Heel Pain

Heel pain is a common condition that may involve soft tissue, nerves, bone, or surrounding structures.

Symptoms to Watch For

• Sharp or stabbing pain in the heel or arch
• Pain first thing in the morning or after rest
• Worsening pain with activity such as running, jumping, or prolonged standing
• Swelling, redness, or tenderness at the back or bottom of the heel
• Limping or walking on tiptoes
• Tingling, numbness, or burning sensations (nerve-related)

Common Conditions

• Plantar fasciitis – irritation of the tissue under the foot (most common cause)
• Heel spur – a bony growth associated with long-term strain
• Achilles tendinopathy – irritation of the tendon at the back of the heel
• Sever’s disease (children) – growth-related heel pain in active children
• Heel fat pad syndrome – thinning or irritation of the cushioning under the heel
• Bursitis – inflammation of fluid-filled sacs near the heel
• Stress fracture – small cracks in the heel bone due to overuse
• Tarsal tunnel syndrome – nerve irritation causing heel and foot pain

Diagnosis

Our podiatrists perform a thorough assessment including:

• Physical examination of the heel, foot, and gait
• Assessment of growth, posture, and biomechanics
• Imaging if needed (X-ray or ultrasound) to check for bone or soft tissue issues

Causes & Risk Factors

• Overuse or repetitive strain
• Poor footwear
• Tight muscles
• Abnormal foot mechanics
• Sudden increase in activity
• Standing for long periods

Treatment

• Manual therapies including mobilisation & manipulation techniques, dry needling, massage, and shockwave therapy
• Injection therapies
• Custom orthotics
• Footwear advice
• Stretching and strengthening exercises
• Taping