very intuitive it’s nice to have somebody point out different pains i’m just surprised that nobody ever mentions the retrocalcaneal bursa. I have pain right at the bottom of my Achilles tendon and sometimes it creates a little bit of pain right under where you were pointing to fat pad syndrome, but does not hurt throughout the entire day. I just feel a little bit of a sharp pain when I’m laying down at night . Can you do a video on the bursa’s? I think there’s another one too. the subcalcaneal bursa.is a little bit lower, which is what I actually think I have, but my doctor said retro.
Thanks for your comment! I guess bursitis never really crossed my mind when we made this video and it's worth a mention. The pain is is the same areas as insertional achilles tendinopathy but different in presentation; usually quite a bit more pain, some swelling, pain at rest. And very often patients have some degree of achilles/plantar fascia issues with bursitis so there are multiple causes of pain. This is why heel pain can be so frustrating!
@ appreciate the fast comment thank you. My PT has me stretching but other videos say why would you stretch the bursa because the Achilles will just smash it.
@@matterafact thats the tricky part, some things may help certain conditions but then irritate others. If stretching seems to help, then I would keep doing it. If you feel like your have plateaued (or stretching does seem to aggravate it), and want to try something different, isometrics can be a great tool to help build strength in the calf, tendon, while also not stirring up the bursitis because there's no movement/repetition that would irritate it. I would also talk to your PT about foot mobility/mechanics. If you get your foot to pronate/supinate properly, and mobilize stiff points in your arch/fascia, that can help take the load out of the achilles (just disperse it better).
Hi Great explanation. From what I can tell I think I have Achilles Tendinitis. Really uncomfortable to walk but when is poke my heel with my fingers I can't recreate any pain or discomfort. Only Hurts when walking..... and pain reduced when i walk on tippy toes. Is that common?
Yes, walking on tippy toes often relieves the symptoms because you are using the muscles that connect into the tendon so that will have an analgesic effect. Affected tendons sometimes really don't like being stretched, so walking stretches the muscles/tendon which then can cause pain.
Thank you for this video! I have terrible pain on both the outside and inside of my heel as well as fascia hotspots on the bottom of my foot in the heel area and in the outside metatarsal area. I also have a painful eczema-like skin rash on that foot and ankle which makes the skin super sensitive. I actually think the painful skin rash caused the various foot/heel issues due to a domino effect: the skin was super painful, making wearing shoes/socks painful and causing skin to be rubbed off while wearing socks/shoes. The painful raw skin became sores which scabbed over but the scabs kept cracking and expanding due to pressure on the bottom/side of the foot when I walked. Walking became difficult and my gait changed which eventually resulted in the fascia in the foot, ankle and leg to become inflamed. I did a dermatologist’s prescribed two-week steroid cream treatment for the skin rash and it did clear up but came back two months later. The steroid treatment should not be repeated more than two or three times a year. I used non-steroid creams for the skin which did help for a while but with all of the stress and inflammation in the fascia the rash has returned. Add to that I have skin contact allergies to any/all fragrances, surgical glue, Azelaic acid and a lot of other common ingredients in products. With all of this it has been difficult to figure out exactly is now wrong with my foot. At first it seemed as if I had developed plantar fasciitis but I eventually realized that the pain is different that what I experienced when I did have PF about 15 years ago (very painful in the arch): my foot is now not painful in the arch, only in the heel and metatarsal area. I recently started going to a physical therapist for treatment: now I can be more specific in identifying my problem at my next treatment.
I’ve been this whole vacation week and half just hurting. My foot is so painful and it’s driving me crazy. I can sleep. It’s very hard to sleep or stand on.
I have a sharp random burning sensation on the outside of my left foot towards the rear of the heel. Also my Achilles tendon does seem to be slightly tight and sore. I have been trying to stretch my calf muscles and Achilles. Does seem to help a little.
I don't have planters.. But I do have a bruised heel. I was riding my mountain bike at a very high speed and I crashed and I tried to put my foot down and by the time I crashed and when I got home. My heel hurt very much, and it's been about 2 weeks now, and it's still very sore. All I've been doing is just icing it down as many times a day as I can. I did go to the hospital they said my heel was not broken That it was very bruised. Do you have any advice for me? What I could do to make it feel better.
Sorry to hear :/ you are looking at 6-8 weeks minimum. Wear cushioned shoes, or shoes that make it feel better all the time. No barefoot walking, no sandals etc. you can try tuli heel cups which have significant gel padding to help. You could also try taping for the heel; search taping for fat pad syndrome. Keep icing!
