That first step out of bed in the morning shouldn’t feel like stepping on a nail. Heel discomfort can catch you off guard—whether you're starting your day or simply walking across the room. Understanding the cause is the first step toward recovery. Here’s what to know about heel pain, treatment options, and when to see a foot and ankle specialist.
Common Causes of Heel Pain
Heel pain can stem from several conditions, but the most common culprits include:
- Plantar Fasciitis: Inflammation of the thick band of tissue along the bottom of the foot, often causing sharp pain with the first steps of the day.
- Achilles Tendinitis: Overuse of the tendon connecting the calf muscles to the heel, usually due to repetitive stress or tight calf muscles.
- Heel Spurs: Calcium deposits on the heel bone, often associated with plantar fasciitis.
- Bursitis: Inflammation of fluid-filled sacs (bursae) near the heel joint that cushion and reduce friction.
- Stress Fractures: Small cracks in the heel bone caused by repetitive impact, common in runners or those with sudden increases in activity.
Effective Treatment Options
Most heel pain can be treated without surgery. You may be recommended:
- Stretching and Strengthening Exercises: Especially targeting the plantar fascia, calf muscles, and Achilles tendon.
- Custom Orthotics: Shoe inserts designed to support the arch and reduce pressure on the heel.
- Laser Therapy: A noninvasive treatment that helps reduce inflammation and accelerate tissue repair.
- Physical Therapy: Focused techniques to improve foot biomechanics and prevent recurrence.
- Anti-Inflammatory Medications or Injections: To relieve pain and decrease swelling in the short term.
In cases where conservative treatment fails, surgical options may be considered, but this is rare and typically a last resort.
When to Seek Help
Heel pain that lasts more than a few weeks, gets worse over time, or interferes with your daily life deserves expert attention. Delaying care can lead to chronic issues or secondary problems elsewhere in the body, like the knees or back, due to altered gait.
Book an appointment with Dr. Ho to evaluate your condition and discuss a treatment plan tailored to your needs.
AUTHOR: Bryant S. Ho, MD is board-certified in orthopedic surgery and is trained in the operative and non-operative management of adolescent and adult foot and ankle disorders. Dr. Ho places a strong emphasis on customizing his care for each patient to ensure successful outcomes. He provides all treatment options, including preventative care, conservative management, and operative intervention.
