Heel Pain & Plantar Fasciitis

Heel pain is a common problem that can make walking, exercising or simply standing for long periods uncomfortable. It may develop gradually or appear after a change in activity, footwear or routine. Although plantar fasciitis is one of the most frequent causes, heel pain can arise for several different reasons. An accurate assessment is therefore important before deciding on the most appropriate treatment.

Plantar fasciitis affects the plantar fascia, a strong band of tissue that runs along the sole of the foot and helps support the arch. The condition typically causes pain underneath or around the heel. Discomfort is often most noticeable during the first few steps after getting out of bed or following a period of rest. It may ease as you begin moving, before returning after prolonged standing, walking or exercise.

Factors that can contribute to plantar fasciitis include a sudden increase in activity, spending long periods on your feet, tight calf muscles, reduced ankle movement and footwear that does not provide suitable support or cushioning. The structure and movement of the feet may also play a part.

However, not every painful heel is caused by plantar fasciitis. Other possible causes include irritation of the Achilles tendon, pressure affecting the heel pad, joint or nerve-related problems, injury and certain types of inflammation. Symptoms that appear similar may therefore require different approaches to management.

A podiatrist can assess your symptoms, examine how your feet and lower limbs move, review your footwear and help identify the likely cause of your heel pain. Treatment can then be tailored to your individual needs. Depending on the diagnosis, this may include advice on managing activity, stretching and strengthening exercises, footwear guidance, taping, heel cushioning or supportive insoles. Where appropriate, other treatment options or referral for further investigation may also be discussed.

Many cases of heel pain improve with the right advice and a consistent treatment plan, although recovery can take time. Addressing the contributing factors can help relieve discomfort and reduce the likelihood of the problem returning.

If heel pain is affecting your mobility, limiting your normal activities, repeatedly returning or failing to improve, please get in touch to arrange an assessment. We can help diagnose the problem and create a management plan designed to get you moving more comfortably.