Pain in the back of my heels

Posted by melugin @melugin, Mar 12 8:32am

Does anyone have pain in back of heels?

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Yes, I recently had strong pain in my Achilles heel on one foot. I think it is caused by statins but not sure. The pain subsided after rest for a couple of days but still the area feels delicate.

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That could be tendonitis, fasciitis, or bone spurs. An x-ray will tell the tale about the latter case, and an MRI will help with the former two.

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I’m betting fasciitis is the culprit.

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Is it on the surface of the heel that contacts the ground or is it up the back of the heel? On the bottom of the heel it would most likely be plantar fasciitis and if it it up say a 1/2" or so it would most likely be achilles tendonitis. I have treated many hundreds of cases of heel pain. In fact heel pain is most common complaint I have treated for people with foot pathologies. I have never seen a patient who had an MRI for heel pain unless it was an elite athlete where a stress fracture was suspected.

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@harveywj

Is it on the surface of the heel that contacts the ground or is it up the back of the heel? On the bottom of the heel it would most likely be plantar fasciitis and if it it up say a 1/2" or so it would most likely be achilles tendonitis. I have treated many hundreds of cases of heel pain. In fact heel pain is most common complaint I have treated for people with foot pathologies. I have never seen a patient who had an MRI for heel pain unless it was an elite athlete where a stress fracture was suspected.

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It is the back of heels. The pain is only 2. So not bad. The puzzle is I
didn't do anything to cause it.
I was just diagnosed with Pulomary artery hypertension.
Can this cause it. It started the same time.

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@melugin

It is the back of heels. The pain is only 2. So not bad. The puzzle is I
didn't do anything to cause it.
I was just diagnosed with Pulomary artery hypertension.
Can this cause it. It started the same time.

Jump to this post

I doubt this has anything to do with PAH. It sounds like soft tissue inflammation of either the achilles tendon insertion or plantar fasciitis. PF is most often felt on the plantar surface of the foot but it can extend upward around the heel. I would not go barefoot at all. The best shoes are a good pair of running shoes which reduce the biomechanical stress on the tendons. You do not have to do anything to get this kind of inflammation. It is amazing that I have seen so many sedentary people get it just as well as athletes. Gentle ice massage with an ice cube can help reduce the inflammation. Be careful on how you climb steps and how you go down steps. Most people feel worse in the morning but it can also feel worse after a long day on your feet. Before you get out of bed try gentle massage (without ice cube) across the site where it hurts.

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@harveywj

I doubt this has anything to do with PAH. It sounds like soft tissue inflammation of either the achilles tendon insertion or plantar fasciitis. PF is most often felt on the plantar surface of the foot but it can extend upward around the heel. I would not go barefoot at all. The best shoes are a good pair of running shoes which reduce the biomechanical stress on the tendons. You do not have to do anything to get this kind of inflammation. It is amazing that I have seen so many sedentary people get it just as well as athletes. Gentle ice massage with an ice cube can help reduce the inflammation. Be careful on how you climb steps and how you go down steps. Most people feel worse in the morning but it can also feel worse after a long day on your feet. Before you get out of bed try gentle massage (without ice cube) across the site where it hurts.

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Thanks

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In reply to @melugin "Thanks" + (show)
@melugin

I forgot to mention that drugs like Cipro and others in the same family of quinolone antibiotics can cause reactions to the tendon sheaths of long muscles esp. the achilles and hamstring muscles. If you are taking an antibiotic like that I would report it immediately to you doctor.

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Hi, I can walk about 2 blocks before stopping for about 2 minutes because of left leg pain ( Doppler test show 50% blockage) and heel pain.
Heel pain ( like piercing needles or burning) can come anytime like when sitting or driving.
Any comments?

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@22104011333113

Hi, I can walk about 2 blocks before stopping for about 2 minutes because of left leg pain ( Doppler test show 50% blockage) and heel pain.
Heel pain ( like piercing needles or burning) can come anytime like when sitting or driving.
Any comments?

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Hi there
Due to the fact that you have rest pain and already had a doppler you and your physician know about prior history of ambulation which is important in your case.It seems to me you have limb ischemia with clinical presentation of acute ischemia. In addition it seems to me you are probably aware of medical and surgical treatment since you have been through the peocessof diagnosis.
Only thing I'd like to emphasize is that prognosis improves with successful, EARLY recascularization.

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