Heel pain (Plantar Fasciitis)

Pain felt under the heel is most frequently caused by a plantar fasciitis occurring with or without a “calcaneal spur”. It is more common in a pronated foot, which has a flattened longitudinal arch. Men are more susceptible than women.

Examination reveals a point of deep tenderness in the area of the heel bone, the point of attachment of the plantar fasciia. The pain may be attributed to an intracalcaneal bursitis under the fascial attachment or the tearing of some of the fibres attaching to the bone.

Treatment is directed towards alienating the pressure of weight bearing in the form of custom made padding, strapping and orthotic devices to improve biomechanical function of the foot.