Source of Your Foot Discomfort
What’s Causing Your Foot Arch and Heel Pain? Here’s What You Need to Know
Foot arch and heel pain can make everyday activities—from walking to working—uncomfortable or even unbearable. Whether it’s caused by overuse, poor footwear, or an underlying condition, identifying the root cause is key to effective treatment. At Balance Foot & Ankle, Dr. Tom Biernacki and his expert team offer personalized care to help you find long-term relief from foot arch and heel pain.
Common Causes of Foot Arch and Heel Pain
Foot arch and heel pain can stem from a wide variety of conditions. Some of the most common include plantar fasciitis, flat feet, high arches, Achilles tendonitis, and heel spurs. Factors like improper footwear, obesity, or prolonged standing can make symptoms worse. Early intervention and proper diagnosis are critical in preventing the condition from becoming chronic. At Balance Foot & Ankle in Michigan, we use advanced diagnostic tools and targeted therapies to resolve foot pain at its source.
Foot Arch and Heel Pain Causes, Shoes, Insoles & Best Home Treatment
Foot Arch and Heel Pain are commonly caused by: #1 painful arch, #2 heel bone spurs, #3 a degenerated fat pad, #4 plantar fibromas, and #5 stress fractures!
Take the First Step to Pain-Free Feet Today
Don’t let foot arch and heel pain keep you off your feet. Schedule a consultation with Dr. Tom Biernacki and the compassionate team at Balance Foot & Ankle. Whether you need orthotics, physical therapy, or advanced treatment, we’re here to help you walk comfortably again.
Call us or Schedule a consultation today and take your first step toward pain-free living.
Top 5 Causes of Heel Pain and Arch Discomfort You Shouldn’t Ignore
Discover why you’re feeling pain in the heel and arch of your foot, and learn when it’s time to seek expert care from a podiatrist.
If you’re experiencing pain in the heel and arch of your foot, you’re not alone. These types of foot pain are incredibly common and can affect your ability to walk, work, or enjoy daily activities. Understanding the underlying cause is essential to getting the right treatment and lasting relief. Here are the top 5 reasons why your heel and arch might be hurting:
1. Plantar Fasciitis
Plantar fasciitis is the most common cause of heel pain. It happens when the thick band of tissue connecting your heel to your toes becomes inflamed. This often causes stabbing pain in the heel, especially during the first steps in the morning or after long periods of standing.
2. Flat Feet (Fallen Arches)
Having little or no arch in your foot can place excessive strain on the plantar fascia and heel bone. People with flat feet often experience chronic pain in both the heel and arch of the foot, especially after long periods of activity.
3. Heel Spurs
Heel spurs are bony growths that form where the plantar fascia attaches to the heel bone. They may not cause pain directly but often occur alongside plantar fasciitis, worsening heel discomfort.
4. Achilles Tendonitis
This condition affects the tendon that connects your calf muscles to your heel. When the Achilles tendon becomes overused or irritated, it can lead to pain at the back of the heel and sometimes radiate toward the arch.
5. Improper Footwear or Overuse
Wearing shoes with poor arch support or engaging in repetitive high-impact activities can stress your heel and arch. Over time, this stress leads to inflammation, discomfort, and chronic foot pain.

Need Relief?
If you’re dealing with pain in the heel and arch of your foot, don’t wait. The longer these conditions go untreated, the harder they can be to manage. A professional podiatrist can offer custom solutions like orthotics, physical therapy, or other targeted treatments to help you heal fast and walk pain-free.
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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!
Most Likely Causes:
Painful Arch:
- A Painful Foot Arch is caused by a condition known as plantar fasciitis.
- This is overused and inflamed tissue at the bottom of your foot. Learn how to treat it.
Symptoms:
- Pain along the arch or bottom of the heel.
- Worse in the morning and after rest.
- Better with massaging, icing and 30 minutes of movement.
Plantar Fascia Strain:
- A plantar fascia strain is a traumatic event! It occurs in a similar site to plantar fasciitis, but you definitely know you have it.
- It does not come on gradually!
- Most people can hear or feel a pop, then you develop a large amount of bruising in the tissue at the bottom of the foot.
Symptoms:
- Traumatic injury.
- Obvious pain on the bottom of the foot that does not get better.
- Possible Bruising.
Heel Bone Spur:
- Heel Spur pain is similar to arch pain or plantar fasciitis.
- It is the result of the ligaments at the bottom of the foot stretching the heel bone.
- It eventually over years forms a spur.
Symptoms:
- Pain along the arch or bottom of the heel.
- Worse in the morning and after rest.
- Better with massaging, icing and 30 minutes of movement.
Achilles tendon bone spur is at the back of the heel were the Achilles tendon inserts.
Foot Fat Pad Atrophy:
- Foot Fat Pad Atrophy results in a decrease of cushioning at the bottom of your heel.
- This is common in older people.
- It can lead to aching under the heel bone.
Symptoms:
- Chronic aching pain.
- Gets worse with more activity.
- Gradually onsets over years.
Achilles tendon bone spur is at the back of the heel were the Achilles tendon inserts.
Plantar Fibroma:
- A plantar fibroma is a small pebble of scar tissue that forms on the bottom of your foot.
- It is very obvious once you read this!
Symptoms:
- A small pebble under the skin.
- Appears over months or years.
- Sore due to walking, but not painful to the touch.
Posterior Tibial Nerve Entrapment:
- The posterior tibial nerve runs along the back and inside of the ankle.
- If it is constricted you will feel feel numbness, burning and tingling.
Symptoms:
- Numbness.
- Burning.
- Tingling.
Bruised Heel:
- Bruising of the heel is very similar results in an injury to the cushioning at the bottom of your heel.
- This is common in older people.
- It can lead to aching under the heel bone.
Symptoms:
- Chronic aching pain.
- Gets worse with more activity.
Stress Fracture of the Calcaneus:
- This can happen without a traumatic injury.
- Usually in people who have increased their activity recently!
- There is little inflammation like in plantar fasciitis.
Symptoms:
- Chronic aching pain.
- Gets worse with more activity.
Less likely Causes:
- Medial Calcaneal nerve entrapment
- Talar stress fractures
- Retrocalcaneal Bursitis
Home Treatment:
- These are great treatment options for bottom of the foot pain.
- Bottom of the foot pain needs to be controlled in 2 phases: Inflammation control and correcting the biomechanics.

