Educational information only: not a substitute for professional medical advice or an individualized podiatric evaluation.
Patient Education
Heel Pain
Common ConditionHeel pain is a symptom with a broad podiatric differential diagnosis rather than a single disease entity. Plantar causes include plantar fasciitis, calcaneal stress injury, fat pad pathology, entrapment neuropathy, inflammatory arthropathy, and less common osseous lesions. Posterior heel pain may involve insertional Achilles tendinopathy, retrocalcaneal bursitis, or other tendon and bursal pathology. Examination is directed toward localizing the pain generator before treatment is selected.
When to Seek Podiatric Evaluation
- Severe heel pain after an injury or inability to bear weight
- Pain that persists, worsens, or repeatedly returns
- Swelling, redness, warmth, or bruising
- Numbness, tingling, burning, or other neurologic symptoms
Common Symptoms
- Pain on bottom of heel
- Pain after periods of rest
- Swelling around heel
- Difficulty walking
Podiatric Management and Treatment Options
Treatment is selected according to the diagnosis, symptoms, and examination findings. The plan is individualized for each patient.
Conservative Management
- Rest and activity modification
- Plantar fascia and calf stretching
- Supportive footwear and cushioned heel inserts
- Custom orthotics
- Night splints
- Anti-inflammatory medication (NSAIDs)
- Physical therapy
Risk and Contributing Factors
- Sudden increases in running, walking, or impact activity
- Prolonged standing or repetitive loading
- Foot structure or mechanics that increase heel stress
- Footwear that does not match the activity or foot needs
Foot Care and Risk Reduction
- Increase activity gradually
- Use supportive footwear appropriate for the activity
- Stretch and condition the calf and foot as appropriate
- Address persistent pain rather than repeatedly exercising through it
Concerned about Heel Pain?
A podiatric evaluation can help determine whether your symptoms are associated with this condition or another foot or ankle disorder. Recommendations are based on clinical findings and, when appropriate, diagnostic studies.
Educational information only — not medical advice, diagnosis, or treatment.
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