Heel pain on the inner side, physiotherapy: Focus Fizikal✓

• Excessive activity
• Inappropriate footwear
• Tissue aging
• Excess weight 

Pain on the inner side of the heel is multifactorial and is often associated with static foot deformities that remain uncorrected for years.

Main causes of medial heel pain include:

• Excessive foot pronation: The inward rolling of the foot while walking puts constant pressure on the medial structures of the heel and stretches the plantar fascia at its inner attachment.
• Tarsal tunnel syndrome: Compression of the tibial nerve in a narrow bony canal on the inner side of the ankle, similar to carpal tunnel syndrome in the wrist.
• Inflammation of the tibialis posterior tendon: This tendon is crucial for maintaining the medial arch; overloading it causes pain projected to the inner heel.
• Medial heel spur: A bony growth forming at the inner attachment of the plantar fascia, causing mechanical irritation.
• Obesity and increased load directly contribute to flattening of the medial arch, which traumatizes the inner heel.
• Inadequate footwear: Wearing shoes without support for the medial arch forces the inner heel to absorb the full impact when the foot contacts the ground.

At Focus Physical Therapy Center, we perform a detailed analysis of foot posture and movement. Only by identifying the biomechanical cause can we achieve lasting relief from symptoms.

Treating a heel spur requires patience and a combination of different methods, as symptoms do not disappear overnight. The first step in therapy is to reduce stress on the feet, which is achieved through rest and avoiding activities that trigger pain. Wearing comfortable shoes with soft soles and orthopedic insoles is recommended, as they evenly distribute pressure and protect the heel.

At Focus Physical Therapy Center, treatment for inner heel pain is based on modern techniques aimed at tissue regeneration and decompression of nerve structures.

The rehabilitation process includes:

• Shockwave Therapy: Highly effective for chronic inflammation and calcium deposits on the inner edge of the heel; mechanically breaks down calcium and stimulates circulation.
• Tecar Therapy: Radiofrequency current that deeply heats the medial part of the foot, reduces muscle spasm, and accelerates drainage of swelling around nerves and tendons.
• HILT Laser: High-power laser that penetrates deeply to the pain site, providing immediate pain relief and reducing inflammation of the inner heel structures.
• Manual Therapy and Mobilization: Specific techniques in which the therapist manually creates space in the tarsal tunnel and decompresses the nerve.
• Kinesiotherapy: Targeted exercises to strengthen the muscles supporting the medial arch and balance exercises to correct pronation during walking.
• Kinesio Taping: Application of tape to mechanically lift the medial arch, immediately relieving pressure on the inner heel while walking.
• Individual Orthopedic Insoles: Custom-made insoles, if needed, to correct foot posture and permanently relieve pressure on the inner heel.

The combination of these procedures at Focus Physical Therapy ensures pain elimination and long-term foot stability. Our goal is to make every step proper, safe, and completely pain-free.