Have you ever wondered why you’re suddenly experiencing sharp pain in the back of your heel when walking or running?
If you’ve started feeling discomfort or even sharp pains at the back of your heel during your daily walk or morning run, you’re definitely not alone. It’s a common issue that affects many runners and even those who enjoy simple strolls around the neighbourhood. I often see patients at my clinic who are puzzled by why this specific part of their foot is giving them trouble.
Could Your Shoes Be the Problem?
One of the first things I ask my patients is about their footwear. Switching suddenly from cushioned shoes to minimalist shoes or even barefoot running might seem harmless, but it can trigger serious heel discomfort. This happens because your heels aren’t used to absorbing the direct impact of each step. Many patients describe it as feeling like the heel is bruised or even torn.
If you’re struggling to adapt to minimalist footwear, it might be a good idea to consider our gait analysis service. Understanding how your feet naturally move and strike the ground can prevent further injury and discomfort.
Is it Achilles Tendonitis or Something Else?
Often, the pain at the back of your heel could indicate inflammation of the Achilles tendon, commonly called Achilles tendonitis. This area can become inflamed when it’s repeatedly stressed during walking or running, especially if you’ve suddenly increased your activity level. Many people experience stiffness in the morning or after periods of rest, along with swelling and tenderness.
Calf stretches and strengthening exercises can help relieve tension. You can explore our Achilles tendon care options, including treatments like radial shockwave therapy.
Heel Pad Atrophy Might Be the Culprit
Another cause that’s less frequently discussed—but just as painful—is heel pad atrophy. Years of walking in thick, cushioned shoes can thin your heel’s natural padding, making walking barefoot or in flat shoes feel painful. Imagine stepping onto a pebble barefoot—this is how every step might feel when the natural cushioning in your heel pad has diminished.
Switching gradually to supportive footwear or investing in custom orthotics can relieve the pressure. We provide personalised custom orthotics designed specifically for your feet.
Could Plantar Fasciitis Be the Issue?
Sometimes pain at the back or bottom of your heel might be due to plantar fasciitis. This condition occurs when the ligament connecting your heel bone to your toes becomes inflamed. It’s often painful after prolonged rest and eases as you walk, only to worsen again later in the day.
Addressing this early is crucial, and our clinic offers targeted treatments for plantar fasciitis. You can also check out this helpful article for more detailed advice on managing the condition at home.
Don’t Underestimate Bursitis
Sometimes the back of your heel pain can be due to inflammation in the bursa, known as retrocalcaneal bursitis. This small fluid-filled sac cushions your Achilles tendon where it connects to your heel bone. Tight footwear or repetitive stress can cause the bursa to swell and become painful, especially during movement.
Simple measures like changing your shoes or using heel pads can help. Persistent cases often respond well to treatments like radial shockwave therapy, which we provide at our clinics.
Preventative Measures You Can Take
There’s a lot you can do to avoid future heel issues. Making gradual changes to your footwear and regularly performing calf stretches can significantly reduce your risk. Focusing on a shorter stride length and midfoot landing rather than hard heel striking makes a big difference. For guidance tailored to your running style, consider booking a running assessment at our clinic.
Strengthening the small muscles in your feet with functional exercises can also build resilience, helping you avoid injury long-term. Check out our tips on injury prevention to stay proactive.
When Should You See a Podiatrist?
Ignoring persistent heel pain can lead to chronic conditions. If you’ve tried changing footwear, stretching, and resting without relief, it’s time to seek professional help. I regularly help patients regain comfort and mobility with tailored treatments that target the exact cause of their heel pain.
Don’t wait until your pain becomes debilitating. Book a consultation at one of our clinics in Port Melbourne, Elsternwick, Altona North, or Richmond. Our goal is always to get you back to walking, running, and living without pain.
If you have further questions or concerns, don’t hesitate to reach out and book an appointment. Your heels will thank you!