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Lateral Heel Pain Causes

lateral heel pain

Lateral heel pain can be caused by a number of things. Some of these are plantar fasciitis, entrapment neuropathy, sinus tarsi syndrome, and tarsal tunnel syndrome. If you have lateral heel pain, it is important to seek treatment immediately.

Plantar fasciitis

Plantar fasciitis is one of the most common causes of heel pain. It is a condition that involves the inflammation of the plantar fascia, a long, fibrous band of tissue that runs from the base of the toes to the heel.

Plantar fasciitis is usually caused by overuse or repetitive stress on the foot. Symptoms may include pain in the heel, arch of the foot, medial band, or lateral band. If left untreated, it can cause long-term problems and may require surgery.

Although the cause of plantar fasciitis is not completely understood, it is thought to be a result of a combination of factors. These include changes in activities, obesity, and wearing poorly fitted shoes.

One way to treat plantar fasciitis is with physical therapy. Physical therapists can use stretching exercises to alleviate the pain. They may also use specialized ice treatments.

Tarsal tunnel syndrome

Tarsal tunnel syndrome is a painful condition that affects the lower ankle and can result in lateral heel pain. It occurs when the tibial nerve is compressed inside the tarsal tunnel. Symptoms usually start gradually, but can worsen with prolonged standing or walking. If left untreated, tarsal tunnel syndrome can be life-threatening.

Tarsal tunnel syndrome causes pain on the outside and inside of the ankle, the arch of the foot, and even the toes. Treatment can be surgical or nonsurgical, depending on the underlying cause.

Tarsal tunnel syndrome is a rare medical condition that causes pain on the inner side of the ankle. The symptoms of tarsal tunnel syndrome can mimic those of other conditions, including plantar fasciitis, gout, and fibromyalgia.

To diagnose tarsal tunnel syndrome, the doctor will review your medical history and perform a physical examination. They will also conduct specialized tests to determine the extent of the condition. Surgical management is reserved for severe cases.

Sinus tarsi syndrome

Sinus tarsi syndrome is a painful condition in which the subtalar joint becomes inflamed. This condition can occur when the talus and calcaneus bones are not aligned correctly. It can also occur due to a previous injury.

The condition can be treated using conservative methods, or surgical procedures. In some cases, the joint may need to be fused. X-rays are also helpful in diagnosing this condition.

Symptoms of sinus tarsi syndrome are often localized and pain tends to get worse with prolonged activity. However, the symptoms can persist even after the ankle ligaments have healed. Treatment can include physiotherapy and orthotics.

Some people with flat feet or pronated feet are at greater risk of developing the condition. These foot shapes can cause repetitive compression through the area.

Retrocalcaneal bursa

If you are suffering from lateral heel pain, you may have retrocalcaneal bursitis. This condition is usually caused by overuse of the heels during running or other high-impact activities. The symptoms are often mild and subtle.

Although most cases of retrocalcaneal bursitis can be treated with rest and icing, some individuals may require physical therapy. Depending on the severity of your condition, your doctor may recommend surgery. Other treatment options include anti-inflammatory medications, corticosteroids, and orthotics.

In order to diagnose the causes of your condition, your doctor will ask you to describe your activity routine. He or she will also conduct a physical examination. Your physician will pay special attention to the back of your heel, where the Achilles tendon attaches. X-rays of your heel bone may be recommended to determine any abnormalities.

Entrapment neuropathy

In the case of plantar fasciitis, one of the first places where the nerve is affected is the abductor hallicus muscle. When the abductor hallucis becomes compressed, the first branch of the lateral plantar nerve, also known as the inferior calcaneal nerve, is compressed. This is a very painful condition that can affect the heel, and in some cases, the entire foot.

The abductor hallucis is a thick, fibrous muscle, which is located just anterior to the medial border of the heel. Its purpose is to assist with the abduction and eversion of the foot. During normal movement, it is not involved with the entrapment of the lateral plantar nerve.

Acute entrapment neuropathy is usually due to trauma. However, repetitive motion can cause damage to the nerve. If left untreated, the entrapment neuropathy can cause severe pain and impaired function.


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