There are several conditions that can cause redness and swelling in the heel. If it is the entire heel the problem may be acute gouty arthritis, although gout usually occurs in the big toe, it also affects the knees, shoulders, elbows, ankles and heels. If there is history of gout in your family, or if you have had multiple gout attacks in other joints than the likelihood this is gout has increased. The most common area to be red and swollen is just behind the heel, at the attachment of the Achilles tendon. There is a bursal sac in the area that may have become inflamed, most people are aware of bursitis affecting shoulders, knees and hips, but this also is a problem in feet. Retro-calcaneal bursitis is basically a condition that occurs when the bursa (fluid filled sac that cushions the area between the Achilles tendon and the heel bone) becomes irritated from over use or an injury. Ice, elevation and especially rest are important, but it is also wise to avoid any shoes, or even a sock touching the area till it reduces. Anti-inflammatories such as Aleve, Motrin, and Aspirin are all helpful but if it is very tender it’s time to see the podiatrist.
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