Medically Reviewed by Thomas Batchelor, PA-C
Heel pain is one of the most common foot complaints and can affect anyone, from athletes to individuals who spend long hours standing or walking. While some causes of heel pain are mild and can be managed with home care, others may indicate a more serious condition requiring medical attention.
Understanding what might be causing your heel pain is the first step toward finding relief.
Common Causes of Heel Pain
1. Plantar Fasciitis
This is the most frequent cause of heel pain. It occurs when the plantar fascia, a thick band of tissue along the bottom of the foot, becomes inflamed. Pain is typically worst in the morning or after long periods of rest.
2. Achilles Tendinitis
Inflammation of the Achilles tendon, which connects the calf muscle to the heel bone, can lead to pain at the back of the heel. This condition is often caused by overuse, especially in runners or those who suddenly increase activity levels.
3. Heel Spurs
Heel spurs are bony growths that develop on the bottom of the heel bone, often in association with plantar fasciitis. They may or may not cause pain, depending on their size and location.
4. Bursitis
Inflammation of the bursa, a fluid-filled sac that cushions the heel, can lead to tenderness and swelling. This is often caused by repetitive motion or excessive pressure on the heel.
5. Stress Fractures
Tiny cracks in the heel bone, typically caused by repetitive stress or impact, can result in sharp or aching pain. Athletes and people with osteoporosis are especially at risk.
6. Tarsal Tunnel Syndrome
This condition occurs when the tibial nerve is compressed near the ankle, causing pain that may radiate into the heel and arch. It’s similar to carpal tunnel syndrome in the wrist.
7. Sever’s Disease (in Children)
A common cause of heel pain in growing children and adolescents, Sever’s disease is due to inflammation of the growth plate in the heel. It often affects active kids during growth spurts.
8. Haglund’s Deformity
Also called “pump bump,” this bony enlargement at the back of the heel can become irritated by certain footwear. It’s especially common in women who wear rigid-backed shoes.
9. Arthritis
Both rheumatoid arthritis and osteoarthritis can lead to inflammation and pain in the heel joints. Morning stiffness and swelling may also be present.
10. Obesity or Excess Weight
Carrying extra weight puts additional stress on the feet, especially the heels. Over time, this can contribute to chronic heel pain and conditions like plantar fasciitis.
When to See a Doctor for Heel Pain
While minor heel pain may improve with rest, ice, and over-the-counter pain relief, there are signs that indicate it’s time to seek professional care. You should see a doctor if:
- Your heel pain persists for more than a week despite home care
- The pain is severe or worsening
- You notice swelling, redness, or warmth in the heel
- You cannot put weight on the foot or walk normally
- Pain follows an injury, such as a fall or direct impact
- Numbness, tingling, or weakness accompanies the pain
Expert Foot and Ankle Care at Raleigh Orthopaedic
If heel pain is interfering with your daily life, the fellowship-trained foot and ankle specialists at Raleigh Orthopaedic Clinic are here to help. Our team provides expert evaluation and treatment for all types of heel conditions, offering both conservative and surgical options tailored to your needs.
Don’t wait for heel pain to disrupt your routine. Request an appointment today and take the first step toward relief.
Schedule an Appointment with Raleigh Orthopaedic
If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.
Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.