pain can be felt at the back of the heel when the
ankle joint is moved and there may be a swelling on both sides of the Achilles
tendon. Or you may feel pain deep inside the heel when it makes contact with the
recognised as firm bumps on the back of the heel , they
are often rubbed by shoes causing pain.
cushioning for the heel is of little value. Your
chiropodist/ podiatrist may initially apply padding and strapping to alter the
direction of stretch of the ligament. This is often successful at reducing the
tenderness in the short term. Your chiropodist/podiatrist may suggest a course
of deep heat therapy to stimulate the healing processes, allowing damage to
respond and heal faster. In the long term, your chiropodist/podiatrist may
prescribe special insoles (orthoses) to help the feet to function more
effectively, thereby reducing strain on the ligaments and making any recurrence
If pain from heel spurs continues, you may be referred to your GP who can
prescribe an oral non-steroidal anti-inflammatory. Alternatively, localised
hydrocortisone injection treatment may be given by your GP or an appropriate
chiropodist/podiatrist. If pain persists, surgery may be considered.
In most cases, attention to the cause of any rubbing,
and appropriate padding and strapping by your chiropodist/podiatrist will allow
the inflammation to settle. If infection is present, your chiropodist/
podiatrist will refer you to your GP for antibiotics.
Adjustments to footwear is often enough to make them
comfortable. A leather heel counter and wearing boots may help. However, if pain
persists, surgery may be necessary.
When we walk or stand, our body weight is carried first on the heel and then on
the ball of the foot, where the skin is thicker, . to withstand the pressure.
When this pressure becomes excessive, some areas of the skin thicken, in the
form of corns and callus, as a protective response.
A callus, or callosity, is an extended area of thickened skin on the soles of
the feet, and occurs on areas of pressure. It is the body's reaction to pressure
or friction, and can appear anywhere the skin rubs against a bone, a shoe, or
Walking on stones?
Most calluses are symptoms of an underlying problem like a bony deformity, a
particular style of walking, or inappropriate footwear. Some people have a
natural tendency to form callus because of their skin type. Elderly people have
less fatty tissue in their skin and this can lead to callus forming on the ball
of the foot.
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