Medial Heel Pain Plantar Fasciitis

Plantar fasciitis is by far the most common cause of heel pain.

Medial heel pain plantar fasciitis. Patients may describe heel pain with a tingling sensation around the plantar and medial aspect of the heel. Weight gain an increase in body weight an increase in physical activity over a short period of time tightness through the muscles in the lower leg and biomechanical anomalies are just a few of the common causes of plantar fasciitis. Although plantar fasciitis is the most common cause of heel pain one should not overlook other possible etiologies. If the pain is not occurring at the attachment of the plantar fascia then one should consider other possible diagnoses.

Symptoms are often exacerbated by weight bearing and ambulation but may persist at rest. Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning. Accordingly this author reviews pertinent keys to the patient history physical exam and diagnostic testing that can help facilitate an accurate diagnosis. Trapped nerves in the heel sometimes nerves in the heel can become entrapped or squeezed constricted because of injury to the foot trauma or simply overuse.

Typically baxter nerve compression is seen in sprinters dancers and gymnasts who are frequently on their toes. Lateral plantar nerve see image r a branch of the tibial nerve entrapment represents 15 20 of the chronic plantar heel pain presentations this can result from compression between the abductor hallucis and quadratus plantae muscles. Plantar fasciitis plan tur fas e i tis is one of the most common causes of heel pain. The close proximity of this nerve to the calcaneal tuberosity suggests the possibility of entrapment resulting in plantar heel pain.

The entrapment results in heel pain paresthesia medial heel tenderness and abnormal sensation on the plantar aspect bottom of the heel. The most common causes of heel pain deep within the heel are trapped nerves plantar fasciitis fat pad syndrome and stress fractures. Pain is also frequently brought on by bending the foot and toes up towards the shin. It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.

The classic symptom of pain upon rising from rest that resolves after a few steps often points us toward the proper diagnosis. The pain typically comes on gradually and it affects both feet in about. The cause of medial heel pain from plantar fasciitis is multifactorial. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes plantar fascia.

Plantar fasciitis is a disorder of the connective tissue which supports the arch of the foot.