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Have a continuous pain in heel of both leg. What is causing this and cure?

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Orthopaedic Surgeon
Practicing since : 1994
Answered : 9094 Questions
Hi doctor,i have a continuous pain in my heel of both leg from past seven month.I used to wear mostly leather shoes but due to this pain ,i switched to sport shoes. but it hasn't help me interm of pain inheel. kindly help me in this
Posted Thu, 1 Nov 2012 in Bones, Muscles and Joints
Answered by Dr. Praveen Tayal 7 minutes later
Thanks for posting your query.
The pain in heels can be due to a condition called plantar fasciitis. Its one of the commonest reason for heel pain. Pain in morning and improvement on walking for some time is its classical presentation. The initial treatment with anti inflammatory medicines with rest and cold fomentation works fine for most of the patients. Cortisone injection is a good mid to long term treatment. Beware not to take it frequently since it causes induced tear of plantar fascia. Consider using soft silicone heel cushions for preventing any further damage to fascia.
Exercises also play an important role and I'm afraid they are the only long term mainstay of the treatment. I'm sure you already know but these are few exercises you'll have to do for long time-
1. Calf stretch- Lean forward against a wall with one knee straight and the heel on the ground. Place the other leg in front, with the knee bent. To stretch the calf muscles and the heel cord, push your hips toward the wall in a controlled fashion. Hold the position for 10 seconds and relax. Repeat this exercise 20 times for each foot. A strong pull in the calf should be felt during the stretch.
2. Plantar fascia stretch- This stretch is performed in the seated position. Cross your affected foot over the knee of your other leg. Grasp the toes of your painful foot and slowly pull them toward you in a controlled fashion. The fascia should feel like a tight band along the bottom of your foot when stretched. Hold the stretch for 10 seconds. Repeat it 20 times for each foot.
These exercises are best done in the morning before standing or walking. You also need to understand that with help of medicines, injections and physiotherapy the effects shall be appreciated after a year or so.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.
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