HEEL PAIN 足跟痛/足底筋膜炎
Physio & Sole Podiatry: Heel Pain
Heel pain is a common condition that typically occurs either at the bottom or back of the heel, affecting people of all ages. It can be caused by various issues, such as plantar fasciitis, insertional Achilles tendinitis, and Sever's disease.
Most people tend to take heel pain lightly and avoid treatment until it interferes with their normal activities. If treatment is not sought early, the symptoms will worsen and result in more pain and disability.
Causes of Heel Pain
Often the cause of heel pain is multifactorial. The factors that can contribute to the development of heel pain include:
Overuse
Tight muscles/tendons in the legs
Gait abnormalities (overpronation or oversupination)
Ill-fitting, unsupportive or worn out shoes
Sudden increase in activity levels
Injury to the heel (stress fracture)
Weight gain
Certain disorders, including diabetes and arthritis.
Conditions Commonly Associated with Heel Pain & Their Symptoms
| Location | Conditions | Signs and Symptoms |
|---|---|---|
| Pain below the heel | Plantar Fasciitis with or without heel spur - Inflammation of the fibrous band of tissue which spans from the bottom of the heel to the ball of the foot due to an overuse - Heel spurs are calcium deposits that forms from tension and inflammation | - Pain worse in first few steps in the morning - Pain progresses with prolong activity - Pain occurs when standing up after sitting for a period of time - Pain may be described to be sharp or an ache |
| Pain behind the heel | Insertional Achilles tendonitis - Inflammation at the Achilles tendon insertion site | - Sharp or aching pains at the back of the heel - Pain occurs after prolong activity - Tenderness and stiffness of the Achilles in the mornings - Limited dorsiflexion of the foot |
| Sever’s Disease - Also known as calcaneal apophysitis - Inflammation of the growth plate - Common among children who are active, 8-14 years of age | - Pain and tenderness behind the heel bone - Sore to touch - Pain worse with activity - Pain goes away with rest |
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Most people tend to take heel pain lightly and avoid treatment until it interferes with their normal activities. If heel pain treatment is not sought early, symptoms will worsen and can result in more pain and disability.
How Can Our Podiatrist Help?
At Physio & Sole Clinic, we provide comprehensive, non-invasive treatments for heel pain tailored to your specific needs. Our experienced podiatrists begin with a thorough clinical assessment to determine the most effective approach for your condition. Treatment options may include:
Manual Therapy Techniques: To relieve pain and improve mobility.
Sports Taping: To provide support and stability during activity.
Stretching and Strengthening Exercises: Customised to enhance flexibility and strength.
Dry Needling: To release trigger points and relieve tension or pain
Shockwave Therapy: Uses high energy shockwaves to promote healing and reduce pain.
Orthotics Prescription: Custom foot supports designed to alleviate pain and correct imbalances.
Our dedicated podiatrists will prioritise patient education, helping you understand the underlying causes of your heel pain, and offer strategies for effective management and prevention of recurrence.
Comprehensive Assessment
Our podiatrists are highly trained to deliver accurate diagnoses and develop targeted treatment plans. Each assessment includes:
Hip Examination
Knee Examination
Ankle and Foot Examination
Footwear Analysis and Advice
Based on these findings, we will create a personalised treatment plan. Please note that recovery may take several months, and your plan may involve:
Foot Orthoses: Supportive devices to relieve pressure.
Heel Raises: To reduce strain on the heel.
Footwear Modifications: Recommendations for suitable shoes.
Exercise Plans: Tailored activities to promote healing.
Activity Modifications: Suggestions for adjusting daily activities to prevent pain.
For patients experiencing chronic heel pain, shockwave therapy or dry needling may be considered as well. If conservative treatments do not provide long-term relief, our podiatrists can refer you to an orthopaedic surgeon for further evaluation and possible intervention.
Frequently Asked Questions on Heel Pain
Will heel pain go away on its own?
Heel pain may improve with rest, but the underlying issues often remain. Activities like exercise or prolonged standing can reactivate the injury, potentially leading to permanent damage, such as plantar fascia ruptures requiring surgery.
Can heel pain be something serious?
While usually not life-threatening, neglected heel pain can lead to chronic discomfort and mobility issues. In rare cases, it may indicate bone tumours that require further investigation.
How do I manage heel pain?
Heel pain management includes two approaches: pain relief (using analgesics, rest, shockwave therapy, and physical therapy) and addressing the underlying cause (potentially requiring orthotics or surgery). Timely intervention is essential to prevent worsening pain.
How long does heel pain last?
The duration of heel pain varies by diagnosis and treatment effectiveness. Some find relief in weeks, while others may suffer for months or years. Early intervention leads to quicker relief.
When should I consult a podiatrist?
Consult a podiatrist if you experience persistent heel pain for effective evaluation and treatment options.
Contact Us
If you’re suffering from heel pain, Physio & Sole Clinic offers heel pain management at convenient locations across Singapore. Book an appointment today or visit our FAQs for more information.
Podiatry Charges
| Podiatry Assessment | $190 |
|---|---|
| Dry Needling | $80 |
| Shockwave Therapy | $200 |
| Semi Custom Insoles | $450 |
| Customised Insoles | $700 |
All prices are before GST. Please note that charges may vary depending on the treatment plan prescribed by your Podiatrist. Our charges are transparent and rest assured there are no hidden charges. A podiatry session will last for 30-45 minutes.
There are no surcharges if your session exceeds 45 minutes. Contact us for more information on our charges. For more Podiatry Charges, click here or get in touch with us here.
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