3 Chronic Calcaneal Conditions and How to Treat Them

When ailments like pronation, rheumatoid arthritis, or gout strike, your heels are often first to feel the worst effects. Each of these issues has one thing in common: The ability to cause chronic discomfort over a long period of time.
At Clifton Foot & Ankle Center, we know you’ve got better things to do than let heel pain get you down. Let’s explore how these issues can manifest, what the symptoms are, and any related conditions they might lead to.
1. Pronation
Pronation is the natural inward rolling of the ankle during gait. Overpronation can cause the heel bone to roll inwards excessively, leading to:
- Heel pain: The shifted weight distribution puts undue stress on the heel bone and surrounding tissues, causing tenderness and inflammation.
- Plantar fasciitis: Overpronation can strain the plantar fascia, the ligament that supports the arch, leading to pain in the heel and sole of the foot.
- Achilles tendonitis: Chronic pronation can place extra strain on the Achilles tendon, causing pain and inflammation at the back of the heel.
2. Rheumatoid Arthritis
RA is an autoimmune disease that attacks the joints. In the heel, RA can cause:
- Joint pain: Inflammation in the subtalar joint, located beneath the heel bone, can lead to persistent pain and difficulty flexing the foot.
- Morning stiffness: RA stiffness is often worse in the mornings, making it painful to take those first few steps.
- Deformities: Over time, untreated RA can damage the joints, leading to deformities like heel bone spurs or bunions.
3. Gout
Gout is a form of inflammatory arthritis caused by excess uric acid buildup in the joints. The big toe is a common target, but heels can also be affected. Gout in the heel can cause:
- Sudden, severe pain: Gout attacks often come suddenly and cause excruciating pain, tenderness, and inflammation in the affected area.
- Redness and swelling: The inflamed joint appears red, swollen, and warm to the touch.
- Limited mobility: Severe gout attacks make it difficult to walk or put weight on the affected foot.
Wondering if you’ve got one of these issues? Make an appointment with Dr. Kenneth R. Wilhelm for an examination at Clifton Foot & Ankle Center in Centreville, Virginia, by calling (703) 996-3000 or contacting us online!