Heel pain and heel spurs
A heel spur on an X-ray is not always the cause of pain. Location and onset help guide appropriate care.
The spur and painful tissue are different
The plantar fascia supports the sole between heel and forefoot. Strain can cause pain under the heel during first steps. An X-ray spur does not prove the source of pain; tendon, nerve or bone problems may also need assessment.
Preparing for a consultation
- Is pain worse on first steps or later, and under or behind the heel?
- Mention new exercise, prolonged standing, footwear changes or injury.
- Share diabetes, loss of sensation and your medicines.
Initial care steps
Reduce aggravating load and choose comfortable supportive shoes. Agree suitable stretches and loading with a professional. Wrap cold packs in cloth, never applying ice directly. Check safety first if sensation or circulation is impaired.
When might further treatment help?
Persistent symptoms may prompt physiotherapy, inserts or selected procedures. Discuss benefits, uncertainty and risks of shockwave therapy or injections; results cannot be promised in 10–15 sessions. Surgery is usually not first-line, and removing the spur is not essential for pain relief.
When should you seek help?
Seek urgent assessment for severe pain after injury, deformity or inability to walk. Do not wait at home with diabetes and new foot pain, loss of feeling or a wound. Arrange review for worsening pain or no improvement within two weeks; call 112 if a serious injury prevents safe transport.
Information sources
These sources support general information; they do not confirm our hospital’s services or clinical approval.
This information is general and does not replace individual diagnosis or treatment advice. Discuss your own situation with your healthcare team.
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