Not sure how I missed this comment, apologies! When you say swelling inside the heel do that mean on the inner port of the heel? or the MRI showed swelling literally inside the heel bone? If its swelling on the inner part of the heal, with signs of PF and bone bruise, that is all congruent with PF/Fatpad syndrome
Sorry to hear that :( I have my runners monitor pain and in most cases can get back to regular running even with pain still. I hope you can get it to calm down a bit and get back to running soon!
I just started getting pain on the back of the heel on the inside but at the back. Only on my right foot. I’m halfway through a 8 week practical placement
Fat Pad Syndrome Taping | San Diego Sports Therapy th-cam.com/video/B-4tM_7jR6k/w-d-xo.html this video shows a simple taping procedure that can help with fat pad syndrome. Stretching calves, rolling the foot and calves, and strengthening the fascia/calves will help with plantar fasciitis.
I have recently started getting a sharp pain in my right heel. Its like someone has stabbed me in the centre of the heel. Only happens about two/three times a day but doesnt seem to be any of these things. But painful enough for me to cry out when it happens. The sensation only lasts a minute or so.
Hard to say over the internet but if its dead center, it is likely a manifestation of fat pad syndrome. Might be early on so not consistent throughout the day. I try taping your heel for fat pad syndrome and see if that takes the symptoms away for those 2-3x per day. If so, keep doing that and then it should help take care of it.
Sciatica/radiculopathy can cause heel pain. Sometimes patients have nerve entrapment that presents as heel pain with they keep their leg straight, pull the foot towards them (dorsiflexion), and bend forward towards the straight leg. If it increases the heel, its often nerve entrapment.
th-cam.com/video/XxNuYvSCkFI/w-d-xo.html look at those stretches, and then add the strengthening exercises found in the next video of the series. Calf raises help with both plantar and achilles types of heel pain, so make sure you do those.
ive been living with chronic heel pain for 10 years now, nobody is able to tell me what it is, even pain in the edge of both heels, starts to hurt after around half hour or less of stading still, gets worse the longer i stand, instant relief when i sit, 0 pain when not standing, i can walk or run and it doesnt flare it up, no nerve pain or no pain anywhere else except the edge of the heel and slightly radiates out toward the whole heel, i cant work because of it and im genuinely scared because its getting worse, fit 30 year old male, been training in the gym for over 10 years, i run, eat healthy, no health issues... i wish somebody knew what is going on
Sorry to hear this :/ I wish I could have the answer for you. I am assuming you have had imaging, MRI? Anything of note? What about if you lie on your back keep your leg straight like you were stretching your hamstrings, pull the leg as far as you can and then pull your toes towards you (dorsiflexion) as well.... any heel pain? What about heel cups? Sometimes the fat pad on the bottom of the heel spreads out and then heel pain can kick in with compression. The cups can keep the fat pad in the center of the heel and might help for standing. Wish I could help more. If you are in San Diego, happy to take a look!
@@PeakFormHealthCenter I'm from Sydney Australia, you can't make the pain happen unless standing, nothing else aggravates it, yes mri, nothing visible, fat pad is normal 4 podiatrists have said, everything looks normal they all say
I'm 41 with hypermobility and EDS. A nerve conduction test confirmed my issues after every other test and many appointments later failed to find the cause of my heel pain
![Heel Pad Syndrome & Fat Pad Atrophy [BOTTOM of the Foot Pain FIX!]](http://i.ytimg.com/vi/54O-B2XqJaY/mqdefault.jpg)
th-cam.com/video/8u5I-ipWSYc/w-d-xo.html Check out our treatment video for plantar fasciitis!
I used to be active and sporty, this pain totally killed me. 😭
I thought that rest will help, but nooooo. 😭
very intuitive it’s nice to have somebody point out different pains
i’m just surprised that nobody ever mentions the retrocalcaneal bursa. I have pain right at the bottom of my Achilles tendon and sometimes it creates a little bit of pain right under where you were pointing to fat pad syndrome, but does not hurt throughout the entire day. I just feel a little bit of a sharp pain when I’m laying down at night . Can you do a video on the bursa’s? I think there’s another one too. the subcalcaneal bursa.is a little bit lower, which is what I actually think I have, but my doctor said retro.
