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  • Writer's pictureDr. Naushad Banani, DPM

What Causes Heel Pain?


Heel Pain

One of the most common foot complaints people have is heel pain. Most people tend to believe that it's because they have a heel spur by the time they come to a podiatrist. This may be because they already have a confirmed heel spur shown on an x-ray that was ordered by another doctor or physician. However, having a heel spur does not automatically suggest that it's the cause of the problem. The presence of a heel spur can be a symptom of the underlying foot problem, caused by a systemic condition affecting your entire body, or an incidental finding that has no bearing on the reason behind your heel pain. Plantar fasciitis tends to be the most common cause of heel pain, which can result in the development of a heel spur over time in the chronic stages, but there are still other causes of heel pain that must be considered and ruled out before assuming the diagnosis of plantar fasciitis. If the other causes are not ruled out, then some of the treatments utilized to treat plantar fasciitis could either have no effect on improving your symptoms or may even worsen your underlying condition if misdiagnosed. The following are some of the possible conditions that could cause heel pain:

  • Plantar fasciitis

  • Plantar fasciosis

  • Calcaneal bursitis

  • Calcaneal Stress Fracture

  • Bone contusion

  • Trauma

  • Acute calcaneal fracture secondary to Trauma

  • Calcaneal stress reaction

  • Avulsion fracture at the Calcaneus

  • Fat Pad Atrophy

  • Haglund's Deformity

  • Os Trigonum Syndrome

  • Os Peroneum Syndrome

  • Peroneal Tendinitis

  • Peroneal tendon tear

  • Peroneal tendon rupture

  • Achilles Tendinitis

  • Partial Achilles Tendon Tear

  • Achilles Tendinosis

  • Achilles Tendon Rupture

  • Heel Spur Syndrome

  • Intractable Plantar Keratosis

  • Foreign Body

  • Plantar Fibromatosis

  • Soft tissue mass

  • Calcaneal Bone Cyst

  • Calcaneal Bone Tumor

  • Calcaneal Apophysitis

  • Baxter's Neuritis

  • Tarsal Tunnel Syndrome

  • Peripheral Neuropathy

  • Peripheral Arterial Disease

  • Foot Ulcer

  • Diffuse Idiopathic Skeletal Hyperostosis(DISH)

  • Rheumatoid Arthritis

  • Seronegative Arthropathy

  • Sarcoidosis

  • Ankylosing Spondylitis

  • Reactive Arthritis

  • Paget's Disease of Bone

  • Cellulitis

  • Osteomyelitis

  • Abscess

  • Infection

A well-trained foot and ankle specialist, such as a podiatrist, is able to to assess the cause of your heel pain by obtaining a thorough history of the nature of your symptoms and reviewing your medical history combined with a clinic exam to help you narrow down the possible reasons for your heel pain. Additional tests could be ordered by a foot specialist such as x-rays, bloodwork, nerve studies and/or an MRI depending on their findings to consider some of the possible causes of your heel pain. It is important to be evaluated by a foot and ankle specialist instead of self-diagnosing your pain so that you do not inadvertently cause more harm through self-treatment, or make it more challenging to resolve your heel pain by delaying treatment too long. Schedule your online appointment today with us or your local podiatrist and get help for your heel pain to continue living your life to its fullest.


If you would like to learn more about foot and ankle conditions, then please read our other articles by clicking here. If there's something you are looking to learn about but cannot find an article on, then feel free to contact us with your ideas for future articles.

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