Bottom Of The Foot Pain
Causes, Symptoms & Best Treatment
Bottom Of The Foot Pain: Make 100% sure you find the causes & best treatment for your bottom of the sole, heel, and feet!
Bottom of the Foot Pain Treatment Video
Why Do I Have Bottom of The Foot Pain?

Heel Pain Causes: Picture & Photo Gallery
Look:
- One of the top causes of heel pain is plantar fasciitis. This is damage to a ligament that holds your heel to your toes.
- Another root cause of heel pain has flat feet.
- There are also photos of heel spurs that can occur to the bottom of your heel (plantar fascia insertion) and the back of your heel (Achilles tendon insertion).
- Baxter’s nerve entrapment can also happen at the bottom of the heel.
- An underlying cause is an overpronated flatfoot or an over a supinated high arched foot.
- A plantar fibroma is a thick nodule that can occur within your plantar fascia ligament and contribute to plantar fasciitis.
- This can lead to the formation of a heel stress fracture( AKA calcaneus stress fracture.)
Please click on the gallery for a guided tour through heel pain conditions!
Why Do I Have Bottom of the Foot Pain?
- Being on your feet all day has many pros and cons. It makes you stay healthy, and it makes your body feel much better, but the more we walk can make us hurt our feet.
- This is especially true at the bottom of our feet.
- Your feet can sometimes support 3x your body weight to each foot while walking and running. This can be over 1,000 lbs per foot for some of our patients!

- As a result, your feet are highly susceptible to injury and can be very sore at the end of the day and night.
- This is especially common to wake up in the morning and suddenly feel pain and soreness in your feet.
- Why do your feet hurt so much when you first get up in the morning? Why do they ache when you’re resting on the couch and in bed, there are many things you can do to fix your foot pain!

What causes the bottom of the feet to hurt?
- The most common causes of the bottom of the foot pain are related due to overuse injury.
- These are usually not broken bones nor nerve conditions. Although when you read other websites, this is most likely what you see.
- This is meant to be a very practical guide to address the most common 95% causes, not the 5% most dangerous causes.
Sole of Foot Pain Symptoms:
The most common symptoms of the bottom of the foot pain & plantar fasciitis include:
- Pain in the morning when you wake up.
- Delayed onset muscle soreness after resting for a long period of time.
- Pain after getting up and moving while sitting on the couch.
- Pain while driving in the heel.
- Worsening pain as you stand during the day on hard surfaces.
- Worsening pain while standing barefoot.
- Worsening pain with un-supportive shoes.
- Numbness burning and tingling in the heel.
- Bottom of the heel pain.
- The bottom of my feet hurt.
- Sore soles of feet.
- Sore, achy throbbing in the heel that gets worse while standing during the day.
Most Common Causes:
Plantar Fasciitis:
- Plantar fasciitis is the single most common cause of bottom of heel pain!
- The plantar fascia is a thick band of tissue that runs across the bottom of your foot, connecting your heel to the area over your toes.

- People with plantar fasciitis experience pain across the bottom of their foot, usually in the mornings and after strenuous exercises like going for a jog.
- You might even have heel pain while simply pushing at the bottom of your heel while sitting in place with your thumb.
- The real key to plantar fasciitis is to decrease swelling and inflammation. It does not make sense to start stretching, exercising, and beating upon an already damaged muscle.

- You have to think about this as a broken ankle. You wouldn’t exercise or stretch a broken ankle. It does need to rest to a certain degree.
- Just applying a cream or taking medication will not make it better in one day. It can take weeks!
- There is physical damage to this band of tissue, it does need time to heal, and you need to do all the right types of stuff to keep pressure off.
- The secret is to find out how to keep moving while avoiding this type of pain.
- Read the end of this guide to see just how to do that.
Plantar Fibroma:
- This is when your plantar fasciitis develops a thick hard lump in the middle of the ligament. This can make the bottom of your feet hurt.
- This is a thickening secondary to microscopic tears developing in the arch of the plantar fascia.
- This can feel like walking on a hard, painful rock!

Metatarsalgia:
- The second most common cause of bottom of the foot pain is called metatarsalgia.
- This is a very painful condition used to describe pain in the ball of the foot.
- At the ball of the foot is the area of your toes there were and where your toes meet the front of the foot.
- The condition is called metatarsalgia because the long bones in this area are called the metatarsal bones.
- This type of pain is most common in people with very high arched feet, running and jumping activities, long-standing during the day. These bones and joints can become very swollen.

