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Heel Pain

by Scott
(UK)

2 weeks ago when i was playing indoor soccer on a wooden court i landed awkwardly with all my weight coming down on my right heel. My right knee did not bend so all my weight went on my heel.





Bruising appeared a couple days after i did it around the bottom of my foot around the ankle but no bruising appeared where i have the pain. I cannot put my weight on my heal yet which means i cannot walk without limping.

I suspect i have just bruised the heel pad but expected i would have seen more improvement by this time. I regularly take anti inflammatory pain killers to ease the pain when i'm walking but i do not suffer any pain when i take the weight off it.

Is it too early to expect the pain to have stopped given i cannot fully rest my heel or is it worth seeking professional advice?

Thanks,
Scott

RESPONSE
Hi Scott,
Since it sounds like you are fairly young and I would assume in good health, then by two weeks you should have started to feel some substantial relief, not total relief perhaps, but you should have felt like you are at least "getting better" and you are not.
Because of the way you came down on your heel, one of my concerns would be the possibility of a fracture in the heel bone as that would be the primary reason your foot is not getting any better.
Next in line would be a bone bruise where you just badly bruised the heel bone by the motion of the way you came down on the heel.
Third, there is also the possibility that you did some substantial damage either to the long plantar fascial ligament that attaches into the heel bone or even one of the tendons that also attaches into the heel.
The problem with all these injuries is that as you keep walking you keep aggravating the problem and the foot cannot get better. For comparison sake, had to fallen and hurt your hand, you could have put your hand in a sling and it would be feeling much better by now.
So the fact that two weeks have passed and you are not much better would lead me to believe the best thing you could do for yourself would be to see a doctor specifically a foot specialist who is more familiar with the anatomy of the foot and will be able to arrive at a specific diagnosis. The quicker you find out what is wrong, the quicker it will get better with proper treatment.

Marc Mitnick DPM
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