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Published on: 1/31/2025

What Could Be Causing My Heel Pain? Is Heel Pain Connected to Internal Organ Dysfunction?

Heel pain can arise from various causes, with the most common being musculoskeletal issues such as plantar fasciitis. While heel pain is primarily related to foot and ankle problems, it can sometimes be associated with internal organ dysfunction, although this is less common. Understanding the potential causes is essential for effective diagnosis and treatment.

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Explanation

Common Causes of Heel Pain

Heel pain can result from several conditions, including:

  • Plantar Fasciitis: This is the most common cause of heel pain, characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot. Pain is typically worse in the morning or after prolonged periods of sitting.
  • Achilles Tendinitis: Inflammation of the Achilles tendon, which connects the calf muscles to the heel bone, can cause pain at the back of the heel, especially during activities that involve running or jumping.
  • Heel Spurs: These are bony growths on the heel bone that can develop due to chronic plantar fasciitis. They may not always cause pain but can contribute to discomfort.
  • Bursitis: Inflammation of the bursa (a small fluid-filled sac) near the heel can lead to pain and swelling.
  • Stress Fractures: Overuse or repetitive stress on the heel can lead to small fractures, causing localized pain.

Less Common Causes Related to Internal Organ Dysfunction

While heel pain is primarily associated with foot and ankle issues, there are instances where it may be connected to internal organ dysfunction:

  • Referred Pain: Conditions affecting the kidneys, such as kidney stones or infections, can sometimes cause referred pain that may be felt in the heel or lower back. However, this is not a common presentation.
  • Systemic Conditions: Certain systemic diseases, such as rheumatoid arthritis or diabetes, can lead to foot problems, including heel pain, due to inflammation or neuropathy.
  • Circulatory Issues: Poor circulation or vascular problems can lead to pain in the extremities, including the heels, although this is typically accompanied by other symptoms.

When to Seek Medical Attention

If you experience persistent or severe heel pain, especially if it is accompanied by other concerning symptoms (such as swelling, redness, or difficulty walking), it is important to consult a healthcare provider. A thorough evaluation, including a physical examination and possibly imaging studies, can help determine the underlying cause and guide appropriate treatment.

(References)

  • Tu P. Heel Pain: Diagnosis and Management. Am Fam Physician. 2018 Jan 15;97(2):86-93. PMID: 29365222.

  • Agyekum EK, Ma K. Heel pain: A systematic review. Chin J Traumatol. 2015;18(3):164-9. doi: 10.1016/j.cjtee.2015.03.002. PMID: 26643244.

  • Koc TA Jr, Bise CG, Neville C, Carreira D, Martin RL, McDonough CM. Heel Pain - Plantar Fasciitis: Revision 2023. J Orthop Sports Phys Ther. 2023 Dec;53(12):CPG1-CPG39. doi: 10.2519/jospt.2023.0303. PMID: 38037331.

  • Morrissey D, Cotchett M, Said J'Bari A, Prior T, Griffiths IB, Rathleff MS, Gulle H, Vicenzino B, Barton CJ. Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. Br J Sports Med. 2021 Oct;55(19):1106-1118. doi: 10.1136/bjsports-2019-101970. Epub 2021 Mar 30. PMID: 33785535; PMCID: PMC8458083.

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