heel pain

left foot heel pain when pivot foot in a upward position. and yes i do walk about 5 miles 3 to 4 times a week at work.
pain seems to be in the area of the achilles tendon. What i mean when i say upward position is top of foot is positioned back toward me . when i apply presssure with fingers to area it hurts. no discoloration. feels bruised. its definitely the upper part of the heel bone area. please reply thanks emily

3 Responses

  1. Foot-com

    Thank you for the question Billy.

    Sounds like you are right on in your diagnosis. When we dorsiflex our foot this increases the tension placed on the achilles tendon. When we walk and go up stairs we require a certain degree of flexibility in the ankle or the achilles tendon. If this area becomes irritated due to improper foot mechanics, excessive activity or trauma this dorsiflexion of the foot can become painful. This is referred to as achilles tendonitis. In acute tendonitis you want to control the inflammation as well as minimize the stress to the achilles tendon insertion.

    There are several options to control inflammation including NSAIDs, topical anti-inflammatories and ice. To decrease the stress to the area a person will want to limit activity. As the pain begins to subside, begin to introduce stretching and eccentric excercises. If your pain persists, I recommend you see a Podiatrist who can better evaluate you.

    Good luck!

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    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

  2. Foot-com

    thanks emily. i do walk up and down 10 feet of stairs 3 times a day at work. would inserts relieve that pain. maybe even heel cups. i notice any pair of sneakers or boots i wear to work the heel area breaks down in 3 to 4 months…sinks in on boots, sneakers seem to hold up longer. but has no real ankle support
    what do you think? 95% of my walking is on a leveled surface, concrete 80% carpet with concrete underneath 20%

  3. Foot-com

    Thank you for your follow up question Bill.

    Inserts are designed to redistribute pressure when we stand and walk. Depending on your foot type and the quality of the inserts you may greatly benefit from this type of support. If your foot requires more control, you may want to see a Podiatrist to get custom orthotics.

    Custom orthotics are different than inserts in that they can control the biomechanics of the foot. Faulty foot biomechanics can often lead to increased pressure under certain area. Regardless of foot type, hard surfaces, such as concrete, will eventually play a toll on the foot! Thanks

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    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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