The most common cause of heel pain is plantar fasciitis. Many (but not all) patients with plantar fasciitis have a heel spur on the front and bottom of their heel. Heel spurs can often be present without causing any painful symptoms.

Causes of heel pain include inadequate flexibility in the calf muscles, lack of arch support, being overweight, suddenly increasing activity, and spending too much time on the feet.

Assessment of your foot and possibly footwear is needed in order to determine the cause of heel and arch pain. Often a simple change in footwear, stretches, and strengthening can resolve uncomplicated issues. Orthotics can also be used if necessary.