What is Heel Pain?

Heel pain is a common foot condition experienced by many people at some point in their lives. It typically occurs under the heel or just behind it, where the Achilles tendon connects to the heel bone. Although heel pain can be severe and sometimes disabling, it is rarely a health threat and can often be treated effectively with non-surgical methods.

What are the symptoms of heel pain?

The primary symptom of heel pain is, obviously, pain in the heel, which can range from mild to severe. Other symptoms might include:

Pain on the bottom of the heel, especially when standing up after resting.
Pain that worsens when waking up in the morning or after sitting for prolonged periods.
Swelling and redness in the heel.
Increased pain after exercise or activity, not during it.

Case Study: Heel Spur

This patient experienced heel pain for an extended period and has been on their feet for 20-30 years. Despite trying custom orthotics, the pain persisted, leading to surgery. The surgery was successful in addressing the underlying issue (a heel spur) and alleviating the pain. The patient experienced a quick recovery with no need for a cast or crutches. They are now pain-free and able to return to work.

Heel Pain FAQ

The causes of heel pain are varied, with plantar fasciitis being one of the most common. This condition involves inflammation of the plantar fascia, a tough band of tissue that stretches from the heel to the toes. Other causes include Achilles tendinitis, which impacts the tendon connecting the calf muscles to the heel; heel bursitis, an inflammation of the bursa located at the heel’s back; heel bumps, often seen in teenagers and exacerbated by high heels; and stress fractures, which are typically the result of repetitive stress or intense activity.

Heel pain is usually diagnosed based on a physical examination and the patient’s medical history. Your podiatrist may ask you to walk or stand to observe your gait and the alignment of your feet. In some cases, imaging tests like X-rays, MRIs, or ultrasounds might be required to rule out other causes such as fractures or arthritis.

Treatment for heel pain depends on the cause but often includes:

Rest and avoiding activities that exacerbate the pain.
Ice applications to reduce inflammation and relieve pain.
Over-the-counter pain relievers and anti-inflammatory medications.
Orthotic devices or shoe inserts that support the arch of the foot and reduce pressure on the heel.
Physical therapy that includes exercises to strengthen the muscles and improve the mechanics of the foot.
In severe cases, more invasive treatments such as steroid injections or surgery might be considered.

For a proper diagnosis and recommended treatment plan,
we suggest you consult with a podiatrist for professional help and care.