Top 7 Causes of Heel Pain (And When to See a Specialist)

Top 7 Causes of Heel Pain (And When to See a Specialist)

Heel pain is one of the most common reasons people visit a foot and ankle specialist. Whether it comes on gradually or strikes after a long walk or workout, persistent heel discomfort can seriously affect your mobility and quality of life.

If you’re experiencing heel pain in Windsor or the surrounding area, this guide will help you understand the most common causes and when it’s time to seek expert advice.

1. 

Plantar Fasciitis

Plantar fasciitis is the leading cause of heel pain. It occurs when the thick band of tissue that runs along the bottom of your foot becomes inflamed or irritated, typically due to overuse or poor foot mechanics.

Common signs:

  • Sharp pain with your first steps in the morning
  • Discomfort after standing or walking for long periods
  • Pain that improves slightly with movement but worsens again later

2. 

Achilles Tendinitis

The Achilles tendon connects your calf muscles to your heel bone. Overuse, tight calf muscles, or sudden increases in physical activity can cause inflammation known as Achilles tendinitis.

Symptoms:

  • Pain or stiffness at the back of the heel
  • Swelling or warmth
  • Discomfort after running or climbing stairs

3. 

Heel Spurs

Heel spurs are bony growths on the underside of the heel bone. They’re often associated with long-standing plantar fasciitis or abnormal gait. While heel spurs aren’t always painful, they can aggravate existing heel pain in some people.

Note: X-rays are often required to confirm a heel spur.

4. 

Stress Fractures

Small cracks in the heel bone can develop due to repetitive stress — especially in runners, athletes, or those with osteoporosis. These stress fractures require prompt diagnosis to avoid further damage.

Key signs:

  • Pain that worsens with activity
  • Swelling or tenderness in the heel area
  • A dull, aching sensation that doesn’t go away with rest

5. 

Bursitis

There are fluid-filled sacs (bursae) in the heel that help reduce friction between bones and soft tissue. When these become inflamed (usually from repetitive motion or ill-fitting shoes), you may experience pain at the back or bottom of the heel.

Bursitis can be mistaken for tendinitis, but a proper clinical exam helps differentiate between the two.

6. 

Tarsal Tunnel Syndrome

Similar to carpal tunnel in the wrist, tarsal tunnel syndrome affects a nerve that runs through the ankle and into the foot. Compression of this nerve can cause shooting heel pain, tingling, or burning.

This condition is often misdiagnosed — making early specialist referral critical for effective treatment.

7. 

Sever’s Disease (in Children & Teens)

In growing children, especially those active in sports, pain at the back of the heel may be caused by Sever’s disease — inflammation of the growth plate in the heel bone.

While this condition typically resolves with rest and proper footwear, professional assessment ensures it’s not mistaken for something more serious.


When to See a Foot & Ankle Specialist

Mild heel pain may respond to rest, ice, and supportive footwear. But if your symptoms persist for more than two weeks, worsen with activity, or interfere with daily movement, it’s time to seek help.

A consultant orthopaedic foot and ankle surgeon, like Mr. Callum Clark, can:

  • Diagnose the exact cause of your heel pain using clinical exam and imaging
  • Recommend tailored non-surgical treatments
  • Offer surgical solutions if conservative care doesn’t provide relief

Expert Heel Pain Treatment in Windsor

If you’re suffering from persistent heel pain in Windsor, you don’t have to live with it. Mr. Callum Clark provides expert, personalised care to help you return to pain-free walking, running, and living.

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If you’re looking for an experienced foot and ankle specialist in Windsor, Mr. Callum Clark is here to help. Whether you’re recovering from an injury or struggling with ongoing pain, you’ll receive expert care tailored to your needs.