Differential Diagnosis for Heel Pain
- 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 supports the arch 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 heel pain, especially with activities that involve running or jumping.
- Heel spur: A bony growth on the underside of the heel bone, which can cause pain when walking or standing.
- Bursitis: Inflammation of the fluid-filled sacs (bursae) that cushion the joints and reduce friction between bone and soft tissue, can cause heel pain.
- Fat pad atrophy: Thinning of the fat pad under the heel, which can lead to pain and discomfort.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Osteomyelitis: A bone infection that can cause heel pain, redness, and swelling, and can lead to serious complications if left untreated.
- Tumor: A rare but potentially life-threatening cause of heel pain, such as a bone or soft tissue tumor.
- Fracture: A stress fracture or other type of fracture in the heel bone, which can cause severe pain and require prompt medical attention.
- Rare diagnoses
- Rheumatoid arthritis: A chronic autoimmune disorder that can cause heel pain and swelling, although it is less common than other causes.
- Gout: A type of arthritis that can cause sudden, severe heel pain and swelling, especially in people with a history of gout.
- Nerve entrapment: Compression or irritation of the nerves in the heel, which can cause pain, numbness, and tingling.