Best Heel Pain Products:
- There are usually two phases to treating plantar fasciitis pain.
- 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 bio-mechanical causes to ensure that they can never become over worked and inflamed again!
- This doesn’t matter whether it’s plantar fasciitis, plantar fibroma, sore bottom of foot, or even Achilles tendon pain. Treatment is all roughly very similar.
Plantar Fasciitis or Achilles Tendonitis Inflammation:
Massage & Ice Products:
- Ice is the 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 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.






Remove the Plantar Fascia or Achilles Tendon Stress:
- The key is to prevent future pain.
- This means keeping you active while keeping stress off of your plantar fascia tendon. This will prevent future re-injury and development of plantar fasciitis.
- 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.
The Best Heel Pain & Plantar Fasciitis 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 best pain relief!
- The following link will show you what our favorites are.
Best Heel Pain & Plantar Fasciitis Orthotics:
- These are our recommended orthotics for plantar fasciitis.
- Custom orthotics can work very well, but they should not be a first line of treatment.
- There are different types for 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.
Click this link for the best podiatrist recommended orthotics!
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.






Best Heel Compression Brace:
- A good compression brace can stabilize your foot from turning outward.
- This prevents your foot from pronated.
- Pronated foot will turn your foot outward in your foot will rub on the outside of the shoe.
- For many of her patients this has solved their pain and is very comfortable to wear inside your shoe.
- This solves both pain and outward pronation for a relatively low cost.




Best Heel Stability Brace:
- Stability brace goes little bit further than the compression brace to stop your foot from turning out.
- This takes pressure off of your heel and plantar fascia.
- At the same time this is a little bit bulkier and does not affect every shoe.
- We find people are little bit happier trying the compression brace before the stability brace.






Heel Injury:
- If you think you might have a broken heel, a calcaneal stress fracture or something of similar severity, these products might help!
- Always remember to see a foot and ankle specialist like a podiatrist if you are having plantar fasciitis or more severe pain!
Plantar Fascia Tear, Broken Heel Bone, Achilles Tendon Tear:
- If you have a traumatic injury such as a torn plantar fascia ligament, calcaneus stress fracture, heel fracture or insertional Achilles tendon injury: consider protecting your foot!
- The best way to do this is of course to see your podiatrist and get evaluated with an x-ray, ultrasound and potentially even an 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 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.
Heel Injury Boot Treatment:
- There are pros and cons to using a boot to treat your heel injury. If you are immobilized too long the cons are that you will gradually become stiff and overworked to your other leg. The Pros are that you injured heel will hopefully have a chance to gradually heal!
- Our favorite fracture boots and their supplies:








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








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Frequently Asked Questions About Foot Arch and Heel Pain
Common causes include plantar fasciitis, flat feet, high arches, heel spurs, and overuse injuries.
If your heel hurts most in the morning or after long periods of standing, plantar fasciitis is a likely cause.
Yes, flat feet can cause strain on the plantar fascia and other structures, leading to discomfort.
Absolutely. Custom orthotics can provide targeted support and relieve pressure on sensitive areas.
Yes. A podiatrist can diagnose the root cause and offer effective treatment options.
Rest can help, but persistent pain may require more advanced treatment like physical therapy or orthotics.
Stretching the plantar fascia, Achilles tendon, and strengthening foot muscles can offer relief.
Yes. Shoes with poor arch support or cushioning can exacerbate foot conditions and lead to pain.
If the pain persists for more than a week or worsens over time, consult a podiatrist.
We offer custom orthotics, physical therapy, injection therapy, minimally invasive surgery, and more.