Rear Foot Pain? What Could It Be?


Plantar Heel Pain is the most common cause of heel pain and describes the irritation or degeneration of a tissue that attaches from the bottom of your heel and spans out like a fan to your toes, called your plantar fascia. Because this tissue plays a crucial role in supporting your arch and helping you walk, pain is felt beneath the heel at varying intensities throughout the day on stepping, with a tendency to be worse in the mornings and on standing after rest. There are various causes including repetitive stress on the fascia pushing your tissue out of its envelope of function, changing to unsupportive, un-pitched (flat) footwear, an increase in activity levels with faulty foot biomechanics, and one-off injuries such as jumping down from a significant height. Because of the location of this injury, it makes resting and alleviating pressure altogether extremely difficult as most of us need to continue to walk and carry out our daily activities. This mean it can be a long-standing condition with patients initially waiting months to years before seeking treatment in the hopes that it will resolve itself. At Physio Connect, we treat this condition on a daily basis and as such have adopted solid, evidence based treatment strategies that we are confident will help you too, both in clinic and at home.

Cuboid Syndrome is characterised by the subluxation (partial dislocation) of the cuboid, a bone located on the outside border of the mid-foot. Subluxation occurs when, during gait, stress and traction forces are exerted on the cuboid and the connective tissues that exceed the load that the tissues that function to stabilise the cuboid and attach it to surrounding bones can withstand. This stress is caused by contraction of muscles in the leg and foot (commonly the Peroneus Longus), as well as improper biomechanical loading, lateral ankle instability and inversion ankle sprains. The resulting malalignment results in pain in the region of the cuboid that worsens with weight-bearing and twisting motions. This pain can radiate through the foot and can cause an altered gait where the outside border of the foot is attempted to be avoided to reduce pain on walking, and often occurs in conjunction with Peroneal Tendonitis (see above).