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Many conditions, including plantar fasciitis and Achilles tendinitis, cause heel pain. A sore heel is a common foot and ankle complaint. Rest, orthotics and stretching ease pain over time. If you ignore and don't treat heel pain, you may develop chronic problems that require a longer recovery. Heel pain rarely needs surgery.

American Academy of Orthopaedic Surgeons. Arthritis of the Foot and Ankle. (https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-foot-and-ankle/) Accessed 4/12/2021.
American Academy of Orthopaedic Surgeons. Heel Pain. (https://orthoinfo.aaos.org/en/diseases--conditions/heel-pain/) Accessed 4/12/2021.
American College of Foot and Ankle Surgeons. Heel Pain: Plantar Fasciitis. (https://www.foothealthfacts.org/conditions/heel-pain-(plantar-fasciitis%29) Accessed 4/12/2021.
American Orthopaedic Foot and Ankle Society. Heel Pain. (https://www.footcaremd.org/conditions-treatments/heel/heel-pain) Accessed 4/12/2021.
American Podiatric Medical Association. Heel Pain. (https://www.apma.org/heelpain) Accessed 4/12/2021.
Priscilla T, Bytomski J. Diagnosis of Heel Pain. (https://www.aafp.org/afp/2011/1015/p909.html) American Family Physician. 2011;84(8):909-16. Accessed 4/12/2021.

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Heel pain is a common foot and ankle problem. Pain may occur underneath the heel or behind it. Many conditions can cause pain in the heels, including:
It’s important to have a medical evaluation to help you determine the exact cause of your heel pain so that the proper treatment regimen can begin.
Heel pain can make it difficult to walk and participate in daily activities. Most painful heel conditions improve with nonsurgical treatments, but your body needs time to recover.

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More than 2 million Americans experience heel pain every year. The problem affects people of all ages and genders.
You might experience pain, soreness or tenderness anywhere in the heel. You typically feel heel pain:
Several problems can cause pain to develop in the back of the heel:
Problems that cause pain underneath the heel include:
Anything that puts a lot of pressure and strain on your foot can cause heel pain. The way you walk (foot mechanics) and your foot's shape (foot structure) are also factors.
You may be more likely to develop heel pain if you:
Heel pain symptoms vary depending on the cause. In addition to pain, you may experience:
Your healthcare provider will assess your symptoms and perform a physical exam. You may also get X-rays to check for arthritis , bone fractures , bone alignment and joint damage.
Rarely, you may need an MRI or ultrasound . These can show soft tissue problems which X-rays don’t reveal.
Heel pain can interfere with your ability to get around, work, exercise and complete daily tasks. When it hurts to move, you can become sedentary. An inactive lifestyle can lead to weight gain. You may also become depressed because you can’t do the things you love.
Untreated Achilles tendonitis can cause the tendon to break down (tendinosis). In time, the Achilles tendon can tear or rupture. This problem may require surgery.
Most problems that cause heel pain get better over time with nonsurgical treatments. Therapies focus on easing pain and inflammation, improving foot flexibility and minimizing stress and strain on the heel. These treatments include:
It’s rare to need surgery to treat most causes of heel pain.
To prevent heel pain or keep pain from returning, it’s important to keep your foot and heel tendons flexible. You should stretch regularly and wear properly fitted, supportive shoes. Runners are especially prone to heel pain. You can prevent running injuries by covering fewer miles and running on softer surfaces.
Heel pain typically goes away with nonsurgical treatments, but recovery takes time. You need to be patient and give your body time to mend. If you return to your usual activities too quickly, it can set back your recovery. In rare situations, you may need surgery.
You should call your healthcare provider if you experience:
You may want to ask your healthcare provider:
Heel pain often improves over time with nonsurgical treatments. Your healthcare provider can determine what’s causing the pain. Your provider can also show you stretching exercises and recommend orthotics and other methods if needed. Many people try to ignore heel pain and continue with activities that make the problem worse. But it’s essential to give your body time to recover. Otherwise, you may develop chronic heel pain that sidelines you for an extended time. The longer you have heel pain the harder it is to effectively treat, so it’s important to get evaluated.
Last reviewed by a Cleveland Clinic medical professional on 04/09/2021.

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What's the best way to treat cracked heels at home?
Answer From Lawrence E. Gibson, M.D.

Dry skin: Tips for managing. American Academy of Dermatology. https://www.aad.org/public/diseases/dry-sweaty-skin/dry-skin#overview. Accessed Feb. 18, 2019.
Kermott CA, et al., eds. In Mayo Clinic Book of Home Remedies. 2nd ed. New York, N.Y.: Time Inc. Books; 2017.
Litin SC, et al., eds. Skin, hair and nails. In: Family Health Book. 5th ed. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
Gibson LE (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 18, 2019.

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How to heal cracked heels

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Cracked heels, also known as fissures, can be a nuisance but can occasionally lead to more serious problems if left untreated. Treat them by giving your feet a little more attention, beginning with moisturizing them at least twice a day. Look for thick moisturizers (Eucerin, Cetaphil, others). Some moisturizers contain skin-softening agents, such as urea, salicylic acid or alpha hydroxy acid, which may help remove dead skin. They may cause slight stinging or irritation.
Give your heels extra attention before going to bed: Soak your feet for about 10 minutes in plain or soapy water and pat dry. Then gently rub your heels with a loofah or foot scrubber to help remove dead skin. Apply a heavier, oil-based cream or petroleum jelly (Vaseline, Aquaphor Healing Ointment, others), then slip on a pair of thin cotton socks at bedtime to help the moisturizer work.
Don't ignore dry, cracked heels, as over time you may develop deeper fissures, which increases your risk of infection. If self-care measures don't help, talk with your doctor about other treatment options.
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