Pain in the sole of the foot, directly under the heel, is often caused by plantar fasciitis. This troublesome condition causes pain which is particularly severe when you first get out of bed in the morning but then eases a little as you continue to walk. The plantar fascia is a tough fibrous band, shaped like a triangle, which joins the ball of the foot with the heel bone. The strain and inflammation occur at the joint where the fascia joins the heel bone. Sometimes, an extra bit of bone, known as spur, may grow at this point.
Plantar fasciitis often affects people who are on their feet a lot in their work and those who are overweight, so good footwear and losing weight can help. It an also be a feature of some types of inflammatory arthritis, but this is unusual.
In older people, pain under the heel can also be the result of thinning of the fat pad. There is normally a dense cushion of tissue, mostly fat, under the heel, which acts as a shock absorber when walking. This cushion may become thin as you get older and the heel bone is no longer so well protected. Well-fitting shoes with soft, sponge rubber soles and heels, perhaps with a soft insole as well, will protect the heel.
Treatment for Heel Pain
Anti-inflammatory injection often helps plantar fasciitis. Anti-inflammatory drug, wearing heel cups do help with the symptoms.