Why Does Your Heel Hurt?: Is It Gout or Plantar Fasciitis ?

The word gout comes from the Greek word podagra, which literally translates to “foot grabber.”

Gout is a type of arthritis caused by a buildup of uric acid and characterized by foot pain, swelling, redness, and difficulty walking is typically localized in the big toe. However, some types of gout may be localized in the heel, making it difficult to distinguish from plantar fasciitis.

Let’s explore the connection between gout and heel pain that can help you tell the difference between plantar fasciitis and gout.

Gout is a disorder in which there is too much uric acid (hyperuricemia) in the body with the result that uric acid crystals form in the joints which in turn causes arthritic pain. Gout is most commonly evident in the joint of the big toe but other joints such as the ankle, instep, knee, wrist, and even the elbow, can be affected.

Symptoms include pain in the joints that is acute and severe. Joints may also swell, and be warm and reddish in color. Diagnosis is by physical exam in which certain symptoms are noted; especially problems with the big toe joint. Diagnosis can be confirmed by taking a sample of synovial fluid from the afflicted joint and looking for the presence of uric acid crystals. X-rays and ultrasound can also be helpful in the diagnosis of gout since they can sometimes show the presence of bone lesions.

Summary of Gout Vs. Plantar Fasciitis

  • Gout is a condition in which uric acid builds up in the joints causing pain.

  • Plantar fasciitis is a condition in which the tissue extending from the toes to the heel becomes inflamed.

Blood tests and fluid samples may be used to diagnose gout. Diagnosing plantar fasciitis, on the other hand, only requires a physical examination and imaging tests.

Medications, diet, and lifestyle changes may help treat gout. To treat plantar fasciitis, physical therapy, custom foot orthotics, and supportive footwear may be recommended, and, in some cases, surgery.