Pain In Her Heels

Pain In Her Heels

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Medically reviewed by Drugs.com. Last updated on Jan 24, 2022.
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:
The heel can be painful in many different ways, depending on the cause:
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.
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.
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.
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 of heel pain depends on its cause:
Make an appointment to see a health care professional if you have significant heel pain that does not improve within a few days.
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.

National Institute of Arthritis and Musculoskeletal and Skin Diseases

http://www.niams.nih.gov/

American Orthopaedic Foot and Ankle Society

http://www.aofas.org/

American Podiatric Medical Association (APMA)

http://www.apma.org/

American Academy of Podiatric Sports Medicine

http://www.aapsm.org/

American College of Foot and Ankle Surgeons

http://www.acfas.org/

American College of Foot & Ankle Orthopedics & Medicine

http://www.acfaom.org/

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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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.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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When to see a doctor By Mayo Clinic Staff

Buchbinder R. Plantar fasciitis. http://www.uptodate.com/home. Accessed Dec. 14, 2015.
Heel pain. American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00159. Accessed Dec. 14, 2015.
Chorley J, et al. Heel pain in the active child or skeletally immature adolescent: Overview of causes. http://www.uptodate.com/home. Accessed Dec. 14, 2015.
Heel pain. American Podiatric Medical Association. http://www.apma.org/Learn/FootHealth.cfm?ItemNumber=985. Accessed Dec. 14, 2015.
Agyekum EK, et al. Heel pain: A systematic review. Chinese Journal of Traumatology. 2015;18:164.
Thomas JL, et al. The diagnosis and treatment of heel pain: A clinical practice guideline — Revision 2010. Journal of Foot & Ankle Surgery. 2010;49:S1.
Wilkinson JM (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 18, 2015.

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Heel pain often goes away on its own with home care. For heel pain that isn't severe, try the following:
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