✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Pain in Back of Heel of Foot Treatment [Causes, Symptoms & Best Treatment]
Do you have pain in the back of the heel pain? We go over the TOP causes & The 100% best home treatment options for Achilles tendonitis & Bone PAIN!
https://youtu.be/Z8DY5UAnXDkPain in Back of Heel of Foot – This guide will show you how to get rid of your pain very quickly and easily. Start getting better now!
Treatment at Balance Foot & Ankle: EPAT Shockwave for Heel Pain →
Goal #1:
Decrease The PAIN and INFLAMMATION!
Decrease the inflammation in the area is needed before we do anything else. So don’t worry about stretching or shoes right now, that will come soon!

Start Icing The Most Tender Area:
Ice is about more than just reducing the pain. Ice is all about decreasing the activity of harmful inflammatory mediators in your arch.
What it does:
- This will increase healing time.
- This will decrease pain.
- This will keep harmful inflammatory cells out.

How to do it:
- Freeze a plastic bottle of water.
- Set up a towel while you watch TV.
- Wear socks if it is too cold on the skin (careful if poor sensation or blood flow).
- Roll it for 15-20 minutes.
The 15-20 minute time frame initially constricts the blood vessels decreasing flow. This allows less cells to settle in that area. Then they rebound and open up flushing out the cells that were previously there.

Cool Water Baths:
This is the same principle as icing your foot, but just a different way to do it.
What it does:
- This will increase healing time.
- This will decrease pain.
- This will keep harmful inflammatory cells out.
How to do it:
- Fill a tub with cold water.
- Fill it with ice.
- Soak your foot for 15-20 minutes.
- Careful if it is too cold!
The 15-20 minute time frame initially constricts the blood vessels decreasing flow. This allows less cells to settle in that area. Then they rebound and open up flushing out the cells that were previously there.

Anti-inflammatory Medication:
Take a 2 week course of anti-inflammatory medication. This will help switch your body from “breaking down mode” to “building up mode”.
What it does:
- This will increase healing time.
- This will decrease pain.
- This will prevent inflammatory cells from functioning properly.
How to do it:
- Get your anti-inflammatory of choice (Acetaminophen is not one!)
- Check with your physician or pharmacist if you are healthy enough to do this.
- Take a 2 week course without missing a dose, if you miss any doses- it will not work!
The goal of this treatment is not for pain relief! Most guys especially say they don’t need it for the pain or that it doesn’t even help that much, but this is to help your tissues heal faster, not so much for the pain relief. Anti-inflammatory medications like Advil, Ibuprofen, Motrin or Aspirin all help speed up the healing process by stopping inflammatory cells in your body from further destroying tissues.

Massage The Tender Area:
Massaging your feet for 5-10 minutes with a tennis ball or with your hands will help. This will help break up microscopic scar tissue and help improve blood flow.
What it does:
- This will increase healing time.
- This will decrease pain.
- This will help flush out inflammatory cells.
- It will help break up microscopic scar tissue.
How to do it:
- Get a tennis ball or golf ball.
- Roll it around your arch against the floor.
- Do this for as long as feels good while watching TV.
Just get in there and feel for uneven or painful tissue and the simple act of pushing against it in a perpendicular fashion and stroking helps move lymph fluid and breaks up the micro-scar tissue that is present.

How long should I do these Pain in Back of Heel of Foot Treatments?
- Continue these for as many days or weeks as it takes to start decreasing the pain.
- Remember it can take many weeks or even months to get better.
- It can take proportionately long to fix the inflammation and keep it away as you have had it. Some people have had this pain for many decades! (But don’t worry, we will make it faster…)
2)Keep The Inflammation Away
This guide includes techniques to keep the pain away after decreasing the inflammation.
- Stretching
- Shoes
- Night Splints
- Low Dye Strapping
- Over the counter inserts.
Good Luck with your Pain in Back of Heel of Foot Treatment!
Related Treatment Guides
Dealing With Back of Heel Pain?
Posterior heel pain can signal Achilles tendinitis, bursitis, or Haglund’s deformity. Our board-certified podiatrists use advanced diagnostics to identify the cause and get you back on your feet.
📞 Or call us directly: (810) 206-1402
Clinical References
- Irwin TA. Current concepts review: insertional Achilles tendinopathy. Foot & Ankle International. 2010;31(10):933-939.
- Reiman M, Burgi C, Strube E, et al. The utility of clinical measures for the diagnosis of Achilles tendon injuries. Journal of Athletic Training. 2014;49(6):820-829.
- Vaishya R, Agarwal AK, Azizi AT, Vijay V. Haglund’s syndrome: a commonly seen mysterious condition. Cureus. 2016;8(10):e820.
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
Get Directions →
Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Foot Health Essentials
Hoka Clifton 10
Max-cushion everyday shoe — podiatrist favorite for walking and running.
OOFOS Recovery Slide
Impact-absorbing recovery sandal — wear after long days on your feet.
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.

When to See a Podiatrist
If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Hills clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
Dr. Tom’s Top 3 — The Premium Foot Pain Stack (2026)
If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
Dr. Tom’s most-prescribed OTC orthotic. Lateral wedge corrects overpronation that causes 90% of foot pain. Deep heel cradle stabilizes the ankle. Built by podiatrists, used by patients worldwide.
- Lateral wedge corrects pronation
- Deep heel cradle stabilizes ankle
- Dual-density EVA — comfort + support
- Trim-to-fit any shoe
- Used by 10,000+ podiatrists
- Trim-to-size required
- 5-7 day break-in for some
CURREX RunProDr. Tom’s #1 Brand
3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot — the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.
- 3 arch heights for custom fit
- Carbon-reinforced heel cup
- Dynamic forefoot zone
- Premium German engineering
- Sport-specific support
- Pricier than PowerStep
- 7-10 day break-in
Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand
Menthol-based natural pain relief — Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.
- Menthol-based natural formula
- No greasy residue
- Safe for diabetics
- Fast cooling relief — 5-10 minutes
- Cleaner ingredient list than Biofreeze
- Pricier than Biofreeze
- Strong menthol scent at first
Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.
Frequently Asked Questions
Can I see a podiatrist for heel pain without a referral?
How long does plantar fasciitis take to heal?
Should I walk on my heel if it hurts?
What does a podiatrist do for heel pain?
- Plantar Fasciitis: Diagnosis and Conservative Management (PubMed)
- Plantar Fasciitis (APMA)
- Diagnosis and Treatment of Plantar Fasciitis (PubMed / AAFP)
- Heel Pain (APMA)
Recommended Products from Dr. Tom



