A patient named Richard recently came to me for what he described as pain in his heel,
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a construction worker and have to be on my feet most of the time. My feet never gave me any trouble until a few weeks ago when I had to carry lumber up and down stairs several times a day. After about a week on the job I noticed pain in my heel to the extent that I could barely walk. I had a vacation coming up so I thought I give it a rest to see if it got better. But it just as bad and even worse first thing in the morning. What can possibly be causing it? pain happens to be the most common foot problem and affects two million Americans every year. When you consider the amount of stress you put on your feet on a daily basis by just standing and walking,
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Richard case is not unusual. As a guy in his upper 50 who has worked in a physical job most of his life,
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Why is your heel the most likely to be affected? As the largest bone in the foot and the part that absorbs the greatest amount of pressure,
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Morning Heel Pain Although staying off your feet will relieve the pain temporarily it returns promptly when weight is placed on your feet for the first time in the morning pain,
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Tenderness and Swelling This can be the first sign that something is wrong,
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Localized Pain Indicating where the pain is felt helps to determine what the problem might be,
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Numbness and Tingling This could indicate a pinched nerve or a heel spur interfering with nerves functioning properly in the heel,
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What Can Possibly Be Causing The Pain,
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When patients like Richard complain of heel pain it is important to gather as much information about lifestyle and overall health issues. There are several risk factors that may contribute to foot pain such as obesity,
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Aging also plays a role in developing heel pain. As you get older,
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Shoes How your shoes fit and support your feet is extremely important. Ill fitting shoes can put pressure on your heel,
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Exercise Athletes often overdo it and find themselves adding strain to the heel of the foot. Taking the proper precautions before and after workout,
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Some common medical conditions affecting heels and feet include:

Plantar Fasciitis This is the most common cause and occurs when the ligament that runs the length of the bottom of the foot (plantar fascia ligament) becomes inflamed due to a tear,
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Heel Spurs These are pointed,
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Achilles Tendonitis in this condition,
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Severs Disease Common in children ages 9 15 this condition sometimes develops from strenuous physical activity. It causes pain in their feet,
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Metatarsalgia A condition affecting the ball of foot area which becomes inflamed often caused as a result of wearing high heeled shoes,
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Tarsal Tunnel Syndrome This condition is similar to carpal tunnel syndrome of the wrist but in this case it is the tibial nerve that becomes pinched causing inflammation and pain,
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What Can You Do About Heel Pain,
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There are some very simple things you can do for heel pain. If you are a runner or do high impact aerobics,
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Stretching exercises are also beneficial and should be done at least twice a day. Stretching should be done with slow,
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Over the counter pain medications may be helpful such as Tylenol,
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Treatments for heel pain are effective in 90% of patients who seek medical help and take the necessary steps to relieve their discomfort. Remember to see your doctor when you feel the first sign of pain to effectively treat the condition and keep it from returning. As for Richard,
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