Also known as: Talalgia
Heel pain is discomfort at the bottom or back of the heel, most commonly caused by plantar fasciitis. It typically worsens with the first steps in the morning.
Heel pain is one of the most common foot complaints, with plantar fasciitis accounting for approximately 80% of cases. The plantar fascia is a thick band of tissue running across the bottom of the foot.
Characteristic 'first-step pain' — sharp heel pain with the first steps after rest — is the hallmark of plantar fasciitis, affecting about 10% of people in their lifetime.
Achilles tendinitis affects the back of the heel where the Achilles tendon attaches. It is common in runners and those who suddenly increase physical activity.
There are several possible reasons you may be experiencing Heel Pain. Here are the most common ones.
Inflammation of the plantar fascia causing stabbing heel pain, especially with first morning steps.
Inflammation of the Achilles tendon at the back of the heel from overuse or sudden activity increases.
Bony growth on the bottom of the heel bone, often associated with plantar fasciitis.
Small crack in the heel bone from repetitive impact, common in runners and military recruits.
These approaches may help manage heel pain at home. Always consult a healthcare provider if symptoms persist or worsen.
Roll a frozen water bottle under your foot for massage and ice therapy combined.
Regular calf and Achilles stretches reduce tension on the heel.
Arch support insoles distribute pressure away from the painful heel.
Clinical examination with specific palpation tests, X-ray for spurs or fractures, and MRI or ultrasound for soft tissue evaluation.
See a doctor if heel pain is severe, prevents walking, follows trauma, persists for weeks despite home treatment, or is accompanied by numbness or tingling.
Steps you can take to reduce the likelihood of experiencing heel pain.
Wear supportive shoes
Replace worn athletic shoes
Stretch calves daily
Increase exercise intensity gradually
Maintain healthy weight
Morning heel pain is classic plantar fasciitis. The fascia tightens overnight and painfully stretches with first steps.
Not always. Many heel spurs are painless. The associated plantar fasciitis inflammation is usually the pain source.
Most cases resolve within 6-12 months with conservative treatment including stretching, orthotics, and rest.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.