This is most common in people who have very tight hamstrings. Calf muscles are putting much more pressure on the ball the foot. This can lead to neuroma, metatarsal, or even stress fracture pain.
- Seeing a podiatrist for this condition or coming to see us can definitely result in pressure being taken off of this site.
- This is a condition that can frequently be taken care of without any surgery, injections, or medications. This is where good shoes and good orthotics can come and play.
- But you probably do want to get an image in terms of ultrasound or an x-ray in the office to get this evaluated.
Big Toe Joint Pain:
- Big toe joint pain can be in numerous different conditions.
- This could be a bunion which is a dislocation of the big toe joint.
- It could be the turf toe which is a sprain of the big toe joint, or it could be arthritis of the big toe joint.

- This pain could radiate from your big toe joint down through the bottom of the foot.
- Try bending your big toe and see what happens is this where the pain is coming from, and your big toe up and down and see if this is what’s causing the bottom of your foot to her.
- The big toe holding can deftly cause a nerve reaction through the bottom of your foot that radiates up the bottom of your foot and through your ankle.
Posterior Tibial Tendonitis:
- The posterior tibial tendon goes down the inside of your leg towards the centerline of your body and attaches to the bottom inside of your foot.
- This is the tendon that can sometimes be associated with shin splints.
- This tendon helps support your foot’s natural arch. This can also cause pain and be associated with plantar fascia pain.

- Just like plantar fascia pain, it does not always make sense to start working out and stretching this muscle.
- Just like you would not stretch or work out a broken ankle, it does not make sense to stretch out a damaged or tendon.
- This is where a lot of the advice on the Internet goes wrong.
- A true injury needs time to heal, and you need to make sure you are healing correctly.
- This is another condition where a podiatrist can really come in handy to make sure that you don’t have a pretty significant injury.
Tarsal Tunnel Syndrome:
- This is a condition similar to carpal tunnel syndrome in the wrist. If your ankle joint is putting pressure on your nerve, then you could have radiating pain at the bottom of your foot.
- This type of pain can be felt the most at night-time while you are lying in bed.
- If you have a sharp shooting pain that goes throughout your ankle joint and the bottom of your foot while sleeping, there’s a good chance that this is tarsal tunnel syndrome.
- This is where podiatrists could come in handy and help you diagnosis this vs. other conditions.

This can also be the approach used for something called tarsal tunnel syndrome. This is the equivalent of carpal tunnel syndrome on the inside of your ankle.
Insertional Achilles Tendonitis:
- The Achilles tendon and is the biggest tendon in your body.
- The gastrocnemius is the large calf muscle that attaches to the Achilles tendon.
- As people get older and less elastic, the Achilles tendon can become very irritated, inflamed, and painful as it inserts into the back of a heel.
- This can rate me into the calcaneus heel bone and cause significant pain and tenderness.

Calcaneus stress fracture:
- Another name for the heel bone is called calcaneus.
- This is a bone that holds the insertion for both the Achilles tendon in the plantar fascia ligaments.
- A reasonable way to tell if you have a calcaneal stress fracture is to perform a calcaneal heel stress test by squeezing the calcaneus.
- Squeezing the calcaneus from side to side is more likely to cause pain than planer fasciitis which occurs from the bottom, or the Achilles tendon insertion, which occurs from the back and from the Achilles tendon.
- This can be a more serious problem than ligamentous injuries. However, it’s not ideal to have any of these.

Plantar heel fat pad loss:
- Another name for this is plantar heel fat pad atrophy.
- This means that as you get older, the fat pad protecting the bottom of your heel starts to disappear.
- This is usually combined with the formation of a heel spur, and you can feel the bone with minimal cushion to the bottom of your foot.
- It becomes extremely important to wear the proper orthotics in the proper shoes at this point. Unfortunately, some people just can’t get away with walking barefoot on hard surfaces anymore.
- This is more likely to happen the older you get.

- It is possible to bruise your heel so bad that it is just a sort for about a month or two.
- This is also commonly known as a stone bruise or a policeman’s heel.
- This is due to falling really hard barefoot and pumping your heel on a hard surface or on a rock.
- This is much more common than you would think!
- The best way to treat this is to protect the bottom of the foot and to keep pressure off the bottom of the heel with good orthotics good shoes.
- If it is extremely bruised and you’re worried about a potential calcaneal fracture, you may benefit from being in the heel walking boot or using any scooter to keep pressure off us.

