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| There are many underlying causes of heel pain, and some physicians feel that it is probably more accurate to simply make a diagnosis of heel pain rather than try and define an absolute cause in every instance. Incidence; Causes & Development Plantar fasciitis occurs in both men and women, but is more common in women. Women have a significantly higher incidence of heel spurs due to certain types of footwear that are worn on a regular basis. Although pain may occur along the entire course of the plantar fascia, it is usually described as pain in the heel that occurs when taking the first few steps in the morning, with the symptoms lessening as walking continues. This bony prominence serves as the point of origin of the anatomic central band of the plantar fascia and three muscles between the heel and forefoot. Many patients state that they believe the condition to be the result of a stone bruise or a recent increase in daily activity. There is usually no correlation between pain and the presence or absence of bony growths and excision of a spur is not part of the usual surgery for plantar fasciitis. |
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