Differential Diagnosis for Pain in Heel of Right Foot
Single Most Likely Diagnosis
- Plantar Fasciitis: This is the most common cause of heel pain, resulting from inflammation of the plantar fascia, a band of tissue that runs along the bottom of the foot. It is often associated with overuse, poor foot mechanics, or inadequate footwear.
Other Likely Diagnoses
- Achilles Tendinitis: Inflammation of the Achilles tendon, which connects the calf muscles to the heel bone, can cause pain in the heel. This condition is common in runners and athletes who participate in sports that involve running or jumping.
- Heel Spurs: A bony growth on the underside of the heel bone can cause pain when walking or standing. Heel spurs are often associated with plantar fasciitis.
- Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion bones and tendons, can cause pain in the heel.
- Fat Pad Atrophy: Thinning of the fat pad on the heel can cause pain, especially in older adults.
Do Not Miss Diagnoses
- Fracture: A stress fracture or other type of fracture in the heel or surrounding bones can cause severe pain and requires prompt medical attention.
- Infection: An infection, such as osteomyelitis (bone infection) or septic arthritis (joint infection), can cause heel pain and requires urgent medical attention.
- Tumor: A tumor, such as a bone cyst or soft tissue sarcoma, can cause heel pain and requires prompt evaluation.
- Peripheral Artery Disease: Poor circulation to the foot can cause pain in the heel, especially when walking or exercising.
Rare Diagnoses
- Rheumatoid Arthritis: This autoimmune disorder can cause inflammation and pain in the heel, although it is less common than other causes of heel pain.
- Gout: A type of arthritis that causes sudden, severe attacks of pain and swelling, often in the big toe, but can also affect the heel.
- Osteonecrosis: A condition in which the bone tissue dies due to lack of blood supply, can cause heel pain.
- Nerve Entrapment: Compression or irritation of the nerves in the foot can cause heel pain, such as tarsal tunnel syndrome.