Heel pain can range from a dull ache to a sharp, stabbing sensation that makes every step uncomfortable. For many people, heel pain doesn’t just affect mobility—it impacts mood, sleep, exercise, and overall quality of life.

The good news is that heel pain is highly treatable, especially when addressed early. Understanding what causes heel pain and knowing your treatment options can help you find lasting relief. If your heel pain persists or worsens, professional care is available. Call (510) 647-3744 or schedule an appointment online with Dr. Yuko Miyazaki, a trusted heel pain specialist and podiatrist in the East Bay.

How Heel Pain Affects Everyday Life

Although the heel is a small part of the body, pain in this area can have a major impact on daily activities:

• Walking becomes painful, causing many people to limit movement and avoid activities they enjoy
• Exercise and sports feel impossible, even low-impact activities that require pressure through the feet
• Daily routines become exhausting, as every step triggers discomfort or pain

Left untreated, heel pain can lead to reduced activity levels, weight gain, and declining overall health.

How Heel Pain Develops

Heel pain often begins subtly and gradually worsens over time if ignored. Many patients report that they don’t recall a specific injury—just increasing discomfort that eventually becomes severe.

In some cases, heel pain develops due to biomechanical stress elsewhere in the body. Poor alignment, gait issues, or joint problems can shift excess pressure to the heel, leading to inflammation and pain.

Heel pain may develop:

• Suddenly, after an injury or strain
• Gradually, from overuse or repetitive stress

Common Causes of Heel Pain

Several factors can contribute to heel pain, including:

• Overuse or repetitive stress, such as increased walking, running, or standing
• Ill-fitting or unsupportive footwear, especially shoes lacking proper cushioning or heel support
• Underlying medical conditions that alter foot mechanics or increase inflammation

Identifying the exact cause is essential for effective treatment.

Conditions That May Cause Heel Pain

Plantar Fasciitis

One of the most common causes of heel pain, plantar fasciitis, occurs when the thick band of tissue supporting the arch becomes inflamed. Pain is often worse in the morning or after periods of rest.

Heel Spurs

Heel spurs develop when calcium deposits form on the heel bone over time. They often occur alongside plantar fasciitis and cause gradual, worsening pain.

Arthritis

Inflammation in the joints near the heel can cause pain directly or indirectly by shifting weight and pressure onto the heel.

Achilles Tendinitis

This condition involves inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. It commonly causes pain, stiffness, and swelling at the back of the heel.

Treatment Options for Heel Pain

Because heel pain has many causes, treatment must be individualized. Some cases respond well to conservative care, while others require advanced treatment.

At-Home Heel Pain Treatments

Many patients find relief with conservative strategies, including:

• Rest, ice, stretching, and massage to reduce inflammation and improve flexibility
• Supportive footwear with proper cushioning and heel elevation
• Over-the-counter anti-inflammatory medications for short-term relief
• Heel inserts or cushions to reduce pressure and absorb shock

While these options can help, they may not address the underlying cause of persistent heel pain.

Specialist Treatments for Heel Pain

Some heel pain treatments require evaluation by a podiatrist:

• Diabetic foot care and diabetic shoes to relieve pressure and prevent complications
• Custom orthotics, designed specifically for your foot structure to correct alignment and reduce strain
• Surgical treatment is recommended only when conservative therapies fail, and pain significantly affects daily life

Dr. Miyazaki will thoroughly evaluate your condition to determine the most effective treatment plan.

TWhen Should You See Our Podiatrist for Heel Pain?

You should schedule an appointment if:

• At-home treatments are not improving your symptoms
• Heel pain is worsening or returning frequently
• Pain is severe and interfering with work, exercise, or daily activities

Early intervention can prevent long-term damage and reduce the need for invasive treatment.

Get Relief From Heel Pain Today

If you’re experiencing heel pain in the East Bay, CA, expert help is available. Dr. Yuko Miyazaki, DPM, specializes in diagnosing and treating heel pain using personalized, evidence-based care.

Don’t let heel pain control your life. Call (510) 647-3744 or book your appointment online today to take the first step toward lasting relief.

Heel pain is a common complaint, often caused by either heel spurs or plantar fasciitis—or a combination of both. These conditions can impact foot health significantly, causing pain that affects daily activities. Knowing the relationship between bone spurs and plantar fasciitis is essential for achieving an accurate diagnosis and selecting effective treatment strategies.

Understanding Heel Spurs

Bone spurs, medically known as osteophytes, are bony protrusions that can develop along the edges of bones, including the heel bone (calcaneus). In cases of plantar fasciitis, bone spurs may form at the attachment site of the plantar fascia, a thick tissue band running along the bottom of the foot. Bone spurs typically develop in response to repetitive stress or strain, often due to prolonged standing, repetitive impact activities, or ill-fitting footwear. As stress accumulates over time, the body responds by forming bone spurs to protect and stabilize the affected area.

