Heel acanthus, also known as plantar fasciitis, is a painful condition that affects the heel of the foot. It occurs when the plantar fascia, a thick band of tissue that runs across the bottom of the foot, becomes inflamed.

This can cause severe pain and discomfort, especially when walking or standing for long periods of time. Here are some common symptoms of heel acanthus:.

1. Heel Pain

The most prominent symptom of heel acanthus is pain in the heel. This pain is usually sharp, stabbing, or throbbing in nature. It is typically felt on the underside of the heel and may radiate along the arch of the foot.

The pain is often most intense after a period of rest, such as in the morning or after sitting for a long time.

2. Stiffness

Many people with heel acanthus experience stiffness in the affected foot. This stiffness can make it difficult to walk or engage in physical activities. It may feel as though the heel is “locked up” and requires some effort to move.

3. Swelling

Inflammation of the plantar fascia can cause swelling in the heel area. This swelling may be visible, or it may only be felt as a sensation of fullness or tightness in the foot.

Swelling can contribute to the overall discomfort associated with heel acanthus.

4. Tenderness

If you have heel acanthus, you may notice tenderness when applying pressure to the heel. This tenderness is often localized to a specific point on the underside of the heel, towards the front of the foot.

Pressing on this area may elicit a sharp or shooting pain.

5. Difficulty Standing on the Affected Foot

Heel acanthus can make it challenging to bear weight on the affected foot. Standing or walking for extended periods may exacerbate the pain and discomfort. This can significantly impact a person’s mobility and daily activities.

6. Pain with First Steps After Rest

Due to the inflammation and tightening of the plantar fascia, the pain of heel acanthus is often most noticeable with the first few steps taken after a period of rest or inactivity.

This is because the fascia contracts during rest and then stretches suddenly when weight is placed on the foot, causing sharp pain.

7. Alteration in Gait

People with heel acanthus may develop an altered walking pattern, known as an antalgic gait, to favor the affected foot.

This change in gait can lead to further issues, such as hip, knee, or back pain, as additional stress is placed on different parts of the body in an attempt to minimize weight-bearing on the painful heel.

8. Gradual Onset of Symptoms

The symptoms of heel acanthus typically develop gradually over time. Initially, individuals may only experience mild discomfort or a dull ache in the heel. However, as the condition progresses, the pain can become more severe and constant.

9. Morning Stiffness

Many people with heel acanthus experience the most stiffness and pain in the morning, upon taking the first few steps out of bed. This is due to the prolonged period of rest, during which the plantar fascia tightens and shortens.

10. Redness and Heat

In some cases, the heel affected by acanthus may appear reddened and feel warm to the touch. This can indicate an inflammatory response within the foot.

Remedies for Heel Acanthus

If you are experiencing symptoms of heel acanthus, there are several remedies you can try to alleviate pain and promote healing. Here are some effective treatment options:.

1. Rest

Resting your feet is crucial to allow the inflamed plantar fascia to heal. Avoid activities that exacerbate the pain, such as running or standing for extended periods. Consider using crutches or a cane to minimize weight-bearing on the affected foot.

2. Ice Therapy

Applying ice to the affected heel can help reduce inflammation and relieve pain. Use an ice pack or a frozen water bottle wrapped in a towel and apply it to the heel for about 15 minutes, several times a day.

Make sure to place a thin cloth between the ice pack and your skin to avoid frostbite.

3. Stretching Exercises

Performing specific stretching exercises can help loosen the plantar fascia and strengthen the foot muscles. Some effective stretches include calf stretches, toe stretches, and towel curls.

Consult a physical therapist or a healthcare professional for guidance on appropriate exercises for your condition.

4. Orthotic Inserts

Using orthotic inserts or shoe insoles can provide additional support and cushioning to the foot, reducing the strain on the plantar fascia. These inserts can be purchased over-the-counter or custom-made to fit your feet.

5. Footwear Modifications

Wearing supportive and properly fitting shoes can help alleviate symptoms of heel acanthus. Opt for shoes with good arch support and cushioning, and avoid high heels or shoes with inadequate support.

6. Night Splints

Using night splints can be beneficial for stretching the plantar fascia while you sleep. These splints hold the foot in a dorsiflexed position, maintaining a gentle stretch on the fascia overnight.

Consult with a healthcare professional to determine if night splints are suitable for your situation.

7. Medications

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help reduce pain and inflammation associated with heel acanthus.

However, consult with a healthcare professional before taking any medication, as they may have side effects or interact with other medications.

8. Physical Therapy

Physical therapy can be beneficial for heel acanthus, as it involves a comprehensive approach to pain management and rehabilitation.

A physical therapist can prescribe exercises, provide manual therapy, and offer additional treatments, such as ultrasound therapy or laser therapy.

9. Extracorporeal Shockwave Therapy (ESWT)

ESWT is a non-invasive procedure that uses shockwaves to stimulate healing in the affected area. It can help promote tissue regeneration and reduce pain associated with heel acanthus.

This therapy is typically performed by a healthcare professional and may require multiple sessions for optimal results.

10. Corticosteroid Injections

In severe cases, corticosteroid injections may be recommended to relieve pain and inflammation. These injections deliver powerful anti-inflammatory medication directly to the site of inflammation.

However, they should be used sparingly and under the guidance of a healthcare professional, as they carry potential risks and side effects.