Heel Pain

Common Symptoms

  • Pain getting out of bed in the morning
  • Pain going from sitting to standing during the day
  • Pain at the end of the day
  • Shoes are not comfortable
  • Cannot walk barefoot without pain

Common Causes of Heel Pain

  • Heel Spurs
  • Plantar Fasciitis
  • Poorly fitting shoes
  • Tendonitis
  • Equinus (tight Achilles tendon)
  • Back problems (sciatica, prior back surgery)
  • Tarsal Tunnel Syndrome
  • Trauma (fracture, bruised heel)
  • Arthritis
  • Flat Feet
  • High arched feet (cavus foot)
  • PAD (poor circulation)

What should you do if your heels hurt

  • Change shoes-avoid flat flexible flimsy shoes, find a shoe with good support. (see our recommended shoe list)
  • Try an over the counter arch support but don’t spend more than $40 for one.
  • Avoid barefoot walking
  • Stretch your calf (see our stretching handout)
  • Give it a few days and call your podiatrist if you still have pain.

What to expect when you see your podiatrist the first visit for heel pain

  • You will be asked questions about when you experience the pain, your shoes, your job, what medications you take, what treatments you have tried that have or have not helped.
  • Xrays will be taken to evaluate for possible bone spurs or fractures.
  • You may need an ultrasound exam to evaluate ligaments, tendons and soft tissue swelling. This is done in the office.
  • In some cases a steroid injection will be recommended. Yes, they hurt, but it can be very effective.
  • Your doctor may recommend custom orthotics.
  • Sometimes a brace may be recommended.
  • A discussion on activities to avoid.
  • Sometimes physical therapy may be recommended.
  • You should expect a plan which will effectively treat your pain over a 2-6 week period of time. Rarely will severe heel pain be relieved with a simple treatment. You may need a couple visits to the office to get back to 100%.

“After several visits and attempts to rid the pain in my right heel from Plantar Fasciitis, Dr. Neuhaus decided to perform the dry needling procedure. The in-office treatment worked very well, with a local injection and ultrasound he was able to perform the dry needling in about 10 minutes. After a few days, wearing a special boot, and not walking barefoot the soreness subsided, this procedure has given back my mobility in walking without pain and with less discomfort each new day. I will recommend Dr. Neuhaus to all my friends and family. Thanks to a great caring staff at Neuhaus Foot & Ankle.”


More Information

Take a look at our Heel Pain Handout to learn more.

Watch this video for a more in-depth explanation of heel pain, and what we can can do to help.



Call 615.220.8788 or Submit Request Below