Talalgia, or heel pain, can have multiple causes, making a thorough examination by a podiatrist, the foot health professional, crucial for an accurate diagnosis and effective treatment. Learn about some of the main causes of heel pain and the importance of a podiatrist’s evaluation for a treatment adapted to the cause of your pain.
Causes of heel pain
- Plantar fasciitis (plantar fasciopathy): It is one of the most common causes of heel pain. It is caused by inflammation of the plantar fascia, a thick band of tissue that supports the arch of the foot. The pain is usually most severe in the morning or after a period of rest.
- Enthesopathy : Achilles tendon enthesopathy, another common cause of talalgia, is characterized by inflammation at the site of insertion of the tendon on the calcaneus (heel bone). It can be caused by repetitive strain injuries, biomechanical problems, or poor posture.
- Stress fractures: Stress fractures of the calcaneus can also cause heel pain. They are often seen in athletes or people who have suddenly increased their level of physical activity.
- Tarsal tunnel syndrome: This syndrome is caused by compression of the tibial nerve or its branches in the tarsal tunnel, a narrow space at the back of the ankle very close to the medial malleolus, commonly known as the inner ankle hump, which is a bony prominence at the lower end of the tibia. Tarsal tunnel syndrome can manifest as pain in the heel, sole of the foot, and even radiate to the calf.
- Other causes: Other conditions, such as bursitis, tendonitis, neurological conditions, tumors, and infections, can also cause heel pain
Importance of the podiatric assessment
A professional examination by a podiatrist is essential to:
- Identify the exact cause of the pain: A podiatrist is trained to evaluate the biomechanics of the foot, identify abnormal pressure points, and perform specific tests to differentiate between different pathologies. Your podiatrist will be able to perform the required imaging examinations directly in the clinic, whether it is an X-ray or an ultrasound.
- Develop a personalized treatment plan: Treatment for heel pain will depend on the underlying cause. A podiatrist may recommend conservative treatments such as foot orthotics, stretching, muscle-strengthening exercises, photobiomodulation (laser therapeutic) treatments, anti-inflammatory medications, cortisone injections or extracorporeal shockwave treatments. In some cases, surgery may be necessary.
- Prevent complications: Untreated heel pain can lead to mobility problems, chronic pain, and even foot deformities. A podiatrist can help you prevent these complications by providing advice on appropriate footwear, exercises to do and measures to take to protect your feet, all of which are part of a treatment plan that is personalized to your health, goals and reality.
In short, heel pain is a common symptom that can have many causes. It is important to consult a podiatrist for an accurate diagnosis and appropriate treatment. A complete podiatric assessment will identify the cause of the pain, develop an individualized treatment plan and prevent long-term complications.
At Médecine podiatrique du Plateau, heel pain is one of the most frequent reasons for consultation. Dr. Sandra Gendron and Dr. Émile Carrier, podiatrists and owners of the clinic, have extensive experience in treating this problem. Team up with them for a quick and lasting recovery. Your feet will thank you for the good care you give them and will return it to you!
