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Orthopaedics

Heel Spur and Sole Pain

For heel pain that is most noticeable with the first steps in the morning, the plantar fascia and foot structure are assessed.

What is it?

Most complaints known as heel spur relate to irritation of the plantar fascia, which runs from the heel bone to the toes. Pain is usually worse with the first morning steps or when standing after sitting.

The assessment considers foot structure, footwear, weight and time spent standing. Stretching exercises, changes to shoes and insoles, and activity adjustments are often at the start of the plan.

Recovery may take patience and does not progress at the same pace for everyone. Further options are discussed with your doctor based on examination and follow-up findings.

Who is it assessed for?

  • People with heel pain on the first step in the morning
  • People who stand for long periods at work
  • People who recently increased running or walking distance
  • People with flat feet or high arches

Step by step

  1. 1

    Conversation

    The timing of pain, footwear and working conditions are discussed.

  2. 2

    Foot examination

    Gait, arch structure and tender points are examined.

  3. 3

    Imaging if needed

    An X-ray or ultrasound may be requested to rule out other causes.

  4. 4

    Home programme

    Stretching exercises and daily adjustments are explained.

  5. 5

    Check-up

    The course of symptoms is reviewed together after a set period.

Questions

If a spur shows on the X-ray, is it the cause of the pain?

Not always. Bone spurs are also seen in people without pain; the complaint is often related to irritation of the fascia.

Should I use insoles?

They may help some people. Suitability is assessed according to your foot structure.

Do I need to stop sport?

Stopping completely is not always necessary; load and duration adjustments are planned after examination.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.