Common Symptoms
- Sharp pain on the bottom of the heel, especially with the first steps of the morning
- Pain that eases after walking a few minutes, then returns after rest
- Aching at the back of the heel during or after activity
- Tenderness when pressing along the arch or heel bone
- Pain that intensifies after periods of standing or sitting
Common Causes
- Plantar fasciitis (most common)
- Heel spurs (often associated with plantar fasciitis)
- Achilles tendinitis or bursitis
- Stress fracture of the calcaneus
- Nerve entrapment near the heel
- Flatfoot or high arch mechanics
How We Help
Fjerstad, DPM begins every visit with a complete evaluation before recommending treatment. The goal is conservative, targeted care that addresses the root cause — not just the symptom.
- Stretching programs for the plantar fascia and calf muscles
- Shoe modification and heel padding recommendations
- Custom orthotics to support arch and redistribute pressure
- Anti-inflammatory therapy
- Physical therapy referral when appropriate
- Surgical evaluation for persistent, treatment-resistant cases
When to Call
Call for an appointment if your pain is persistent, worsening, or interfering with daily activity — or if you have diabetes, numbness, swelling, infection, or an open sore on the foot.
Frequently Asked Questions
Why does my heel hurt most in the morning?
This pattern is classic for plantar fasciitis. The fascia tightens overnight, and the first steps of the day stretch it suddenly. Stretching before rising can help, but a podiatry evaluation will identify the root cause and the best treatment approach.
Can heel pain resolve on its own?
Some mild cases improve with rest and better footwear. If pain has persisted longer than two to three weeks, is worsening, or is affecting how you walk, a professional evaluation is recommended to prevent it from becoming a chronic problem.
Do I need surgery for heel pain?
Most cases — including plantar fasciitis — resolve with conservative care. Surgery is rarely needed and is only considered after six or more months of non-surgical treatment have not produced adequate relief.