Heel Pain: Symptoms, Causes and When to Seek Help

Heel pain describes any discomfort felt at the bottom or back of the heel. It may be worse first thing in the morning, after long periods of standing, or with sports such as running. The pattern of pain often gives clues to the underlying cause.

Symptoms may include sharp pain under the heel with the first steps of the day, aching at the back of the heel, tenderness to touch, swelling, or discomfort that worsens with activity. Symptoms can vary from person to person.

Common causes include plantar fasciitis, Achilles tendon problems, bursitis and, in children, growth-related heel conditions. Risk factors can include increased body weight, sudden changes in activity, unsupportive footwear, tight calf muscles and long periods of standing on hard surfaces.

Medical advice is recommended if heel pain is severe, persistent, following an injury, or associated with significant swelling, redness or inability to bear weight. Numbness or tingling in the foot should also be assessed.