Heel pain can make walking, standing, and everyday activities uncomfortable, especially when symptoms persist or worsen with movement. The heel absorbs significant pressure with each step, so repeated strain or changes in the foot can cause discomfort. Common symptoms include tenderness beneath the heel or pain near the back of the foot. Risk factors include prolonged standing, increased physical activity, and wearing unsupportive footwear. Three common causes are plantar fasciitis, Achilles tendonitis, and heel pad atrophy. Although these conditions can feel similar, identifying the underlying problem helps a podiatrist recommend appropriate treatment.
Plantar fasciitis develops when the plantar fascia, a thick band of tissue supporting the arch, becomes irritated from repeated tension. Pain typically occurs beneath the heel and may feel sharp during the first steps in the morning. Symptoms can also return after sitting or standing for extended periods of time. Risk factors include tight calf muscles, flat feet, and activities that repeatedly stress the foot. A podiatrist may recommend supportive shoes, custom orthotics, or other treatment to reduce pressure on the plantar fascia.
Achilles tendonitis occurs when the tendon connecting the calf muscles to the heel becomes irritated, often because of repetitive strain or sudden increases in activity. Pain usually develops at the back of the heel and may worsen during walking or climbing stairs. Morning stiffness and tenderness are common symptoms. Runners and people with tight calf muscles may face greater risk. Treatment options include activity adjustments, supportive footwear, and measures to reduce inflammation.
Heel pad atrophy happens when the natural cushioning beneath the heel becomes thinner, often with age. This reduces shock absorption and can cause deep, bruise-like pain when walking on hard surfaces. Barefoot walking and prolonged standing may worsen symptoms. A podiatrist can examine your heel, assess your gait, and recommend cushioned footwear or heel cups. If you have heel pain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.
Many people suffer from bouts of heel pain. For more information, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
