Heel pain often occurs for no apparent reason and is usually worse when first placing weight on the foot.  The pain can be especially severe when first getting up in the morning or after sitting.  As the condition worsens, patients will complain of severe throbbing pain after getting off their feet.  The soreness may even radiate up the back of the leg and into the arch of the foot.

The diagnosis of heel pain can only be made by a physical exam.  Weight-bearing x-rays can rule out the existence of heel spurs and rare cases of heel pain caused by a stress fracture. Treatment includes a regimen of stretching exercises, anti-inflammatory medication, and the use of arch supports, heel cushions and orthotics.  Surgery is rarely considered unless the use of orthotics fails to correct the condition.