Home Treatment:
- The real key is identifying which one of these disorders you have.
- There are also many other disorders that could be causing your bottom of the foot pain.

Achilles tendon-bone spur is at the back of the heel where the Achilles tendon inserts.
- The main thing is, these are likely not surgical diseases. They are not permanent nerve disorders or malignant cancer-like diseases. These are 95% of the time biomechanical injuries.
- These are biomechanical injuries that need time to get better.
- There are excellent treatments that can help make all these feel better.
Home treatments to make the bottom of your foot pain feel better:
- Make the pain feel better: This is where icing comes in handy, and excellent treatment is to freeze a bottle of water in your freezer and roll it at the bottom of your foot. At this is where your tight ligaments of the plantar fascia and the posterior tibial tendon insert. By rolling this on the bottom of your foot for approximately 20 minutes and icing the bottom of your foot, your plantar fascia will feel significantly better. Do this for 20 minutes on it 20 minutes off.
- Get yourself a good pair of shoes: by avoiding walking barefoot, you will notice that your foot will start to feel better. There is a supportive slipper inside the house and a good supportive shoe, and a lot of your foot pain will start to get better.
- Limiting your time on your feet: A lot of the time, people think they can fix their foot problems by spending more time on their feet. This is the single biggest mistake we see people make! You will not fix your foot pain by going on longer walks will contain to walk 4 miles per day. Try switching to swimming and biking in the meantime. People think the best exercise for their feet is by walking or running. These are terrible exercises for your feet!
- Focus on non-weight-bearing exercises: like riding a bike, swimming, stretching, and weightlifting. You can still be in great shape and lose a lot of weight while letting your feet feel better. You are exercising because you want to be in better shape, not to develop an injury that makes you stay off your feet for longer.
- Get yourself a good pair of orthotics: a podiatrist can help you get a custom pair of orthotics, or you can get an over-the-counter pair of orthotics.

Is Foot Surgery Needed?
- Most of the time, surgery is not needed for the bottom of foot pain conditions.
- Most of the time, it is a biomechanical condition where you simply have to find out what’s going on let it heal.
- Don’t get stuck in a rut where you continue living in pain and trying to get back to early and then living in more pain.

- It is a tough battle because you do put on weight while you can’t walk or move, but at the same time, if you’re not healed, your foot pain will never get better.
- This is a hard situation, but it is one that you have to get through. Sometimes a podiatrist can help you with this plan and get you back on your feet. If you do have a specific injury, you can get imaging lab work in a diagnosis by a professional.
- Only then can you know whether you need surgery or not.
Less Common Bottom of the Heel Causes:
- This is the most common source of heel and arch pain.
- It is worse in the morning & better with a massage.
- This Includes heel spur treatment.
- If it feels like you do not have any fat pad cushion in your heel.
- This gradually onsets in high activity people starting a new activity.
- It presents over days and weeks as aching deep heel pain.
Posterior Tibial Nerve Entrapment:
- The posterior tibial nerve runs along the back and inside of the ankle.
- You will feel numbness, burning, and tingling.
- This happens after a long-running or a big fall.
- This is a deep contusion after stepping on a stone.
Less Common Bottom Of The Foot Arch Pain:
- This is the most common source of heel and arch pain.
- It is worse in the morning & better with a massage.
- This is a bump anywhere along your arch. It could be one or multiple.
- This feels like a pebble under your skin.
- This can happen when you fall violently.
- There may be swelling and bruising in the midfoot.
Posterior Tibial Nerve Entrapment:
- The posterior tibial nerve runs along the back and inside of the ankle.
- You will feel numbness, burning, and tingling.
- If you have severe pain in your arch after a fall or injury.
- Foot cramps are the most common muscle spasm in our body.
- This is also known as metatarsalgia.
This has 4 very common causes:
- 1)Achilles Heel Pain.
- 2)Back Of The Heel Spur.
- 3) Bursitis.
- 4)Hagland’s Bump.
Traumatic Injury Treatment:
- If you have a traumatic injury such as a severe bruise or broken bone, or even a ruptured tendon: consider protecting your foot!
- The best way to do this is, of course, to see your podiatrist and get evaluated with an x-ray and potential MRI or CT scan.
- If you are unable to do so, it may benefit you to be in a cast, fractured boot, or even keep the weight off of it with a rolling knee scooter or other protective devices.
- We as podiatrists frequently take patients off work for a very long period of time when they suffer a traumatic injury. Unfortunately, there is no other way around us in labor jobs.
- If you have a sit-down job, there are ways to get people back to work quicker, but this can be very difficult otherwise.
Fracture boot treatment:
- Our favorite fracture boots and their supplies:








