Heel pain at the top, often near the Achilles tendon, is frequently caused by insertional Achilles tendinopathy. This differs from Achilles tendinitis, which affects the tendon higher up.
Understanding Insertional Achilles Tendinopathy
Insertional Achilles tendinopathy involves the area where the Achilles tendon attaches to the heel bone (calcaneus). Overuse, repetitive strain, or sudden injury can cause inflammation and pain in this specific location. The pain is typically localized to the top of the heel, often worsening with activity and improving with rest.
Symptoms of Insertional Achilles Tendinopathy:
- Pain at the back of the heel, directly above the heel bone.
- Stiffness in the heel and ankle.
- Swelling and/or tenderness to the touch.
- Pain that worsens with activity, especially running or jumping.
- Possible thickening or knotting of the tendon.
Other Potential Causes (Beyond Insertional Achilles Tendinopathy):
While insertional Achilles tendinopathy is a common culprit, other issues can cause upper heel pain. These could include:
- Heel spurs: Bony growths on the heel bone.
- Bursitis: Inflammation of the bursae (fluid-filled sacs) that cushion the heel.
- Haglund's deformity: A bony enlargement on the back of the heel bone.
- Sever's disease: (In children and adolescents) inflammation of the growth plate in the heel bone.
It's crucial to consult a doctor or physical therapist for an accurate diagnosis and appropriate treatment plan. Self-treating can delay proper healing and may worsen the condition.
