Why Does My Heel Hurt When Walking?

Heel pain is a common problem that ranges from a mild nuisance to severe discomfort, often interfering with walking or standing. Understanding the potential causes can help you address the issue effectively. Dr. Eric Gilbertson, DPM, FACFAS, at Renew Foot & Ankle in Minnesota, can identify the source of your heel pain. Here’s a look at common causes.

Plantar fasciitis

Plantar fasciitis frequently causes a sharp, stabbing pain in the bottom of the heel. It occurs when the plantar fascia, a thick tissue band connecting the heel to the front of the foot, becomes inflamed. Tiny tears in the tissue, often caused by overuse or excessive pressure, lead to discomfort, particularly during one's first steps in the morning. 

While plantar fasciitis pain often eases with walking, it may return after periods of rest or extended standing.

Flat feet, high arches, or unsupportive shoes increase the risk. Sudden activity increases, like starting a new workout, can also trigger plantar fasciitis.

Achilles tendonitis

Achilles tendonitis develops when the tendon connecting the calf muscles to the heel bone becomes inflamed from overuse or sudden activity increases. Common in runners or high-impact sports participants, Achilles tendonitis causes pain at the back of the heel and stiffness, especially in the morning. 

Severe cases of Achilles tendonitis can lead to swelling or rupture, requiring urgent care.

Heel spurs

Heel spurs are bony growths on the heel bone, often caused by long-term tension on foot ligaments and tendons. While not always painful, they can irritate surrounding tissue, especially during extended walking or standing.

Bursitis

Bursitis results from irritation of a bursa, a fluid-filled sac that cushions tendons and bones. It often stems from repetitive motion or poorly fitting shoes. Pain and swelling occur at the back of the heel and may worsen with activity. People living with arthritis are more prone to bursitis.

Other causes of heel pain

Stress fractures, nerve compression, and arthritis can also cause heel pain. Stress fractures result from repetitive strain, while flat feet or abnormal foot mechanics can increase heel stress. Conditions like tarsal tunnel syndrome cause nerve compression, pain, or tingling in the heel.

Treating heel pain

Resting the affected area, using ice therapy, and performing gentle stretches can relieve pain and inflammation. Supportive footwear with good arch support reduces strain on the heel. But if your pain persists, contact the office nearest you in Grand Rapids or Bigfork, Minnesota, or schedule an appointment online for a personalized treatment plan.