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Tender Spot Bottom of Foot [Causes, Symptoms & Best Treatment]

Do you have a tender spot on the bottom of your foot? We go over the #1 biggest causes, symptoms and the 100% best treatment options!

https://youtu.be/X1mtD7XUIsc

Tender Spot Bottom of Foot Overview:

  • A tender spot bottom of foot is most likely a condition called plantar fasciitis.
  • Plantar fasciitis is the most common pain that is seen by a foot doctor or podiatrist, and it is very treatable!
  • This condition occurs when the connective tissue on the bottom of the foot is overused and irritated; this can lead to swelling and inflammation.
  • Have no fear there is a very well developed four stage treatment plan that can address even the most painful cases of plantar fasciitis!
Fat pad atrophy heel pain plantar fasciitis
Fat pad atrophy can happen starting at age 40 but gets worse around age 65+. This means your foot has less cushion from the bottom. The problem is you are still more likely to have plantar fasciitis pain as well as this pain.

 

Symptoms of the Tender Spot on the bottom of the Foot:

  • Pain is worse in the morning.
  • First couple steps are the worst, but gets better with movement.
  • Pain after rest.
  • Pain in the arch.
  • Hurts to stretch the foot back toward the shin.
  • Pain is better after 30 minutes of movement
  • Pain is usually in just one heel, but if you push the same side on the other foot it is slightly tender.
  • Increased pain on weight bearing
Baxter's nerve entrapment pinched nerve heel pain
This is a side and bottom view of Baxter’s pinched nerve heel pain.

 

Diagnosis of the Tender Spot on the Bottom of Foot

  • Podiatrist and Foot Doctor examination
  • X-ray to rule out bone problems and heel spurs
  • Diagnostic Ultrasound
  • MRI
Calcaneus Bone Spur Bottom of the heel spur
This is a bone spur at the bottom of the heel. This is caused by a condition called plantar fasciitis.
Achilles tendon bone spur is at the back of the heel were the Achilles tendon inserts.

 

Treatments of the Tender Spot on the Bottom of the Arch and Heel

The most common treatments of plantar fasciitis includes:

Follow our four Stage Treatment Guide

  • Resting and limiting the amount of time walking barefoot or without good shoes should be limited.
  • Massage with a tennis ball.
  • Massage with a foot roller.
  • Calf Stretching.
  • Night Splints.
  • Icing your Foot.
  • Anti-inflammatory medication.
  • Corticosteroid injection if the pain is resistant.
  • Surgery

References for the treatment of a Tender Spot on the Bottom of the Foot:

Foot and Ankle Surgery in Michigan: When Surgery is the Right Choice

Michigan patients considering foot or ankle surgery benefit from a consultation with a fellowship-trained podiatric surgeon who can provide an honest assessment of whether surgery will produce better outcomes than continued conservative management. At Balance Foot & Ankle, surgical recommendations are made only after conservative treatment has been appropriately trialed — with the exception of conditions where early surgical intervention produces clearly superior outcomes (acute Achilles tendon rupture, Lisfranc fracture-dislocation, certain tibial fractures). For conditions like bunions, hammertoes, ankle instability, and Haglund’s deformity, surgical correction is recommended when the structural problem has progressed beyond what conservative management can address and when the patient’s functional goals are not being met. Michigan patients with a foot or ankle condition that has not responded to conservative care can call Balance Foot & Ankle at (810) 206-1402 to schedule a surgical consultation at our Howell or Bloomfield Hills office.

Conservative Foot Treatment Options in Michigan: From Orthotics to EPAT


Related Treatment Guides

Michigan patients with foot and ankle conditions benefit from access to the full range of conservative treatment options at Balance Foot & Ankle. Custom orthotics fabricated from a 3D scan of the patient’s foot provide structural correction for flatfoot, high arch, and biomechanical overload conditions that OTC insoles cannot adequately address. EPAT (extracorporeal pulse activation therapy) provides a non-surgical treatment option for plantar fasciitis, Achilles tendinopathy, and other tendon conditions that resist initial conservative care — clinical evidence shows 70-80% cure rates for chronic plantar fasciitis. Ultrasound-guided injection therapy allows precise corticosteroid, PRP, or local anesthetic delivery to specific anatomical targets including the plantar fascia insertion, retrocalcaneal bursa, Morton’s neuroma interspace, and ankle joint. Physical therapy coordination with specific home exercise prescription addresses strength and flexibility deficits that perpetuate foot and ankle conditions. Michigan patients who want conservative treatment options before considering surgery can call Balance Foot & Ankle at (810) 206-1402 for an evaluation at our Howell or Bloomfield Hills office.