Heel pain can have several causes. The most common include the following, although other conditions may also be involved depending on the individual.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. It involves irritation of the plantar fascia, a band of tissue that runs along the bottom of the foot.
Symptoms often include pain under the heel, especially with the first steps in the morning or after rest.
Contributing factors may include:
- Foot posture and biomechanics
- Increased activity or load
- Footwear that lacks support
- Tight calf muscles
You can learn more about plantar fasciitis treatment and how it is managed.
Heel Spur
A heel spur is a bony growth on the underside of the heel. It is often found alongside plantar fasciitis but is not always the direct cause of pain.
Many people have a heel spur without symptoms, so assessment is important to determine what is actually contributing to discomfort.
Achilles Tendon Pathologies
Pain at the back of the heel is often linked to the Achilles tendon.
This may be due to:
- Increased load from running or sport
- Tight calf muscles
- Changes in activity levels
Conditions such as Achilles tendinopathy or irritation around the tendon can cause ongoing discomfort if not managed correctly.
Sever’s Disease (Children’s Heel Pain)
Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in active children and adolescents.
It is typically linked to growth, activity levels and tension from the Achilles tendon.
If your child is experiencing heel pain, our children’s podiatrist service can help assess and manage the condition.