What Causes Heel Spurs? [What Are Heel Spurs & Do I Have One?]

Quick answer: What Causes Heel Spurs What Are Heel Spurs Do I Have One affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.

Related Conditions

✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

What Causes Heel Spurs? [What Are Heel Spurs & Do I Have One?]

What Causes Heel Spurs? [What Are Heel Spurs & Do I Have One?]

🦶50% of people with heel spurs are actively suffering from plantar fasciitis. It is said that 44% or more of people develop chronic heel pain at some point!🦶

Full Video: https://youtu.be/2rrt4xkeBiQ

Related Videos:
Numbness, Burning or Tingling Foot Pain: https://youtu.be/Pdp9HLH9Gsg
Fat Pad Loss: https://youtu.be/54O-B2XqJaY
Heel Nerve Pain: https://youtu.be/1ZqubXExmc4
Plantar Fasciitis: https://youtu.be/2aXlnFVmIY8
Heel Stress Fracture: https://youtu.be/GesHK7hBpJA

👉– Shoes –👈
Best Shoes:

Podiatrist Recommended Shoes

Best Products: https://www.michiganfootdoctors.com/recommended-foot-doctor-products///

👉– LINKS –👈
(With some links, we use affiliate links and may earn a commission. Check with your doctor before using any product!)

Orthotics:
Best Overall Orthotic: https://geni.us/PowerStepOrthotics (Amazon)
Best Heavy Duty Orthotic: https://geni.us/HeavyDutyOrthotics (Amazon)
Best Women’s Orthotic: https://geni.us/BestWomensOrthotic (Amazon)
Best sub $25 Soft Orthotic: https://geni.us/BudgetSoftOrthotic (Amazon)
Best sub $25 Budget Orthotic: https://geni.us/BudgetOrthotic (Amazon)

Pain Relief:
Best Compression Sleeves: https://geni.us/PlantarFasciitisSock (Amazon)
Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon)
Best Muscle Massage Stick: https://geni.us/MuscleStick (Amazon)

Exercises & Stretches:
Best Ankle Stretch Incline Board: https://geni.us/z7bq (Amazon)
Best Budget Stretching Device: https://geni.us/BudgetFasciitisStretch (Amazon)

Compression socks & Compression stockings:
Note: Start Light & always check with your podiatrist if you have a medical condition.
Best 8-15 mmHg budget compression stockings: https://geni.us/NmvRw
Best 20-30 mmHg compression stocking: https://geni.us/bqasGh (Amazon)

Massage Device:
Our Favorite Calf Compression Device https://geni.us/sLJDN
Our Favorite Full Leg Compression Device https://geni.us/htyFl

Massage Gun:
Note: This is for sore, tight muscles, not to dissolve spurs.
Bob and Brad D6 Pro Massage Gun (My #:1 Choice) https://geni.us/ouFhWtI (10% OFF Code: BOBANDBRADD6)
Bob and Brad C2 Massage Gun (Great Travel): https://geni.us/BFKF (10% OFF Code: BOBBRADG10 or TIMPT104 or bobbradfall)
Bob and Brad 721 Foot Massager: https://geni.us/2RKyA7 (10% OFF Code: BobBrad2022)

Best Ankle Pain Braces:
Best Overall Ankle Stability Brace: https://geni.us/GreatBrace (Amazon)
Best Overall Compression Ankle Brace: https://geni.us/GreatCompressionBrace (Amazon)
Best Budget Ankle Stability Brace: https://geni.us/AnkleStability (Amazon)
Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon)

Plantar Fasciitis: Plantar fasciitis is among the most common causes of heel pain. It is estimated to affect about 10% of the population at some point in their lives. It is more prevalent in certain groups, such as athletes, runners, and individuals who spend long hours on their feet.

Heel Spurs: Heel spurs are often associated with plantar fasciitis, but not everyone develops heel spurs. The presence of heel spurs alone does not necessarily cause symptoms. Studies have shown that heel spurs are present in around 50% of people with plantar fasciitis. However, the incidence of symptomatic heel spurs is lower, and only a fraction of individuals with heel spurs experience significant pain or discomfort.

📢Come See Us in Detroit, Michigan, Berkley Michigan; Bloomfield Township, Michigan, Lansing Michigan; and Grand Blanc Michigan📢

If you are in Michigan, consider seeing us at our clinic: https://www.michiganfootdoctors.com/.
https://g.page/r/CaxJ9b-O6o27EAE

DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2 separate traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery separately. His use of “doctor” or “Dr.” about himself solely refers to that degree. Dr. Biernacki is a licensed podiatrist in Michigan. This video is for general informational purposes only. It should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.

Comprehensive Foot and Ankle Care in Michigan: Balance Foot & Ankle

At Balance Foot & Ankle, Michigan patients find a podiatric practice dedicated to delivering exceptional clinical care for the full range of foot and ankle conditions. Our fellowship-trained podiatrists combine advanced surgical skills with a thorough conservative care approach — ensuring that patients receive the right treatment for their specific condition at the right stage of their diagnosis. We believe in transparent communication: patients leave every visit with a clear understanding of their diagnosis, the rationale for their treatment plan, and realistic expectations for recovery.

