Heel pain can make everyday activities uncomfortable, whether you are walking, exercising, or simply taking your first steps in the morning. One common cause of heel discomfort is a heel spur, a bony growth that develops on the heel bone over time. While not all heel spurs cause pain, they can contribute to ongoing irritation and inflammation in the foot.
What Is a Heel Spur?
A heel spur, also known as a bone spur in the heel or calcaneal spur, is a calcium deposit that forms a bony projection on the underside of the heel bone (calcaneus). These growths typically develop gradually due to repetitive stress, inflammation, or tension where tendons and ligaments attach to the bone.
Heel spurs are often associated with plantar fasciitis, a condition involving inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot and supports the arch.
- Calcaneus (heel bone)
- Plantar fascia
- Achilles tendon
- Location of a heel spur
What Causes Heel Spurs?
Several factors can contribute to the development of a spur on the heel bone, including:
- Chronic plantar fasciitis
- Repetitive activities such as running or jumping
- Prolonged standing on hard surfaces
- Flat feet or high arches
- Tight calf muscles or Achilles tendons
- Wearing unsupportive footwear
- Excess body weight
Over time, repeated stress on the heel can cause the body to deposit calcium in the area, resulting in the formation of heel spurs.
Symptoms of Heel Spurs
Many people with a bone spur in the calcaneus have no symptoms and only discover it during an X-ray for another condition. When symptoms occur, they may include:
- Sharp heel pain when taking the first steps in the morning
- Pain after long periods of sitting or resting
- Tenderness on the underside of the heel
- Discomfort that worsens after physical activity
- Mild swelling or inflammation around the heel
In many cases, the pain comes from inflammation of the surrounding tissues rather than the spur itself.
Heel Spur vs. Plantar Fasciitis
Because these conditions often occur together, they are frequently confused.
| Heel Spur | Plantar Fasciitis |
| Bony growth on the heel bone | Inflammation of the plantar fascia |
| May not cause symptoms | Usually causes heel pain |
| Visible on X-rays | Typically diagnosed through examination |
| Develops over time due to stress | Caused by repetitive strain and inflammation |
An orthopedic foot and ankle specialist can determine whether your symptoms are caused by a heel spur, plantar fasciitis, or another condition.
How Are Heel Spurs Diagnosed?
Diagnosis begins with a physical examination and a review of your symptoms, activity level, and medical history. Your provider may check for tenderness, evaluate your range of motion, and observe how you walk.
X-rays are commonly used to confirm the presence of a bone spur in the heel. In some cases, additional imaging may be recommended if there is concern about damage to the plantar fascia, tendons, or other soft tissues.
Treatment Options for Heel Spurs
Most people find relief through conservative, nonsurgical treatment.
Common treatment options include:
- Rest and activity modification
- Ice to reduce pain and inflammation
- Stretching exercises for the calf muscles and plantar fascia
- Physical therapy to improve flexibility and foot mechanics
- Supportive footwear and orthotics
- Over-the-counter anti-inflammatory medications
- Night splints to reduce morning pain
Surgery is rarely necessary and is generally considered only when symptoms persist despite several months of conservative treatment.
Preventing Heel Spurs
While not every heel spur can be prevented, healthy habits may reduce your risk. Consider:
- Wearing supportive shoes with proper arch support
- Maintaining a healthy weight
- Stretching regularly, especially before exercise
- Gradually increasing activity levels
- Replacing worn-out athletic shoes
These measures can help reduce stress on the heel and support overall foot health.
When Should You See a Specialist?
Schedule an evaluation if:
- Heel pain lasts more than a few weeks
- Symptoms interfere with daily activities
- Home treatments are not providing relief
- Walking becomes difficult
- Pain continues to return
Early evaluation can help identify the source of your discomfort and prevent symptoms from worsening.
Frequently Asked Questions
Are heel spurs always painful?
No. Many people have calcaneal spurs that cause no symptoms at all.
Can a heel spur go away on its own?
The spur itself typically remains, but symptoms can often be managed successfully with nonsurgical treatment.
Do heel spurs require surgery?
Most heel spurs do not require surgery. Conservative treatment is effective for the majority of patients.
Can I exercise with a heel spur?
Yes, although low-impact activities may be more comfortable while symptoms improve.
Find Relief From Heel Pain
If heel pain is affecting your daily routine, an evaluation by an orthopedic foot and ankle specialist can help determine the cause and identify the most effective treatment options. The team at EmergeOrtho-Foothills Region provides comprehensive care for heel spurs, plantar fasciitis, and other foot and ankle conditions to help you get back to doing what you love. Make your appointment today.
