Reasons Why You May Have Heel Pain When Walking

While heel pain is a common foot condition, it can be intense and catch you by surprise. If you've ever taken a step and felt a sudden pain in your heel, you're not alone.  

Understanding the Anatomy of the Heel 

Bones, Tendons, and Ligaments 

The human foot is an intricate matrix of 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments. The heel, being the largest bone in the foot, is anchored by a web of these tendons and ligaments, making it pivotal to our mobility. 

The heel is the first point of contact during a walking stride, absorbing the brunt of your body's weight. This is why it's prone to excessive wear and tear, making it susceptible to various ailments. 

Common Causes of Heel Pain When Walking 

Plantar Fasciitis 

Plantar Fasciitis is an inflammation or tearing of the plantar fascia, a thick band of tissue running from the heel to the front of the foot. This condition is predominant among individuals who spend long hours on their feet. 

The hallmarks of plantar fasciitis include a stabbing pain in the heel, especially with the first steps in the morning or after prolonged periods of rest. 

Heel Spurs 

Heel spurs result from bone growth at an attachment of foot muscles, ligaments or fascia often due to prolonged trauma over an extended period of time. A common misconception is that pain under the heel is due to a heel spur when often the cause is tearing of the plantar fascia.

This is interesting, while heel spurs are often found in patients with plantar fasciitis, they're not always the direct cause of pain. It's the inflammation surrounding the spur that usually causes discomfort. 

Achilles Tendinitis 

Achilles tendinitis is the inflammation of the Achilles tendon. Overexertion, lack of calf flexibility, or sudden increases in activity can trigger this condition. Symptoms include pain and stiffness along the Achilles tendon, especially in the morning or after exercise. 

While the symptoms might seem similar, a trained podiatrist can differentiate Achilles tendinitis from other heel conditions through physical examinations and imaging. 

Bursitis 

Bursitis refers to the inflammation of a bursa, small fluid-filled sacs that cushion a joint or another foot structure. Heel bursitis may be a result of a lack of plantar fibro fatty padding under the heel, or wearing ill-fitting shoes on the back of the heel, especially if heel spurs exist on the back of the heel. 

Non-invasive treatments like rest, ice, and elevation, combined with over-the-counter pain relievers, can often alleviate symptoms. For prevention, it's vital to wear well-cushioned, properly fitting shoes. 

Stone Bruise 

Patients often describe their heel pain feeling like a stone bruise. A stone bruise can occur on the foot or heel from stepping on a hard object but often the cause is due to an inflammatory process deeper in the foot such as plantar fasciitis. Flexor Plate Injuries are also frequently described as a “Stone Bruise”. Rest, ice, and protective footwear can speed up and aid your recovery but if pain persists, an accurate diagnosis is essential is essential in managing the problem.. It's essential to avoid putting undue pressure on the affected area. 

Potential Risk Factors and Prevention 

The Link Between Footwear and Heel Pain 

Inappropriate footwear can exacerbate or cause heel pain. Shoes without adequate cushioning or support, particularly in the heel region, can be a culprit. Shoes with a trim stable heel counter with cushioning, will prevent excessive stress on the heel. 

Thin-soled shoes, and walking long periods in summer will intensify heel pain. Choose shoes that offer good cushioning and support. 

Weight and Lifestyle 

Unfortunately, increased body weight means more pressure on the foot and heels with every step. It may not be the only factor but the augmented pressure can lead to many foot conditions conditions such as plantar fasciitis and Achilles Tendon problems.

Activities such as running on hard surfaces, frequent jumping makes it imperative to modify your exercises program and ensure adequate rest periods. Stretching, particularly of the calf muscles is an imperative part of treatment keep the tendons and ligaments flexible, reducing the risk of inflammation and injury. 

Diagnosis and Professional Assessment 

If heel pain persists, it's crucial to consult a podiatrist. They can offer a precise diagnosis and guide the best course of action. Every individual's foot structure, lifestyle, and pain threshold are unique. Hence, treatment plans should be tailored to meet specific needs and concerns. Modern imaging techniques, such as X-rays or MRIs, can provide a detailed view of the foot's anatomy, helping pinpoint the root cause of heel pain. 

Don’t Let Discomfort Dictate Your Steps 

Experiencing persistent heel pain when walking? Don't let discomfort dictate your steps. At The Perth Podiatrists, we're here to help you get back to pain-free movement. Reach out to us today and take the first step towards a healthier, happier walk.