What Causes Pain in the Heel of the Foot?

Understanding Heel Pain

Heel pain is a common issue that can affect people of all ages. It may develop gradually or suddenly, making walking or performing daily activities difficult. Excessive strain, improper footwear, or underlying medical conditions often cause heel pain.

Common Causes of Heel Pain

Several conditions may contribute to heel discomfort, including:

  • Plantar Fasciitis: Inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot. This often causes sharp pain in the heel, especially in the morning.
  • Achilles Tendinitis: Inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. This condition can cause pain in the back of the heel.
  • Heel Spurs: Bony growths that develop on the underside of the heel bone due to repeated stress or strain.
  • Bursitis: Inflammation of the fluid-filled sacs (bursae) near the heel that cushion bones and tendons.
  • Stress Fractures: Tiny cracks in the heel bone caused by repetitive impact, such as from running or jumping.
  • Tarsal Tunnel Syndrome: A nerve condition that can cause burning or tingling sensations in the heel and foot.
  • Poor Footwear: Wearing shoes that lack support or cushioning can lead to heel pain over time.

When to See a Doctor

While some heel pain may resolve with rest and self-care, you should see a doctor if:

  • The pain is severe or lasts longer than a few weeks.
  • You have difficulty walking or bearing weight on your foot.
  • There is swelling, redness, or warmth in the heel.
  • The pain worsens over time or occurs without an apparent cause.

Diagnosing Heel Pain

To determine the cause of heel pain, a healthcare provider may:

  • Ask about your symptoms and medical history.
  • Perform a physical examination of your foot.
  • Order imaging tests such as X-rays, MRIs, or ultrasound.
  • Conduct mobility and pressure tests to assess foot function.

Treatment Options for Heel Pain

Treatment depends on the underlying cause but may include:

  • Rest and Ice: Reducing activity and applying ice packs to reduce inflammation.
  • Stretching Exercises: Stretching the calf muscles and plantar fascia to relieve tension.
  • Proper Footwear: Wear supportive shoes with adequate cushioning and arch support.
  • Orthotic Inserts: Using custom or store-bought insoles to provide extra support.
  • Medications: Taking over-the-counter pain relievers such as ibuprofen or acetaminophen.
  • Physical Therapy: Engaging in exercises and treatments to improve foot strength and flexibility.
  • Injections: Corticosteroid injections for severe inflammation and pain relief.
  • Surgery: In rare cases, surgery may be necessary for persistent heel pain that does not improve with other treatments.

If heel pain is affecting your daily life, schedule an appointment with our team to find the best treatment plan for your heel pain.

Frequently Asked Questions About Heel Pain

Heel pain when walking is commonly caused by plantar fasciitis, Achilles tendinitis, or wearing improper footwear.

Morning heel pain is often due to plantar fasciitis, which causes tightness in the plantar fascia after periods of rest.

Mild heel pain may improve with rest, ice, stretching, and proper footwear, but persistent pain may require medical treatment.

Resting, applying ice, stretching, and wearing supportive shoes are the quickest ways to relieve heel pain.

If heel pain lasts over a few weeks, worsens over time, or makes walking difficult, seek medical attention.