Exploring Plantar Fasciitis

Plantar fasciitis is an inflammation of the plantar fascia, the tissue band that supports the arch of the foot and absorbs impact during activities like walking or running. This inflammation is typically caused by factors such as overuse, improper footwear, biomechanical issues, or repetitive strain injuries. Plantar fasciitis can lead to persistent heel pain, especially in the morning or after extended periods of inactivity. Without proper care, the inflammation can become chronic, resulting in ongoing discomfort and limited mobility.

The Link Between Bone Spurs and Plantar Fasciitis

There is a clear relationship between bone spurs and plantar fasciitis. Bone spurs often develop where the plantar fascia attaches to the heel bone, a location under constant strain and tension. When bone spurs are present, they can exacerbate symptoms of plantar fasciitis by further irritating the surrounding tissues. This leads to increased pain, stiffness, and discomfort, particularly during weight-bearing activities. Addressing both conditions together is crucial for effective relief and improved foot health.

Diagnosis and Imaging Techniques

Accurate diagnosis of bone spurs and plantar fasciitis is essential to creating a successful treatment plan. The diagnostic process usually includes:

• Physical Examination: Our seasoned podiatrist will assess pain levels, range of motion, and foot structure to determine the potential causes of discomfort.
• Imaging Tests: X-rays, ultrasound, or MRI may be utilized to visualize bone spurs and assess any damage to the plantar fascia or other soft tissues. These imaging techniques provide crucial insights, enabling a more precise diagnosis and better treatment planning.

The combination of a thorough physical examination and imaging tests allows for a tailored approach to managing both conditions.

Treatment Approaches

Several treatment options exist for bone spurs and plantar fasciitis, ranging from conservative methods to more advanced therapies:

1. Conservative Treatments
   • RICE Therapy: Rest, ice, compression, and elevation are recommended to reduce inflammation and pain.
   • Stretching and Strengthening Exercises: These exercises help improve flexibility, reduce strain on the plantar fascia, and can gradually alleviate symptoms.
   • Orthotic Devices or Shoe Inserts: Customized orthotics provide additional support, cushioning, and proper alignment to alleviate pressure on the heel.
2. Advanced Treatment Options
   • Corticosteroid Injections: In cases of severe pain, corticosteroid injections may offer temporary relief by reducing inflammation.
   • Extracorporeal Shockwave Therapy (ESWT): This non-invasive therapy uses targeted shockwaves to stimulate tissue healing and reduce pain, ideal for individuals with chronic plantar fasciitis who are unresponsive to conservative treatments.

Surgical Intervention

In cases where conservative and advanced therapies have not provided adequate relief, surgery may be considered. Surgical procedures aim to either release tension in the plantar fascia or remove problematic bone spurs. Surgical options are typically reserved for severe, chronic cases and are performed when other treatments fail to resolve the pain effectively.

Taking the Next Step in Foot Care

If you’re experiencing persistent heel pain or discomfort, consulting Dr. Miyazaki is an important step in protecting your foot health. Early evaluation and targeted treatment can prevent further complications and provide relief. Contact us today at 510-647-3744 to schedule a comprehensive foot evaluation and receive a personalized treatment plan tailored to your needs. Don’t suffer with pain, call our office and get on the fast track to recovery!

We’ve all been there: that sharp, nagging pain in your heel that feels like a dagger every time you take a step. It’s not just a physical discomfort; it’s a motivation killer that can put a damper on your daily activities, from simple tasks like walking to your car to more active pursuits like jogging or hiking. 

But here’s the good news: effective treatment is available for a wide range of heel pain causes. So, before you resign yourself to a life of limping, let’s dive into the world of heel pain and uncover the secrets to lasting relief.

Understanding the Complexities of Heel Pain: Diverse Roots of Discomfort

Heel pain isn’t a one-size-fits-all condition. It’s a complex issue with diverse causes that can vary from person to person. Common culprits include overuse, unfavorable footwear choices, and structural abnormalities like flat feet or high arches.

• Insight into Overuse: Overuse can strain and damage the soft tissues in your heel, leading to inflammation and pain. Whether it’s from running, standing for long periods, or wearing unsupportive shoes, overuse can take a toll on your feet.
• The Role of Footwear and Standing Surfaces: Wearing shoes that don’t provide adequate support or standing on hard surfaces for extended periods can exacerbate heel pain. These factors can put undue stress on your feet, leading to discomfort and potential injury.
• Structural Abnormalities: Conditions like flat feet or high arches can alter the mechanics of your foot, leading to imbalances and increased pressure on the heel. These structural issues can contribute to chronic heel pain if left untreated.

Linked Conditions

Heel pain can also be a symptom of underlying conditions like Plantar Fasciitis, Achilles Tendinitis, and more. It’s crucial to address these underlying causes for effective and long-term relief.