Thanks for your comment! I guess bursitis never really crossed my mind when we made this video and it's worth a mention. The pain is is the same areas as insertional achilles tendinopathy but different in presentation; usually quite a bit more pain, some swelling, pain at rest. And very often patients have some degree of achilles/plantar fascia issues with bursitis so there are multiple causes of pain. This is why heel pain can be so frustrating!
@ appreciate the fast comment thank you. My PT has me stretching but other videos say why would you stretch the bursa because the Achilles will just smash it.
@@matterafact thats the tricky part, some things may help certain conditions but then irritate others. If stretching seems to help, then I would keep doing it. If you feel like your have plateaued (or stretching does seem to aggravate it), and want to try something different, isometrics can be a great tool to help build strength in the calf, tendon, while also not stirring up the bursitis because there's no movement/repetition that would irritate it. I would also talk to your PT about foot mobility/mechanics. If you get your foot to pronate/supinate properly, and mobilize stiff points in your arch/fascia, that can help take the load out of the achilles (just disperse it better).
Thank you
You have provided more info than my PCP
Thats an all too familiar story we hear from patients :/ but glad you found us and found some good info!
Hi Great explanation. From what I can tell I think I have Achilles Tendinitis. Really uncomfortable to walk but when is poke my heel with my fingers I can't recreate any pain or discomfort. Only Hurts when walking..... and pain reduced when i walk on tippy toes. Is that common?
Yes, walking on tippy toes often relieves the symptoms because you are using the muscles that connect into the tendon so that will have an analgesic effect. Affected tendons sometimes really don't like being stretched, so walking stretches the muscles/tendon which then can cause pain.
Thanks for the reply. already more helpful than my dr. @@PeakFormHealthCenter
Thank you for this video! I have terrible pain on both the outside and inside of my heel as well as fascia hotspots on the bottom of my foot in the heel area and in the outside metatarsal area. I also have a painful eczema-like skin rash on that foot and ankle which makes the skin super sensitive. I actually think the painful skin rash caused the various foot/heel issues due to a domino effect: the skin was super painful, making wearing shoes/socks painful and causing skin to be rubbed off while wearing socks/shoes. The painful raw skin became sores which scabbed over but the scabs kept cracking and expanding due to pressure on the bottom/side of the foot when I walked. Walking became difficult and my gait changed which eventually resulted in the fascia in the foot, ankle and leg to become inflamed. I did a dermatologist’s prescribed two-week steroid cream treatment for the skin rash and it did clear up but came back two months later. The steroid treatment should not be repeated more than two or three times a year. I used non-steroid creams for the skin which did help for a while but with all of the stress and inflammation in the fascia the rash has returned. Add to that I have skin contact allergies to any/all fragrances, surgical glue, Azelaic acid and a lot of other common ingredients in products. With all of this it has been difficult to figure out exactly is now wrong with my foot. At first it seemed as if I had developed plantar fasciitis but I eventually realized that the pain is different that what I experienced when I did have PF about 15 years ago (very painful in the arch): my foot is now not painful in the arch, only in the heel and metatarsal area. I recently started going to a physical therapist for treatment: now I can be more specific in identifying my problem at my next treatment.
So glad it was helpful! I hope the info will provide more clarity to your conditions. Good luck :)
Hey,how's it now? Found any solutions?
I’ve been this whole vacation week and half just hurting. My foot is so painful and it’s driving me crazy. I can sleep. It’s very hard to sleep or stand on.
I have a sharp random burning sensation on the outside of my left foot towards the rear of the heel. Also my Achilles tendon does seem to be slightly tight and sore. I have been trying to stretch my calf muscles and Achilles. Does seem to help a little.
Have the same thing. Did yours go away ?
@@yazbakri yeah eventually.. do stretches as much as possible. I also went on the Carnivore diet and that seemed like it helped
I don't have planters.. But I do have a bruised heel. I was riding my mountain bike at a very high speed and I crashed and I tried to put my foot down and by the time I crashed and when I got home. My heel hurt very much, and it's been about 2 weeks now, and it's still very sore. All I've been doing is just icing it down as many times a day as I can. I did go to the hospital they said my heel was not broken That it was very bruised. Do you have any advice for me? What I could do to make it feel better.
Sorry to hear :/ you are looking at 6-8 weeks minimum. Wear cushioned shoes, or shoes that make it feel better all the time. No barefoot walking, no sandals etc. you can try tuli heel cups which have significant gel padding to help. You could also try taping for the heel; search taping for fat pad syndrome. Keep icing!