Related Treatment Guides

• Plantar Fasciitis & Heel Pain Treatment
• Stress Fracture Treatment
• Custom 3D Orthotics
• Sports Foot & Ankle Injury Treatment

Our Howell office at 4330 E Grand River and Bloomfield Township office at 43494 Woodward Ave #208 are equipped with in-office digital X-ray, ultrasound for diagnostic imaging and guided procedures, and the full range of conservative and interventional podiatric technologies including MLS laser therapy and EPAT shockwave therapy. We accept all major Michigan insurance plans and verify coverage before every appointment. New patients throughout Livingston, Oakland, and surrounding counties are welcome — call Balance Foot & Ankle at (810) 206-1402 to schedule your first appointment today.

Medical References & Sources

• American Podiatric Medical Association — Patient Education
• American Orthopaedic Foot & Ankle Society — Foot Conditions

Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

In-Office Treatment at Balance Foot & Ankle

If home treatment isn’t providing relief for your plantar fasciitis, heel pain, or bunion, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.

Frequently Asked Questions

Are heel spurs painful?

Heel spurs themselves are not the primary source of pain in most cases. About 70% of people with plantar fasciitis have a heel spur on X-ray, but heel spurs are also found in 15–20% of asymptomatic adults. The pain comes from plantar fascia inflammation at the heel attachment, not from the spur scraping tissue. This is why removing the spur surgically rarely changes outcomes — the fascia degeneration is the underlying problem that drives the pain.

What’s the difference between a heel spur and plantar fasciitis?

Plantar fasciitis is inflammation and degeneration of the plantar fascia ligament at its heel attachment — the most common cause of heel pain. A heel spur is a bony calcium deposit that forms on the bottom of the heel bone. The two frequently coexist, and the spur forms as the body’s response to chronic fascial tension at the heel. Treating the plantar fasciitis resolves the pain in the vast majority of cases; the spur remains on X-ray but becomes asymptomatic.

Does a heel spur require surgery?

Rarely. Heel spur surgery is indicated only when conservative treatment has failed for 12+ months and the specific spur is confirmed as the pain source — not the fascia. This applies to perhaps 2–3% of heel spur cases. Modern surgical approaches include endoscopic plantar fascia release with spur removal; recovery is 6–8 weeks. In our practice, we counsel strongly against spur removal as an isolated procedure because removing the spur without addressing the underlying fascial pathology produces unpredictable outcomes.

How is a heel spur diagnosed?

X-ray confirms the presence and size of a heel spur. A heel spur appears as a bony projection on the calcaneus (heel bone) visible on a lateral foot X-ray. However, finding a spur on X-ray doesn’t confirm it’s causing symptoms — the clinical examination (point tenderness, gait analysis, response to treatment) is equally important. Ultrasound and MRI are used when soft tissue pathology alongside the spur (fascia thickening, partial tears) needs characterization.

Can heel spurs go away on their own?

Bone doesn’t resorb spontaneously in adults without a pathological process. Once a heel spur forms, it’s permanent — but it becomes asymptomatic in the vast majority of patients who treat the underlying plantar fasciitis. The goal isn’t to eliminate the spur; it’s to resolve the fascial inflammation that made it painful in the first place. When the fascia heals, the spur is still there but no longer provokes a pain response.

What treatments work for heel spur pain?

Treatment is essentially identical to plantar fasciitis treatment: daily stretching (plantar fascia and calf), supportive footwear with heel elevation, custom or OTC orthotics, night splints, and activity modification. For persistent cases: corticosteroid injection, shockwave therapy, and PRP. These target the plantar fascia inflammation, not the spur directly — which is appropriate because the fascia is the pain generator. We start with the least invasive options and escalate based on response.

What is posterior heel spur vs. inferior heel spur?

Inferior (bottom) heel spurs form at the plantar fascia attachment on the bottom of the heel and are associated with plantar fasciitis. Posterior heel spurs form at the Achilles tendon insertion on the back of the heel and are associated with Haglund’s deformity (pump bump) and insertional Achilles tendinopathy — a completely different condition requiring different treatment. Both show up on X-ray but are in distinct anatomical locations; the clinical exam identifies which is causing symptoms.

Does shock wave therapy work for heel spurs?

Extracorporeal shockwave therapy (ESWT) shows 60–75% success rates for chronic plantar fasciitis and heel spur pain that has not responded to 6+ months of conservative care. It delivers acoustic pressure waves that stimulate healing and reduce nerve sensitization. Treatment consists of 3–5 sessions over 3–5 weeks; results appear over 6–12 weeks. It’s non-invasive, requires no anesthesia, and has minimal downtime. We offer ESWT in-office as a step between conservative care and surgery.

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.