Plantar fasciitis and heel spurs both cause heel pain but are different conditions—plantar fasciitis results from inflammation of the plantar fascia, while heel spurs are bony growths on the heel bone. Symptoms of plantar fasciitis include sharp morning pain, whereas heel spurs may cause a dull ache or no pain at all. Treatments include supportive footwear, stretching, shockwave therapy, and professional podiatry care. If heel pain persists, booking an appointment with a podiatrist is recommended for proper diagnosis and treatment.
Have you ever woken up with a sharp, stabbing pain in your heel and wondered what’s really going on?
Heel pain is frustrating, especially when it lingers for months. Many people assume it’s caused by a heel spur, but that’s not always the case. Plantar fasciitis and heel spurs are often linked, yet they’re different conditions with their own causes and treatments. Understanding the difference can make all the difference in how you treat and prevent future pain.
What’s the Difference Between Plantar Fasciitis and Heel Spurs?
These two conditions are commonly confused because they both involve heel pain, but they are not the same.
- Plantar fasciitis is caused by inflammation of the plantar fascia—a thick band of tissue that runs along the bottom of your foot.
- Heel spurs are bony growths that develop on the heel bone, often due to long-term strain on the foot.
A study published in the National Center for Biotechnology Information found that about 50% of people with plantar fasciitis also have heel spurs, but the spurs themselves don’t necessarily cause pain.
What Does the Pain Feel Like?
The type of pain you feel can help determine which condition you might have.
- Plantar fasciitis usually causes a sharp, stabbing pain in the heel, especially when taking the first few steps in the morning.
- Heel spurs don’t always cause pain, but if they do, it’s often a dull ache that worsens with activity.
Because these conditions can occur together, you might experience both types of discomfort. That’s why it’s essential to see a podiatrist for an accurate diagnosis.
What Causes Plantar Fasciitis and Heel Spurs?
The root causes of these conditions often overlap, making it easy to see why they’re so commonly mistaken for one another.
- Overuse and repetitive stress – Runners, athletes, and people on their feet all day are more prone to developing plantar fasciitis.
- Poor footwear – Shoes with inadequate arch support or cushioning can contribute to both conditions.
- Flat feet or high arches – Abnormal foot mechanics can place excess strain on the plantar fascia, leading to inflammation and potential spur formation.
- Excess weight – Extra pressure on the foot increases the likelihood of heel pain.
- Age – People over 40 are more likely to experience these conditions due to wear and tear.
How Can You Treat These Conditions?
If your heel pain is slowing you down, there are several treatment options to consider. The good news is that most cases of plantar fasciitis and heel spurs can be managed without surgery.
1. Supportive Footwear and Orthotics
Properly cushioned shoes with good arch support can make a world of difference. Custom orthotics can also help by redistributing pressure and providing extra support. You can learn more about orthotic options here.
2. Stretching and Strengthening Exercises
Stretching the plantar fascia and calf muscles can help relieve tension and reduce pain. Common exercises include:
- Toe stretches
- Calf stretches
- Rolling a ball under your foot
A professional running assessment can help identify any biomechanical issues contributing to your heel pain. Book an appointment for a running assessment to get expert guidance.
3. Shockwave Therapy
This non-invasive treatment stimulates healing by increasing blood flow to the affected area. Studies, such as those discussed in the Oxford Academic Journal of Rheumatology, have shown that shockwave therapy can significantly improve symptoms of plantar fasciitis. You can find more details about shockwave therapy at Up and Running Podiatry.
4. Rest and Ice
Reducing activity levels and applying ice can help decrease inflammation and provide temporary relief.
“Plantar fasciitis and calcaneal spurs can cause significant chronic heel pain but can be improved with relatively simple measures.”
— Plantar Fasciitis With a Calcaneal Spur
5. Professional Treatment
When conservative treatments aren’t enough, a podiatrist might recommend additional options such as corticosteroid injections or physical therapy.
If you’re struggling with persistent heel pain, book an appointment with a specialist to discuss your options.
Can Heel Spurs Be Removed?
Surgical removal of a heel spur is rarely necessary. Since the pain is often caused by inflammation rather than the spur itself, addressing the underlying cause is usually the best approach.
According to research from Nature Scientific Reports, heel spurs are more of a side effect of stress on the foot rather than the primary source of pain.
When Should You See a Podiatrist?
If your heel pain isn’t improving despite trying home treatments, it might be time to see a podiatrist. Signs you should seek professional help include:
- Pain that lasts longer than a few weeks
- Swelling or bruising in the heel
- Difficulty walking
- Pain that gets worse instead of better
The team at Up and Running Podiatry specialises in diagnosing and treating heel pain with personalised treatment plans.
Don’t let heel pain slow you down. Take the first step towards relief by booking an appointment today.