@@PeakFormHealthCenter I really appreciate your response. Thank you for answering my question and I will try that thank you so much.
Hi,how's it now? Got any relief?
Did MRI,DOCS confirmed plan.fasctis and bruised heal,but there also is swelling on inside of heel,is it related?Thanks
Not sure how I missed this comment, apologies! When you say swelling inside the heel do that mean on the inner port of the heel? or the MRI showed swelling literally inside the heel bone? If its swelling on the inner part of the heal, with signs of PF and bone bruise, that is all congruent with PF/Fatpad syndrome
I have the same pain in my right heel first step morning and i am behind schedule of my marathon this pain is killing my determination
Sorry to hear that :( I have my runners monitor pain and in most cases can get back to regular running even with pain still. I hope you can get it to calm down a bit and get back to running soon!
I have all foot pain why?like the whole collection i each every time sometime at the same times😢
I just started getting pain on the back of the heel on the inside but at the back. Only on my right foot. I’m halfway through a 8 week practical placement
Sounds like insertional achilles. Definitely keep an I on it and seek some help for exercises if you aren't doing any for it currently
I think I have got both plantar fasciitis and heel pad problem/bone bruise. Do you have any tips to heal? I have had this for 6 months
Fat Pad Syndrome Taping | San Diego Sports Therapy
th-cam.com/video/B-4tM_7jR6k/w-d-xo.html this video shows a simple taping procedure that can help with fat pad syndrome. Stretching calves, rolling the foot and calves, and strengthening the fascia/calves will help with plantar fasciitis.
@@PeakFormHealthCenter thanks for the link! I will give it a try!
Hi,how's it now? Plz reply
I have recently started getting a sharp pain in my right heel. Its like someone has stabbed me in the centre of the heel. Only happens about two/three times a day but doesnt seem to be any of these things. But painful enough for me to cry out when it happens. The sensation only lasts a minute or so.
Hard to say over the internet but if its dead center, it is likely a manifestation of fat pad syndrome. Might be early on so not consistent throughout the day. I try taping your heel for fat pad syndrome and see if that takes the symptoms away for those 2-3x per day. If so, keep doing that and then it should help take care of it.
Does having sciatica impact heels?
Sciatica/radiculopathy can cause heel pain. Sometimes patients have nerve entrapment that presents as heel pain with they keep their leg straight, pull the foot towards them (dorsiflexion), and bend forward towards the straight leg. If it increases the heel, its often nerve entrapment.
I have a calcaneas heel pain sir kindly give me some suggestions, I'm a runner i have events so i have to take up
th-cam.com/video/XxNuYvSCkFI/w-d-xo.html look at those stretches, and then add the strengthening exercises found in the next video of the series. Calf raises help with both plantar and achilles types of heel pain, so make sure you do those.
@@PeakFormHealthCenter Thank you so sir
Hu,found any relief?@@sandybabu9311
ive been living with chronic heel pain for 10 years now, nobody is able to tell me what it is, even pain in the edge of both heels, starts to hurt after around half hour or less of stading still, gets worse the longer i stand, instant relief when i sit, 0 pain when not standing, i can walk or run and it doesnt flare it up, no nerve pain or no pain anywhere else except the edge of the heel and slightly radiates out toward the whole heel, i cant work because of it and im genuinely scared because its getting worse, fit 30 year old male, been training in the gym for over 10 years, i run, eat healthy, no health issues... i wish somebody knew what is going on
Sorry to hear this :/ I wish I could have the answer for you. I am assuming you have had imaging, MRI? Anything of note? What about if you lie on your back keep your leg straight like you were stretching your hamstrings, pull the leg as far as you can and then pull your toes towards you (dorsiflexion) as well.... any heel pain? What about heel cups? Sometimes the fat pad on the bottom of the heel spreads out and then heel pain can kick in with compression. The cups can keep the fat pad in the center of the heel and might help for standing. Wish I could help more. If you are in San Diego, happy to take a look!
@@PeakFormHealthCenter I'm from Sydney Australia, you can't make the pain happen unless standing, nothing else aggravates it, yes mri, nothing visible, fat pad is normal 4 podiatrists have said, everything looks normal they all say
@@taydencornish High arches? Tight calves?
Tib/fib joint instability causes irritation to my peroneal nerve. This causes my pain.
I'm 41 with hypermobility and EDS. A nerve conduction test confirmed my issues after every other test and many appointments later failed to find the cause of my heel pain