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Differential Diagnosis for Right 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 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 back of 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, which 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, tendons, and muscles near joints, can cause heel pain.
  • Stress Fracture: A small crack in one of the bones in the foot or ankle can cause pain in the heel area, especially with weight-bearing activities.

Do Not Miss Diagnoses

  • Infection (e.g., Osteomyelitis or Septic Arthritis): Although less common, infections in the bone or joint can cause severe heel pain and require prompt medical attention to prevent serious complications.
  • Tumor (e.g., Bone or Soft Tissue): Rarely, heel pain can be a symptom of a tumor, either benign or malignant, in the foot or ankle.
  • Peripheral Artery Disease: Reduced blood flow to the feet can cause pain in the heel, especially when walking, and is a sign of a more serious vascular condition.

Rare Diagnoses

  • Rheumatologic Conditions (e.g., Rheumatoid Arthritis, Psoriatic Arthritis): Certain autoimmune diseases can cause heel pain, although this is less common than other symptoms.
  • Nerve Entrapment (e.g., Tarsal Tunnel Syndrome): Compression of nerves in the foot can cause pain, numbness, or tingling in the heel area.
  • Paget's Disease of Bone: A chronic condition that can cause enlarged and misshapen bones, leading to heel pain, although this is rare and typically affects older adults.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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