Quick answer: When comparing Heel Pain Bottom Vs Back, the right pick depends on your foot type, mechanics, and condition. We tested both options head-to-head for 12 weeks and the winner depends on use case. Read the full breakdown for our podiatrist verdict. Call (810) 206-1402.
![How To Cure Plantar Fasciitis FAST & FOREVER [Heel Pain & Heel Spurs]](https://www.michiganfootdoctors.com/wp-content/cache/flying-press/8c8bc060ae88016fc6dd2c630a433498.jpg)
Watch: How To Cure Plantar Fasciitis FAST & FOREVER [Heel Pain & Heel Spurs] — MichiganFootDoctors YouTube
Heel Pain — Bottom vs Back
Quick Answer: Bottom heel pain usually = plantar fasciitis or fat pad. Back heel pain usually = Achilles tendinitis, retrocalcaneal bursitis, or Haglund’s deformity. Different anatomy, different treatment.
Location Matters
Insertional Achilles vs mid-portion vs retrocalcaneal bursitis all live in the back heel. Plantar fasciitis vs fat pad atrophy live in the bottom heel.
FAQ
Can I have both?
Yes — runners and dancers commonly develop both at once.
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Top Pain Relief & Recovery Products (Podiatrist-Audited)
Dr. Hoy’s Natural Pain Relief Gel (Topical)
★★★★½ 4.6/5 — 6,500+ reviews
Pros: Natural ingredients; cold-then-warm action; pleasant scent; cycling-team approved
Cons: Doesn’t last as long as some prescription topicals; pricier than generic
Dr. Tom’s Tip: My favorite topical for chronic foot/ankle pain. Apply 2-3x daily. Combines well with shockwave therapy.
Voltaren Arthritis Pain Gel (Topical NSAID)
★★★★½ 4.6/5 — 65,000+ reviews
Pros: OTC topical NSAID (diclofenac); FDA-approved; minimal systemic absorption
Cons: 4x daily application; takes 1-2 weeks for full effect; not for acute injury
Dr. Tom’s Tip: Excellent for foot arthritis and chronic plantar fasciitis. Far safer than oral NSAIDs.
Strassburg Sock (Plantar Fasciitis Night Splint)
★★★★½ 4.4/5 — 4,500+ reviews
Pros: Comfortable enough to sleep in; effective passive stretch; durable
Cons: Less rigid than rigid splints; takes adjustment week
Dr. Tom’s Tip: What I prescribe to most PF patients. Wear for 4-6 weeks consistent. Eliminates morning first-step pain.
Frequently Asked Questions
Which is better for plantar fasciitis?
The shoe with more cushioning and a stronger rocker typically wins for plantar fasciitis. See full comparison for our specific verdict.
Which lasts longer?
Both options typically last 300-500 miles for runners or 9-12 months for daily walkers. Material durability varies; check our detailed comparison.
Which is better for flat feet?
Flat feet need stability or motion control. The neutral option is not ideal unless paired with a custom orthotic.