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Heel pad syndrome is a pain that occurs in the center of the heel. [1] It is typically due to atrophy of the fat pad which makes up the heel. Risk factors include obesity. [1] Other conditions with similar symptoms include plantar fasciitis. [1] Treatment includes rest, pain medication, and heel cups. [1] It becomes more common with age. [1]
An incidental finding associated with this condition is a heel spur, a small bony calcification on the calcaneus (heel bone), which can be found in up to 50% of those with plantar fasciitis. [6] In such cases, it is the underlying plantar fasciitis that produces the heel pain, and not the spur itself. [ 13 ]
Middle age is the most common age of affection, females are more affected than males, and the occurrence is often bilateral. A clinical feature of this condition is pain in the back of the heel, which is more after rest. Clinical evaluation and lateral radiographs of the ankle are mostly enough to make a diagnosis of Haglund's syndrome. [2]
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Strong muscles in the calves and lower legs will help take the stress off the bone and prevent heel spurs. Icing the area is an effective way to get immediate pain relief. There are several means to get pain relief from plantar heel pain. [8] Plantar heel pain can be a precursor to many pathologies of the foot. [9]
The plantar fascia extends from the heel bone to the toes, and helps support the arch of the foot. [22] Plantar fasciitis is a common cause of heel pain and affects about two million people in the United States. Though once considered an inflammatory condition, plantar fasciitis is now characterized as a degenerative pathology.
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