Heel pain can be caused by several common conditions, the most frequent of which is plantar fasciitis, an inflammation of the plantar fascia—a thick band of tissue supporting the arch of the foot. This often causes sharp pain in the heel, especially with the first steps in the morning or after prolonged standing. Other causes include Achilles tendinitis (inflammation of the Achilles tendon at the back of the heel), heel spurs (bony growths on the heel bone), bursitis (inflammation of fluid-filled sacs near the heel), stress fractures, fat pad atrophy (thinning of the heel's natural cushioning), nerve compression (tarsal tunnel syndrome), or injuries such as bruises or fractures. Wearing poor footwear, sudden increases in physical activity, repetitive stress, and certain medical conditions can also lead to heel pain. Identifying the exact cause may require a medical diagnosis, especially if the pain persists or worsens.
