FOOT PAIN &
PAIN - BEHIND THE HEEL PAIN
When foot pain and tenderness
occurs behind the heel, the usual podiatry causes are Achilles'
Tendonitis, Peroneal Tendonitis, Retrocalcaneal Bursitis and
AND PERONEAL TENDONITIS:
tendinitis is a condition that usually occurs from repetitive injury to the tendon.
The location of the pain is usually two places. The insertion
of the Achilles' Tendon onto the heel is the most common location
for Tendonitis. Another usual location for Achilles' Tendonitis
is about two inches above the ankle joint at the Myotendonous
Junction. Peroneal Tendonotis usually results in pain to
the outside and back part of the ankle and is caused from excessive
guarding of the foot in using the Peroneal Tendons to walk a
different way to relieve pain in the foot. Treatment for
both Achilles' and Peroneal Tendonitis consists of resting the
injured tendon to varying degrees depending on the severity of
the injury. A night splint for mild to moderate Tendonitis
is an excellent treatment along with avoiding heavy activity
and the use of anti-inflammatory medications. For severe
Achilles' or Peroneal Tendonitis, casting for four to six weeks
is essential for healing the injury. Cortisone injections
around or in the Achilles' insertion should not be performed
because a rupture can result. In patients with flat feet
and a history of Achilles' Tendonitis, custom molded foot orthotics
© 1999 PLACENTIA-LINDA FOOT AND ANKLE GROUP PODIATRY ASSOCIATES.
All rights reserved.
Hagland's Deformity is a condition where over
years bone develops to the back of the heel bone form shoe pressure
or some other pressure
being exerted on the back of the heel. Because the location
of the bone growth is at the point where the heel bone ends in
the back of the foot, this condition is also called a "Pump
Bump". The pain from this condition varies with the
severity of the bone growth in the back of the heel. Treatment
is aimed at reducing the amount of pressure on the heel that
is causing the bone to develop. If the bone growth
becomes too large, the condition can become very painful. Surgical
correction involves removing the enlarge bone from the back of
the heel. Usually the Achilles' Tendon must be re-attached
to the heel and will require a patient to use a cast after surgery
for at least six weeks. Other than the concern over the
Achilles' Tendon, the surgery to correct a Hagland's Deformity
is a straight forward procedure that has a high success rate.
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