Plantar Fasciitis My husband has had a severe pain in his right heel for a number of weeks. The pain seems worse when he gets out of bed in the mornings or if he has been sitting for some time and then stands up. Any idea what it is?
His symptom sounds like a common condition, which causes pain under the heel of the foot, and is known as plantar fasciitis.
The painful area is usually situated about 5 cm from the back of the heel on the sole of the foot and is caused by an inflammation of the site where a long ligament called the plantar fascia attaches to the main heel bone.
The condition is similar to tennis elbow and can be the result of a tear in the ligament. Sometimes a spur of bone can develop at this spot, but this is not usually a serious problem.
He has recently started jogging - could this have anything to do with it ?
Yes. The condition typically occurs in those over the age of 40, especially if they start a sport or running activity.
It occurs in both men and women and is common in those who stand or walk for long periods during their working day. Climbing the stairs can also be painful and the area can be unbearably sore to the touch.
Can anything help it?
Men are not usually the best at seeking medical help for medical problems, but try to encourage him to see his GP. A definitive diagnosis and treatment plan will help him cope with the pain. In terms of treatment, rest from long walks and running is imperative. A heel pad, made from foam or rubber, should be worn inside shoes.
A hole corresponding to the painful area should be cut out of the pad ensuring the area does not make direct contact with the shoe. Strapping, using non- stretch sticking tape, can also be used in severe cases.
For most sufferers, the pain will take between six and 12 months to resolve completely. If the pain is severe and protracted, it may benefit from an injection of a painkiller/steroid mix into the area. This can be an uncomfortable procedure but will produce pain relief for a number of weeks.
Marion Kerr