Offloading and scooter treatment:
- These are favorite knee scooters and walking devices:








Best Product Options:
- There are usually two phases to the bottom of the foot pain treatment.
- The two phases of treatment include controlling the acute inflammation and correcting the biomechanics, which led to the problem in the first place.
- If the tendons and ligaments are inflamed, they are almost frozen in place and cannot function properly.
- Once the inflammation is decreased, we need to correct the biomechanical causes to ensure that they can never become overworked and inflamed again!
- This doesn’t matter whether it’s plantar fasciitis, plantar fibroma, the sore bottom of the foot, or even Achilles tendon pain. Treatment is all roughly very similar.
Control Inflammation:
Massage & Ice Products:
- Ice is an excellent option that can be safe for almost everyone.
- There is some debate whether icing is worth doing, but for chronic pain, this can help limit the need for medications and keep your options open.
- This works great for your arch, less for the ball of the foot.
- The more muscle and ligament tissue there is, the better ice will work there.






Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- This can be very effective for the bottom of the heel and Achilles tendon sore regions.








Massage Sticks:
- These can work great for loosening your muscles.
- This allows less tightness and pressure on the ball of your foot.
- This is very effective for the arch, the gastrocnemius, or calf muscle and for the hamstring and thigh muscles.
- This also works very well for the gluteus muscles if you are having butt cheek or hip pain.






Removing The Stress:
- The key is to prevent future pain.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- The best way to ensure that your plantar fascia, foot, and ankle ligaments are not overworked is to support them.
- The best way to support them is to use great orthotics and great shoes.
- Some people may also need to rely on supportive ankle braces and other supportive modalities.
Get Great Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the heel and plantar fascia region.
- This is especially important if you have plantar fasciitis, heel spur pain, or Achilles tendonitis.
- Consider shoes combined with a good supportive orthotic for the best pain relief!
- The following link will show you what our favorites are.
Get Great Orthotics:
- These are our recommended orthotics.
- There are different types of different shoes.
- Women’s shoes usually need a less bulky orthotic but allow for less correction.
- A full-length orthotic requires a running shoe, boot, or comfortable walking/dress shoe.
- We recommend doing everything you can to get a good supportive shoe that can fit a full-length orthotic.
- This is the best way to maximize your orthotics for great results.
Best Full-Length Orthotics:
- These will only work in wider shoes or a good supportive running shoe.
- This will not work in sandals, flats, or most women’s dress shoes.








Best Dress Shoe Orthotics:
- These are a great choice for dress orthotics.






Best 3/4 Length Orthotics:
- These are great options for women’s dress shoes and thinner shoes.
- These are not the most supportive pair of orthotics.


Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
- We personally prefer this method of stretching.








Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
- This works great for plantar fasciitis.
- It can be used while watching TV or at night time.






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FAQ: Understanding and Treating Pain on the Bottom of Your Foot
Pain on the bottom of the foot can be caused by various issues such as plantar fasciitis, heel spurs, flat feet, nerve entrapment, or overuse injuries. It often results from inflammation, pressure, or strain on muscles and ligaments.
Not always. Heel pain is a specific type of bottom foot pain and is most commonly associated with plantar fasciitis. However, pain can also occur under the arch, ball of the foot, or toes, each indicating different conditions.
Plantar fasciitis typically causes sharp, stabbing pain near the heel, especially during the first few steps in the morning or after long periods of sitting. The pain may decrease with movement but worsen after prolonged activity.
Yes, walking barefoot on hard surfaces offers no arch support, which can strain the plantar fascia and cause or worsen foot pain—especially in people with flat feet or high arches.
Common treatments include:
Rest and ice
Supportive footwear or custom orthotics
Stretching exercises
Physical therapy
Shockwave or laser therapy
Severe or persistent cases may require corticosteroid injections or minor procedures.
If your pain lasts more than 7–10 days, affects your ability to walk, or gets worse over time, it’s important to see a podiatrist for a full evaluation and a tailored treatment plan.
Yes. Conditions like tarsal tunnel syndrome or neuropathy can cause tingling, burning, or shooting pain along the bottom of the foot. These require different treatments than musculoskeletal causes.