Commonest causes:1. Plantar fasiites : Commonest cause of heel pain. Pain on the undersurface of the heel on weight bearing, especially after a period of rest. E.g- early morning heel pain, when one attempts to walk after rising from the bed.
2. Achilles tendinitis: Gradual onset of pain. On pressing the Achilles tendon there will be severe pain. The tendon may be thickened in some people.
3. Retrocalcaneal bursitis: Pain in the backside of the heel. It may be associated with tender swelling on both sides of the insertion of the tendon. On X ray there may be calcaneal spurs in some patients.
PREDISPOSING FACTORS:
1. Injury to the tendon insertion site as well as in around the heel.
2. Repetitive overuse in athlets.
3. Prolonged Standing.
4. Improper footwear with hard soles.
WHAT TO DO?1. Wear soft footwear with heel cushions.
2. Avoid ill fitting footwear and shoes.
3. Avoid going barefoot.
4. Try to wear soft footwear even inside the house.
5. Avoid getting hurt specially to heel and backside of the heel ( tendon insertion site)
6. Physiotherapy- specially ultrasound and exercise.
HOMOEOPATHIC TREATMENT:Homoeopathic treatment for Heel pain is based on the cause and symptoms. Most of the patients respond to treatment within 45 days to 60 days.