Plantar fasciitis is the most common cause of heel pain. The plantar fascia camera.gif is the flat band of tissue (ligament) that connects your heel bone to your toes. It supports the arch of your foot. If you strain your plantar fascia, it gets weak, swollen, and irritated (inflamed). Then your heel or the bottom of your foot hurts when you stand or walk.
Plantar fasciitis is common in middle-aged people. It also occurs in younger people who are on their feet a lot, like athletes or soldiers. It can happen in one foot or both feet.
Plantar fasciitis is caused by straining the ligament that supports your arch. Repeated strain can cause tiny tears in the ligament. These can lead to pain and swelling. This is more likely to happen if:
Your feet roll inward too much when you walk (excessive pronation).
You have high arches or flat feet.
You walk, stand, or run for long periods of time, especially on hard surfaces.
You are overweight.
You wear shoes that don’t fit well or are worn out.
The causes of pain can be very complex. The following test procedures are used to test and evaluate the cause of pain:
X-RAYS X-rays can be very effective in diagnosing traumatic bone and joint injuries such fractures and dislocations. An X-Ray provides images that can be used to evaluate bones, joints and degenerative lesions in the spine.
MYELOGRAM A myelogram uses X-rays and a special dye called contrast material to make pictures of the bones and the fluid-filled space between the bones in your spine. A myelogram may be done to find problems with the spine such as a herniated disc, or narrowing of the spinal canal caused by arthritis.
MAGNETIC RESONANCE IMAGING (MRI) An MRI is a common test to evaluate the lumbar spine. MRI’s can be used to evaluate vertebral bones, discs, joints, nerves, and soft tissue
CAT SCAN (CT) CT scans may be requested when problems are suspected in the bones or when a patient is unable to obtain an MRI
DISCOGRAPHY A discography is a medical procedure that involves injecting a dye into the jellylike center of a spinal disc to help diagnose back problems. During discography, a doctor looks at the amount of pressure needed to inject the dye into the disc, whether it causes pain that is the same as your regular pain, how much dye is used, and how the dye appears on X-ray once it is inside the disc.
EMG An electromyogram (EMG) measures how well and how fast the nerves can send electrical signals. If you have leg pain or numbness, you may have these tests to find out how much your nerves are being affected. These tests check how well your spinal cord, nerve roots, and nerves and muscles that control your legs are working.
BONE DENSITY Bone mineral density (BMD) testing generally correlates with bone strength and is used to diagnose osteoporosis
BONE SCAN A bone scan is a test to help find the cause of your back pain. It can be done to find damage to the bones. A bone scan can often find a problem days to months earlier than a regular X-ray test.