What could be causing pain just above the heel?

The area just above the heel refers to the Achilles tendon. In general, Achilles tendon pain may be related to factors such as overexertion, improper footwear, tendinitis, tendon injury, or ankylosing spondylitis. It is recommended to visit a hospital to determine the underlying cause and follow medical advice for treatment. Specific analyses are as follows:

1. Overexertion: Prolonged standing, walking, or engaging in high-intensity exercise may lead to overuse of the muscles or soft tissues above the heel, causing pain, possibly accompanied by soreness, heaviness, or fatigue in the foot. It is advised to rest adequately, avoid prolonged standing or walking, and apply heat therapy, massage, or foot soaks.

2. Improper footwear: Wearing shoes with tight heels, high heels, or hard soles for extended periods can cause friction between the heel and the Achilles tendon during walking or physical activity, potentially leading to local redness, swelling, pain, discomfort, or a rubbing sensation in the foot. It is recommended to choose appropriate footwear and avoid high heels and hard-soled shoes.

3. Tendinitis: Repeated stress or pulling on the Achilles tendon over time may result in aseptic inflammation, causing pain along with stiffness and tenderness. Patients should promptly take medications such as ibuprofen sustained-release capsules, celecoxib capsules, or indomethacin tablets as directed by a physician to relieve pain.

4. Tendon injury: Localized injury to the Achilles tendon caused by intense physical activity or lifting heavy objects may result in pain, accompanied by symptoms such as local congestion, swelling, and tenderness. Under a doctor's guidance, patients may use medications such as ibuprofen tablets, acetaminophen tablets, or amoxicillin sustained-release capsules to aid recovery.

5. Ankylosing spondylitis: This condition may also cause Achilles tendon pain, often accompanied by lower back pain, morning stiffness, and joint swelling or pain. Patients are advised to take medications such as celecoxib capsules, methotrexate tablets, or leflunomide tablets under medical supervision to manage symptoms.

During treatment, maintaining a positive mood and avoiding excessive emotional excitement is important. Additionally, regular rest and avoidance of overexertion are essential.