siliconindia | | October 20208IN MY OPINIONBy Dr. Abhishek Arun Nerurkar, Consultant Orthopaedic Surgeon, Hinduja Healthcare SurgicalHOW BIG IS THE HEEL PROBLEM?eel pain is one of the com-mon problems the mankind is facing these days. The incidence of nagging heel pain has been on the rise in millennials. It is an ex-tremely annoying and irritating con-dition, as it makes you wince every time you put your foot on the ground. `Plantar Fasciitis' is the cause of this heel pain more often than not!! What is plantar fasciitis? Plan-tar fascia is a thick band like struc-ture that extends from the toes to the bottom of our heel. Due to multiple reasons, there is increased traction of this plantar fascia, leading to irrita-tion near the attachment of this fascia to the heel bone. The actual cause of this condition is unknown, but it is believed that the constant traction of the plantar fascia to maintain the arch of our foot leads to small tears in the tissue and repeated tearing in this area can lead to inflammation of this tis-sue. Constant traction may also lead to beak like enlargement of the heel bone, called as `calcaneal spur'. Typically patients present with stabbing pain at the bottom of their heel. This pain is more in the morning hours, and it is usually worse at the first few steps after you're awake in morning. It can also be provoked after prolonged sitting or standing for long hours. It may also be exacerbated by high impact activities and sports.Plantar fasciitis can occur in any age, however it is more common in middle age individuals. It is usually associated with weight gain, and it takes a longer course to heal in obese individuals. It can be a part of occu-pational problems, and people who need to stand for long hours in their job are more prone to heel pain. Indi-viduals with foot deformities, flat foot, or any other functional problems of HDr. Abhishek Arun completed M.S. Orthopaedics, D.N.B. Orthopaedics, F. Sports Medicine and Arthroscopy - Germany, and F. Advanced Hip and Knee Joint Reconstruction (SICOT). He holds 7 years' experience in treating patients at Hinduja Healthcare Surgical.
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