5 Common Causes of Chronic Heel Pain

Heel pain isn’t just frustrating — it can make daily activities like walking, exercising, or even getting out of bed in the morning feel like a struggle. If your heel pain isn’t going away, it could indicate an underlying issue that needs attention.

In this blog, Dr. Maurice Aiken and our expert podiatric team at Bay Breeze Foot & Ankle Specialists in Dunedin, Florida, break down five common causes of chronic heel pain and what you can do to get back on your feet.

1. Plantar fasciitis: The most common culprit

One of the leading causes of heel pain is plantar fasciitis. This condition occurs when the plantar fascia — a thick band of tissue that runs along the bottom of your foot — becomes inflamed. It’s especially common in runners, people who stand for long hours, and those with high or flat arches.

This condition causes sharp, stabbing heel pain, especially in the morning or after periods of rest. Plantar fasciitis pain usually worsens after a long walk or standing for long periods.

2. Achilles tendinitis: A bad connection

The Achilles tendon connects the calf muscle to the heel bone. When it’s overused, it can become inflamed. Achilles tendonitis often develops from repetitive activities like running, jumping, or wearing unsupportive shoes.

You’ll notice pain at the back of your heels that worsens with activity. This pain is usually accompanied by stiffness and tenderness, especially in the morning, and swelling around the tendon.

3. Heel spurs: Growth equals pain

A heel spur is a bony growth on the underside of the heel bone, usually due to long-term strain on the plantar fascia. While heel spurs don’t always cause pain, they’re often like plantar fasciitis and other foot problems.

Heel spurs typically trigger heel pain that feels like a deep bruise or pain that worsens after standing or walking.

4. Nerve issues: When it’s not a bone or tissue issue

Not all heel pain comes from muscles or bones — sometimes, it’s a nerve issue. Conditions like tarsal tunnel syndrome or a compressed nerve in the foot can cause pain, tingling, or numbness in the heel.

You know it’s a nerve issue if you experience burning or tingling in your heel, pain that worsens at night or after standing, and/or numbness or weakness in the foot.

5. Arthritis: The wear-and-tear nightmare

Arthritis, especially osteoarthritis or rheumatoid arthritis, can affect the heel joint. Leading to chronic pain and stiffness. Over time, inflammation in the joints can make walking or standing uncomfortable.

Arthritis typically aches and is stiff. It’s usually accompanied by swelling or warmth in the affected area.

When to see a specialist

If your heel pain is persistent and home remedies aren’t relief, it’s time to see a specialist. Other reasons to see us include:

Pain that lasts longer than a few weeks
Severe pain that limits your ability to walk or stand
Swelling redness or warmth
Tingling or numbness
Morning stiffness or pain that worsens throughout the day

Our expert podiatrist can diagnose the underlying cause of your discomfort and recommend the best treatment. Depending on your needs, you may benefit from:

Custom orthotics to provide arch support and reduce strain
Stretching and strengthening exercises to improve flexibility and mobility
Physical therapy to address biomechanical issues
Shockwave therapy or alternative treatments to stimulate healing
Anti-inflammatory medications or injections to manage pain and inflammation

We also offer advanced treatments, such as Erchonia® cold laser therapy and extracorporeal shockwave therapy (ESWT). These treatments are non-invasive and occur on an outpatient basis.

In severe cases, surgery may be recommended if conservative treatments don’t help.

Chronic heel pain isn’t something you have to live with. Whether it’s plantar fasciitis, a nerve issue, or arthritis, identifying the cause is the first step toward relief.

Ready to heal your heel? We’re ready to help. Call Bay Breeze Foot & Ankle Specialists or request an appointment online today.