Heel Bursitis

There are several fluid-filled sacs behind the heel bone that act as a cushion and a lubricant between muscles and tendons sliding over bone. They are known as bursae. Repetitive or over use of the ankle can cause the bursae to become inf lammed or irritated leading to heel bursitis. The condition is often mistaken for Achilles Tendonitits. Symptoms include pain in the heel, especially when walking, running, or jumping or when the area is touched. The skin around the back of the heel may be red and warm to the touch, and the pain may worsen when standing on tiptoe. It is commonly seen in people who are just starting an aggressive exercise routine.

Heel Spurs

Sometimes heel spurs are found in people with plantar fasciitis, but they are rarely the source of pain. Heel spurs are bony growths on the underside of the heel bone caused by tension from a tight plantar fascia ligament. They result from strain on the muscles and ligaments of the foot, stretching of the plantar fascia, and repeated tearing away of the lining or membrane that covers the heel bone. Close to 70% of patients with plantar fasciitis have a heel spur that can be seen on an X-Ray. Plantar fasciitis and heel spurs are often confused and they are related, but they are not the same condition.