The most common reason for heel pain is plantar fasciitis and in some cases with heel spurs.

Other conditions that can cause heel pain include achilles insertional tendonitis, pinched nerve or Baxter’s neuritis, stress fractures of the heel, partial or complete tears of the plantar fascia, gout, auto immune disease like rheumatoid arthritis, and in very rare conditions, lesions of the heel bone.

Most new cases of heel pain are due to mechanical over use, and will respond to gentle stretching, wearing supportive shoes and avoid going barefoot, sandals, of just socks. Short term use of NSAIDS, if tolerated and no medical contraindication, can be helpful.

Professional treatments vary according to the diagnosis. Most patients can be diagnosed with a clinical and a x-ray exam. Treatments may include stock of custom orthotics, stretching, prescription NSAIDS, steroid injections and or immobilization. Cases not responding to treatment may require additional testing including a MRI and possible laboratory testing with treatment addressing the underlying cause.