Why does my heel hurt so much? A brief guide to heel pain

Written by: Mr Paul Hamilton
Published: | Updated: 20/02/2020
Edited by: Cal Murphy

Do you have an ache or pain in your heel that just won’t go away? Expert orthopaedic surgeon Paul Hamilton provides all the answers:

Heel pain is a common complaint that can significantly affect quality of life. It can mean you can’t run or do sports, and can even make day-to-day mobility more difficult. Ensuring the correct diagnosis is the key to implementing an accurate and individualised management plan.


Heel pain – fast facts


  • The two main conditions causing heel pain are plantar fasciitis and Achilles tendinopathy.
  • The cause is often unknown but may result from training errors, being overweight, an abnormal foot shape or a tight calf.
  • In the chronic form, the condition can go on for many months and occasionally years.
  • Accurate and early diagnosis can prevent it from becoming chronic and shorten the time you have the condition.
  • Treatment options include


How does heel pain occur?


The exact causes of heel pain are unknown but the process probably relates to increased or abnormal loading of the Achilles tendon or the plantar fascia (a band of fibrous tissue on the bottom of the foot, running from the heel to the toes), leading to degeneration. If this isn’t resolved quickly, the condition can become chronic and it often lasts for many months.

Heel pain is associated with a sudden increase in activities, being overweight, a flat or high-arched foot, or a tight calf muscle. It is also associated with some generalised conditions such as rheumatoid arthritis and occasionally medication.


What is heel pain?


There are two main conditions associated with heel pain: Achilles tendinopathy (this can refer to tendinitis or tendinosis), and plantar fasciitis. Click here to learn more about these conditions:


     Achilles tendinopathy                                                                  plantar fasciitis


Read Paul Hamilton’s guide to heel pain treatment here.

If you are experiencing heel pain, consult your doctor or a specialist.

By Mr Paul Hamilton
Orthopaedic surgery

Mr Paul Hamilton is a top orthopaedic consultant based in Surrey and London. He specialises in adult foot and ankle surgery and trauma surgery, including forefoot reconstruction, arthroscopy and arthroplasty, and is an expert in treating sport injuries, Morton's neuroma, arthritis and bunions.

After qualifying from St Bartholomew's and the Royal London Medical School, he completed three medical fellowships in the UK and a travelling fellowship to Boston, USA, giving him extensive specialist training. In addition to his private and NHS practices, Mr Hamilton is actively involved in research, and has published and presented his work in orthopaedics around the world.

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