When Should I See a Doctor for Persistent Heel Pain?
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Time to read 7 min
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Time to read 7 min
Heel pain is a common problem. While plantar fasciitis is a very frequent cause of heel pain, there are other potential causes and it's important to not automatically assume that you have plantar fasciitis if you're experiencing discomfort in your heel. While heel pain often resolves on its own with simple at-home measures, some people require a professional evaluation.
You should seek medical attention if you:
Began experiencing heel pain immediately following an injury
Are experiencing pain and swelling that’s severe
Have a fever along with pain
Are unable to stand, walk or move the foot normally
Have tingling or numbness
There are many potential causes of heel pain and there are also many potential treatments and therapies available to address heel pain. It's important to proceed carefully based on how your heel feels, other symptoms, and whether the pain responds to at-home treatment efforts.
If you are experiencing mild heel pain with no recent significant injury or other symptoms, you may be able to address the issue at home. There are a few conservative strategies that may help resolve the pain. These strategies are often most effective when combined.
Ice: Apply a covered cold pack directly to the heel. You can ice for up to 20 minutes at a time. Cold therapy is a natural and simple way to reduce pain and swelling.
Wear supportive shoes: Opt for footwear with adequate padding and support to take pressure off painful heels.
Consider insoles or orthotics: Quality shoe inserts can reinforce a good pair of shoes, providing additional support. Dr. Scholl's® Plantar Fasciitis All-Day Pain Relief Orthotics may be especially helpful for heel pain caused by plantar fasciitis. They’re easy to use and don’t require a prescription. Dr. Scholl's® Advanced Pain Relief Insoles are another option. These insoles provide targeted arch support to reduce pressure on the plantar fascia.
There is no single sign that you should see a healthcare provider for your heel pain. When determining whether to call your doctor, take into account the severity of the pain, any other symptoms you may have, and if it's interfering with your everyday activities. Don't hesitate to reach out to your provider if you have questions or concerns.
These are some signs it may be time to schedule an appointment with a professional:
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Sign |
What to Look For |
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No pain improvement |
Pain doesn't improve after a few weeks of rest and at-home care |
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Worsening pain |
Heel pain gets worse despite reduced activities and at-home care |
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Severe swelling or redness |
Inflammation is severe or combined with redness and hot sensation |
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Recurring pain |
Extended pain-free periods followed by pain returning |
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Pain when resting |
Significant heel pain even when taking weight off the foot |
If your heel pain is a direct result of an injury, seek medical attention if the pain doesn't subside. Be aware of any unusual popping sounds as this could indicate a broken bone, which requires immediate medical care.
Severe heel pain can be especially concerning for people with specific health conditions. If you are pregnant or have another condition that puts your feet at risk, such as diabetes, you should seek medical care immediately.
Plantar fasciitis is often the first thing that comes to mind when someone feels pain in their heel. However, there are other possible causes, including:
|
Condition |
Description |
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Plantar fasciitis |
Inflammation of the plantar fascia |
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Stress fracture |
Small crack in the heel bone due to repeated stress |
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Achilles tendonitis |
Inflammation of the Achilles tendon |
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Bursitis |
Inflammation of fluid-filled sacs that cushion the heel |
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Heel spurs |
Bony growths on the underside of the heel bone |
When you visit a doctor for heel pain, they will ask you about any recent injuries and your typical activities. Be prepared to describe where you feel the pain, what the pain feels like, and when it feels worse or better. They will examine your entire foot, observing range of motion and checking for signs of injury, swelling and tenderness. They may also evaluate how you walk and stand. In some cases, they may decide to order tests and imagery to diagnose the issue and to rule out any other conditions that may be contributing to your pain.
If your condition is mild, your provider may determine that medical treatment isn't necessary. It's often possible to make a full recovery from heel pain using a traditional, at-home approach.
Ask your doctor for advice on how to address your heel pain using self-care methods. Be sure to follow your doctor's instructions carefully and be consistent and patient with your routine. Successful recovery depends largely on compliance. It can take time for heel pain to resolve and once you're pain free, it's important to continue to use caution so that you remain free of pain.
If your heel pain doesn't improve after about two weeks of rest and at-home care, it’s best to schedule an appointment with a healthcare provider. However, seek medical attention immediately if you experience pain after an accident or an injury. Also get medical help if you have severe swelling or redness, fever, you can’t walk normally, or there’s tingling or numbness.
Oftentimes, mild heel pain resolves on its own with simple at-home measures such as rest, ice, supportive footwear and stretching. The key is consistency with these conservative strategies. You also need to give your foot adequate time to heal. If pain persists or worsens, it’s best to get an evaluation from a medical professional.
Even though plantar fasciitis is a very common cause of heel pain, other conditions can also cause pain in the heel. These include stress fractures in the heel bone, Achilles tendonitis, bursitis and heel spurs. Symptoms and treatment will depend on the exact condition, which is why a proper diagnosis is important.
Morning heel pain is a common symptom of plantar fasciitis. It can be particularly painful when you first put weight on your foot after getting out of bed. This is because the plantar fascia tightens during the night while you’re sleeping. When you suddenly stand, the plantar fascia stretches abruptly. On the other hand, pain when resting or taking weight off the foot can indicate a more serious condition that may require medical attention.
You may not have to stop exercising completely if you have heel pain. However, you should stop or limit activities that cause or worsen heel pain. Rest is important for the healing process. Once the pain subsides, gradually return to exercise, stopping right away if the pain recurs.
Insoles and orthotics can provide pain relief for some people with heel pain. These shoe inserts are designed to provide additional support and padding, reducing pressure on painful heels. Insoles and orthotics are often most effective when combined with other conservative strategies such as rest, ice, supportive footwear and regular stretching.
Seek immediate medical care if you experience heel pain after an injury or accident. You should also get medical attention right away if your foot looks deformed, you can’t put weight on your foot, you have a fever, or if your foot is severely swollen or hot to the touch.
If you see a doctor for heel pain, they will likely conduct a physical examination and ask questions about how and when your pain started, how it feels, how intense the pain is and if there are activities that make it worse or better. They may examine your foot for signs of injury, swelling, and tenderness. They may also observe your range of motion and evaluate how you walk and stand. In some cases, they may order tests and imaging to diagnose the issue and attempt to rule out other conditions.
In some cases, heel pain may be a sign of a more serious health condition. Heel pain accompanied by fever may indicate infection. Tingling or numbness suggests possible nerve involvement. Severe heel pain may indicate a fracture or other type of serious injury. These symptoms require prompt medical evaluation.
When attempting to resolve heel pain with at-home treatment, recovery time will vary depending on the cause and severity of the pain. Successful resolution depends largely on compliance with self-care methods and consistency with your routine. Be patient, as it can take time for a painful heel to recover. Once you’re pain-free, ease back into your normal routine slowly to avoid recurrence.
https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/symptoms-causes/syc-20354846
https://orthoinfo.aaos.org/en/diseases--conditions/plantar-fasciitis-and-bone-spurs/
https://www.aofas.org/footcaremd/conditions/ailments-of-the-smaller-toes/Pages/Heel-Pain.aspx
https://my.clevelandclinic.org/health/diseases/16662-plantar-fasciitis
https://www.hopkinsmedicine.org/health/conditions-and-diseases/plantar-fasciitis