treatments

Prescription oral nonsteroidal anti-inflammatory medications.
Cortisone injections
Foot taping and padding
Physical therapy
Custom orthotics - A foam or plastic orthotic (custom-made to fit the foot) can often relieve the strain on the tissues and permit the heel to recover.

Surgical Treatments for Heel Pain

If nonsurgical medical treatments fail and pain continues, surgical intervention may be necessary.

Both surgical procedures described below are usually completed on an outpatient basis at either the foot doctor's Rye Brook (Westchester County), New York or Greenwich, Connecticut office The procedures take less than one hour. They are performed comfortably under either local anesthesia or minimal sedation.

Removal of Connective Tissue (Fascia)

During surgery to separate all or a portion of the fascial tissue from the heel bone, the podiatric surgeon will make a small incision on the inside of the heel. Then, the tissue is carefully removed. A few stitches will be required.

Bone Spur Removal

Heel spurs may be removed during the same operation for separating the connective tissue from the heel bone.

After the tissue has been detached, the podiatric surgeon will remove any spurs, leaving the heel bone smooth.

To make an appointment with the foot doctor, Podiatrist, David P. Rosenzweig, Board Certified in Podiatric Surgery to discuss or treat your heal pain please contact the Podiatrist at either his Rye Brook (Westchester County), New York or Greenwich, Connecticut office.