Although plantar fasciitis and heel spur syndrome are the most common cause of heel pain, some other conditions can also bring about heel pain

  • Rheumatoid arthritis and other forms of arthritis, can cause heel discomfort in some cases

  • Haglund’s deformity (“pump bump”) is a bone enlargement at the back of the heel bone, in the area where the achilles tendon attaches to the bone. This sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe and can be aggravated by the height or stitching of a heel counter of a particular shoe.

  • Achilles tendonitis  :Pain at the back of the heel is associated with inflammation of the achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. The inflammation is called achilles tendinitis. It is common among people who run and walk a lot and have tight tendons. The condition occurs when the tendon is strained over time, causing the fibers to tear or stretch along its length, or at its insertion on to the heel bone. This leads to inflammation, pain, and the possible growth of a bone spur on the back of the heel bone. The inflammation is aggravated by the chronic irritation that sometimes accompanies an active lifestyle and certain activities that strain an already tight tendon.      More info can be found on Achilles tendonitis in the tendonitis section.

  • Bone bruises are common heel injuries. A bone bruise or contusion is an inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.

  • Stress fractures of the heel bone also can occur, although infrequently.

  • Tarsal Tunnel Syndrome is an entrapment of one of the nerves that run behind the ankle and into the heel.  An entrapment or compression of this nerve can cause heel pain, as well as possible burning, tingling, or numbness.

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