Medically reviewed by Drugs.com. Last updated on Jan 22, 2020.
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What Is It?
Heel pain is a common symptom that has many possible causes. Although heel pain sometimes is caused by a systemic (body-wide) illness, such as rheumatoid arthritis or gout, it usually is a local condition that affects only the foot. The most common local causes of heel pain include:
Symptoms
The heel can be painful in many different ways, depending on the cause:
Diagnosis
After you have described your foot symptoms, your doctor will want to know more details about your pain, your medical history and lifestyle, including:
Your doctor will examine you, including:
In addition to examining you, your health care professional may want to examine your shoes. Signs of excessive wear in certain parts of a shoe can provide valuable clues to problems in the way you walk and poor bone alignment. Depending on the results of your physical examination, you may need foot X-rays or other diagnostic tests.
Expected Duration
How long heel pain lasts depends on the cause. For example, heel pain that is related to obesity should improve gradually as you lose weight.
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If your heel pain is related to a specific sport or exercise regimen, a period of rest may bring relief. Once your heel is pain-free, you may need to modify your training program to prevent your pain from returning. Most heel pain goes away in a short period of time, either on its own or after treatment.
Prevention
You can help to prevent heel pain by maintaining a healthy weight, by warming up before participating in sports and by wearing shoes that support the arch of the foot and cushion the heel. If you are prone to plantar fasciitis, exercises that stretch the Achilles tendon (heel cord) and plantar fascia may help to prevent the area from being injured again. You also can massage the soles of your feet with ice after stressful athletic activities. Sometimes, the only interventions needed are a brief period of rest and new walking or running shoes.
Treatment
Treatment of heel pain depends on its cause:
When To Call a Professional
Make an appointment to see a health care professional if you have significant heel pain that does not improve within a few days.
Prognosis
Although the outlook depends on the specific cause of the heel pain, most people respond to conservative, nonsurgical therapy. For example, at least 90% of people with plantar fasciitis heal within 6 to 8 weeks of conservative therapy, or conservative therapy followed by 6 to 8 weeks of night splints. Less than 5% of people with plantar fasciitis require surgery.
Heel pain may return if you return too soon to your previous level of exercise or sports participation.
External resources
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Information Clearinghouse National Institute of Health 1 AMS Circle Bethesda, MD 20892-3675 Phone: 301-495-4484 Toll-Free: 1-877-226-4267 Fax: 301-718-6366 TTY: 301-565-2966 http://www.niams.nih.gov/
American Orthopaedic Foot and Ankle Society
2517 Eastlake Ave. E Suite 200 Seattle, WA 98102 Phone: 206-223-1120 Toll-Free: 1-800-235-4855 Fax: 206-223-1178 http://www.aofas.org/
American Podiatric Medical Association (APMA)
9312 Old Georgetown Road Bethesda, MD 20814 Phone: 301-571-9200 Toll-Free: 1-800-275-2762 Fax: 301-530-2752 http://www.apma.org/
American Academy of Podiatric Sports Medicine
Toll-Free 1-888-854-3388 http://www.aapsm.org/
American College of Foot and Ankle Surgeons
8725 West Higgins Road Suite 555 Chicago, IL 60031-2724 Phone: 773-693-9300 Toll-Free: 1-800-421-2237 http://www.acfas.org/
American College of Foot & Ankle Orthopedics & Medicine 5272 River Road, Suite 630 Bethesda, MD 20816 Ellicott City, MD 21043 Toll-Free 1-800-265-8263 Fax: 410-418-4805 http://www.acfaom.org/ Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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