Why Do My Heels Hurt?

Why Do My Heels Hurt? There are 3 major causes of heel pain. The most common is inflammation of the foot ligaments. But this is very treatable!


Diagnosis requires asking a couple questions:


Why Do My Heels Hurt?
Why Do My Heels Hurt? They can hurt for a variety of reasons, answer the questions below and get your answer!

Question #1) Do Your Heels Hurt In The Morning?

  • If No: Jump to Question #2.
  • If Yes: Continue reading.

If you do have morning foot pain consider:

heel pain after sitting
Heel Pain After Sitting, Resting or Sleeping is most commonly due to plantar fasciitis. This is caused by inflammation in the ligaments that attach to the heel bone.


Plantar Fasciitis:

Pain that is worst after resting, sitting or sleeping is always due to inflammation:

  • Inflammation is your body trying to remodel itself or protect itself.
  • It is triggered due to overuse or too much stress on your muscles in this case.
  • The ligaments on your foot can become tight & painful after a full day off walking.
  • Then as you rest or go to bed, your body tries to remodel them.
  • This pain usually takes years to get to the point where it causes severe pain.
  • It can even cause a heel spur to form on your foot!
Why Do My Heels Hurt?
Why Do My Heels Hurt? A heel spur will occur if you suffer from years of uncontrolled plantar fasciitis.

How Common Is Plantar Fascia Heel Pain?

  • This is the most common source of heel pain in the world.
  • 15% of people around the world suffer from this medical problem.
  • That means almost 1 billion people in the world will have this.
  • This pain is due to inability to heal the strained ligaments across the bottom of the foot.
Why Do My Heels Hurt?
Heel Pain After Sitting, Resting or Sleeping is usually very successfully treated!


Symptoms of Plantar Fasciitis:

  • Heel pain after resting .

  • Heel pain after sitting.

  • Heel pain after sleeping.

  • Pain gets better after walking around for 15-20 minutes.
  • No history of severe trauma.
  • Pain gets better with anti-inflammatory medication or icing.
  • Massaging the arches makes the pain feel better.


Aching heels
Aching heels are usually a sign after resting, sitting or sleeping!



Question #2: Do You Have A Lump Or Bump On The Heel?

  • If No: Jump to Question #4.
  • If Yes: Continue reading.


Aching heels
Sometimes a hard nodule on the bottom of the feet can result in aching heels. The nodule can put abnormal stress on the ligaments anchoring to the heel.

Plantar Fibroma:

  • A plantar fibroma is a relatively non-dangerous condition; but it can become extremely painful.
  • It feels like a “pebble” or hard nodule of connective tissue in your sole.
  • It could even feel like a much larger thickening of the cords at the bottom of your foot.
  • It could be one nodule or many.


How Did This Foot Or Heel Lump Develop?

  • These nodules are extremely slow growing.
  • It could take months to years before they even begin to irritate you.
  • They eventually lead to more and more irritation.
  • Eventually causing your toes to bend and stiffen because you adapt your biomechanics and walk improperly.
  • Eventually this irritation becomes to much to bear and your heel hurts.



Question #3: Is It The Back Of The Heel That Hurts?

  • If No: Jump to Question #4.


  • If Yes: Continue reading.

Consider Pain In The Back Of The Heel:

Why Do My Heels Hurt?
My Heels Hurt In The Back? The most common source of posterior heel pain is the irritated insertion of the achilles tendon.

This can be due to:

A)Achilles Tendinitis.

  • This is likely the most common source of pain in the back of the heel.
  • It is not at the bottom but the back.
Why Do My Heels Hurt?
A lump or bump could also form at the back of your heel, not just at the bottom.

B) Heel Lump or Bump.

  • This can be a hard bone bump at the back of the heel.


C) Tarsal Tunnel Syndrome.

  • This is usually on the inside of the heel.
  • It can cause numbness, burning or tingling.

D) Posterior Tibial Nerve Entrapment.

  • This is usually on the inside of the heel.
  • It can cause numbness, burning or tingling.



Question #4: Does The Outside Of My Heels Hurt?

  • If No: Jump to Question #5.
  • If Yes: Continue reading.





Question #5: Do My Heels Hurt After Run Training.


About the author

The Modern Podiatrist (Foot and Ankle Specialist Doctor):Today's podiatrist is required to undergo rigorous medical training that licenses them as physicians with equivalent legal standing to the MD and DO degree (These are physician recognized licenses most common only in the USA). Although admittedly the training does differ between the three degrees. The differences are listed below.In Michigan Podiatrists are trained and authorized to perform surgery in the foot and ankle up to the tibial tubercle below the knee.All our podiatrists and foot doctors have undergone rigorous training including a 4 undergraduate college degree, writing the medical school entrance exam (MCAT), followed by a 4 year medical school degree (DPM - Doctor of Podiatric Medicine),Once podiatrists in the USA complete the rigorous 4 year medical school courses, they are required to complete a minimum of 3 years of a surgical and non-surgical residency program. Some podiatrists and foot doctors then choose to go on to further fellowship training specializing in various forms of specialty such as diabetic surgery or reconstructive foot and ankle surgery.The training is not over yet! Each podiatrist must be judged by a governing body where they submit their surgical cases and are reviewed regularly to ensure excellent results. This is a career long evaluation with board qualifications and certifications every few years.So have faith that today's podiatrist is your best choice for your foot and ankle problems! We are able to approach you foot and ankle problems from a non-surgery perspective, but that when necessary we can provide you with the treatment that you need!All articles written by this account are considered to be for educational purposes only. It is impossible for us to truly assess your condition and the advice we give here is meant to give you a basis to then follow up with your podiatrist and foot doctor later.If you have any questions at all, or there is anything that we can help you with, please feel free to contact our office or email us. Podiatrists provide medically necessary treatment which should be covered by valid insurance plans, we are not a cosmetic or elective medical specialty.