Quick answer: Heel Pain And Heel Spurs has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The most common causes we identify are overuse, ill-fitting shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.
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Heel Pain & Heel Spurs Treatment
Same-Week Diagnosis & Treatment in Michigan
Heel spurs and heel pain affect millions of Americans. Our board-certified Michigan podiatrists diagnose and treat all causes of heel pain — from plantar fasciitis to Achilles issues — using the latest evidence-based protocols. 90%+ success with conservative care.
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Heel Pain & Heel Spurs
Michigan Podiatry Treatment
Heel pain is the most common reason people visit a podiatrist. Whether you have plantar fasciitis, heel spurs, Achilles tendinopathy, or another cause, our board-certified Michigan podiatrists provide accurate diagnosis and proven treatment at our Howell and Bloomfield Hills offices.
What Causes Heel Pain?
Heel pain has many potential causes. Our board-certified podiatrists perform a thorough evaluation — including digital X-rays, ultrasound, and gait analysis — to identify the exact cause before recommending treatment. Common causes of heel pain include:
- Plantar Fasciitis — Inflammation of the plantar fascia ligament. The most common cause of heel pain, typically causing stabbing pain with the first steps in the morning.
- Heel Spurs — Calcium deposits that form on the bottom of the heel bone. Often occur alongside plantar fasciitis. Not always painful, but can contribute to chronic heel pain.
- Achilles Tendinopathy — Degeneration of the Achilles tendon causing pain at the back of the heel. Common in runners and active individuals.
- Sever’s Disease — Heel pain in growing children caused by inflammation of the growth plate. Very common in active kids aged 8–14.
- Baxter’s Neuropathy — A pinched nerve in the heel that mimics plantar fasciitis. Often missed by non-specialists.
- Stress Fractures — Hairline cracks in the heel bone caused by repetitive impact. Common in runners and military personnel.
- Fat Pad Atrophy — Thinning of the natural cushioning under the heel, causing pain with standing and walking.
Heel Pain & Heel Spur Treatment Options
Conservative Care (First Line)
Stretching protocols, physical therapy, taping, anti-inflammatory medications, night splints, and activity modification. Resolves 90% of heel pain cases without surgery.
Custom Orthotics
Physician-grade custom orthotics redistribute pressure away from the heel and support the arch, addressing the biomechanical root cause of plantar fasciitis and heel spurs.
Corticosteroid Injections
Targeted cortisone injections provide rapid relief for acute heel pain and inflammation. Ultrasound guidance ensures precise delivery to the most affected area.
Shockwave Therapy (EPAT)
Extracorporeal pulse activation therapy uses acoustic waves to stimulate healing of chronic plantar fasciitis and tendinopathy. Excellent results for persistent heel pain.
Platelet-Rich Plasma (PRP)
PRP injections use your body’s own healing factors to regenerate damaged fascia and tendon tissue. Effective for chronic cases that haven’t responded to other treatments.
Surgical Options
For the rare cases (under 5%) that don’t respond to conservative care: minimally invasive plantar fascia release, heel spur resection, or Tenex procedure for tendinopathy. Outpatient, rapid recovery.
Does a heel spur always need surgery?
No. Heel spurs are present in many people who have no pain at all. The spur itself is rarely the problem — it’s the inflammation around it. Conservative treatments resolve heel spur pain in over 90% of cases without surgery. Surgery is reserved for chronic, treatment-resistant cases lasting more than 12 months.
How quickly can heel pain be treated?
Many patients experience significant relief after just one or two visits. We offer same-week appointments, and most acute heel pain responds to conservative treatment within 4–8 weeks. Chronic cases may take longer, but our stepwise treatment protocol ensures you always have options.
Stop Living With Heel Pain
Same-week appointments at our Howell & Bloomfield Hills offices. 4.9★ rated. Board-certified podiatric surgeons. Most insurance accepted.
Book Same-Week AppointmentOr call (810) 206-1402
Watch: Heel Pain & Heel Spurs — Michigan Podiatry
What heel spurs are, why they form, and how to treat both heel spurs and plantar fasciitis permanently.
Do heel spurs always cause pain?
No — about 10% of the population has heel spurs but no pain. Pain is caused by associated plantar fascia inflammation, not the spur itself.
Can heel spurs be removed without surgery in Michigan?
Yes — in over 95% of cases, heel spur pain resolves with conservative treatment: orthotics, shockwave therapy, stretching. Surgery is rarely needed.
How is a heel spur diagnosed at Balance Foot & Ankle?
Weight-bearing digital X-ray in our office clearly shows the bony spur. We also assess the plantar fascia with clinical examination for a complete diagnosis.
At-Home Products for Heel Pain
While you wait for your appointment — or for mild cases — these three guides cover the interventions we recommend in clinic most often.
Best Night Splints for Plantar Fasciitis
Eliminate morning heel pain in 2 weeks. Dorsal vs boot compared.
Best Sandals for Plantar Fasciitis
Podiatrist-ranked sandals with deep heel cups and APMA acceptance.
Best Insoles for Flat Feet
Rigid arch-shell insoles that correct overpronation at the source.
Frequently Asked Questions
When should I see a doctor?
See a podiatrist if pain persists past 2 weeks, prevents normal activity, or is accompanied by red-flag symptoms (warmth, swelling, numbness, inability to bear weight).
Can I treat this at home?
Mild cases respond to RICE protocol (rest, ice, compression, elevation), supportive shoes, and OTC anti-inflammatories. Persistent symptoms need professional evaluation.
How long does it take to heal?
Most soft tissue injuries resolve in 2-6 weeks with appropriate care. Bone injuries take 6-12 weeks. Chronic conditions need longer-term management.