Plantar Fasciitis: This condition involves inflammation of the plantar fascia, a band of tissue that connects the heel to the toes. It’s a common cause of heel pain, especially among runners and individuals who spend a lot of time on their feet.

Achilles Tendinitis: This condition affects the Achilles tendon, the large tendon that connects the calf muscles to the heel bone. It can cause pain and stiffness in the back of the heel, particularly during physical activity.

Tailored Treatment for Lasting Comfort: Holistic Evaluation

To effectively treat heel pain, a thorough physical exam and patient input are essential. While surgery is rarely necessary, it may be considered if other treatments prove ineffective.

Comprehensive Treatment Approaches: Footwear Wisdom

Proper footwear plays a crucial role in preventing and alleviating heel pain. When selecting shoes, consider the specific activities you’ll be engaging in and ensure they provide proper fit and arch support.

Orthotic Support

For those whose footwear falls short, custom orthotic inserts can be a game-changer. Orthotics can redistribute weight and provide optimal support during movement, reducing strain on the heels and promoting healing.

Lifestyle Adjustments

Maintaining an active lifestyle is important, but it’s essential to do so with caution. Balance your activity levels to avoid exacerbating the condition and listen to your body’s signals.

Rest and Recovery

Sometimes, the best treatment is rest. Recognize the need for temporary activity reduction to facilitate healing and incorporate rest into your overall treatment plan.

Taking the First Step Towards Relief: Timely Action

Don’t ignore persistent heel pain. Early intervention is key to efficient problem resolution, so don’t hesitate to seek professional help if you’re experiencing ongoing discomfort.

Heel pain may be a common issue, but it doesn’t have to be a lifelong struggle. By understanding the diverse causes of heel pain and adopting a comprehensive treatment approach that includes proper footwear, orthotic support, lifestyle adjustments, and timely action, you can discover lasting relief and get back to doing the activities you love.

Ready to say goodbye to heel pain for good? Don’t wait another day to take action. Schedule a consultation with Dr. Miyazaki to discuss personalized treatment options and start your journey toward lasting comfort and relief. Your feet will thank you!

Embark on your East Bay explorations without the hindrance of heel pain. From the scenic trails around Lake Anza at Tilden Regional Park to the captivating flora at UC Berkeley Botanical Gardens, foot discomfort shouldn’t impede your adventures. Let’s delve into our blog, offering five vital tips to keep your heels and feet pain-free with our “Do this—not that” approach.

Optimize Your Weight—Say No to Extra Pounds

Maintaining a healthy weight is not just about aesthetics—it plays a crucial role in foot health. Excess weight places additional stress on the bones and tissues in your feet, often leading to painful problems. Embrace a balanced diet rich in nutrients that foster strong bones and tendons, minimizing the risk of developing foot-related issues.

Shoes Are Your Allies—Avoid Going Barefoot

The choice of footwear can significantly impact your foot health, especially when traversing bare floors or hard pavement. Going barefoot exposes your feet to potential bruises, cuts, and calluses. Shield your feet by opting for appropriate footwear that provides support and cushioning. Choose functionality over fleeting fashion trends, ensuring your feet are protected during various activities.

Smart Shoe Choices—Prioritize Comfort over Style

While stylish heels and ballerina flats may be tempting, sacrificing foot comfort is not worth the momentary appeal. Opt for attractive shoes that offer the necessary support and cushioning. Prioritize functionality over style, especially when engaging in sports activities. There are plenty of aesthetically pleasing shoes available that prioritize foot health—explore your options to find the perfect balance.

Warm-Up Routine—Prepare Your Muscles

Before engaging in physical activity, it’s crucial to prepare your muscles to reduce the risk of injuries. Begin with a brisk 5-minute walk or incorporate jumping jacks to elevate your heart rate. Follow this with dynamic stretches that mimic the movements you’ll be making during your workout. Conclude with static stretches and a cool-down session. Proper conditioning, especially for calf muscles, can go a long way in preventing Achilles tendon and plantar fascia problems.

Embrace Rest—Avoid Constant Stress

Your feet, like any other part of your body, need sufficient rest to recover from stress and trauma. Introduce variety into your routine by incorporating activities like biking or swimming, which alleviate constant stress on your feet. If your job involves prolonged periods of standing, take regular breaks to relieve pressure. By allowing your feet enough rest time, you provide them with the opportunity to heal and repair damage caused by running or extended periods on your feet.

By incorporating these expert tips into your routine, you can significantly reduce the risk of heel pain and other foot-related issues. Should problems persist or if you want personalized advice, don’t hesitate to contact the office of Yuko Miyazaki, DPM, in Berkeley, CA, at (510) 647-3744, or conveniently schedule online using our contact form. Our dedicated team is ready to identify the root cause of your problem and recommend the most effective treatment, ensuring your journey remains pain-free and enjoyable.