Heel and Arch Pain

Heel and Arch Pain: Understanding the Causes and Treatment Options

Heel and arch pain are among the most common foot complaints seen in chiropody clinics. These areas of the foot absorb much of the impact from standing, walking, and running, making them prone to irritation, strain, and injury. Over time, persistent pain in the heel or arch can affect daily mobility and overall quality of life.

At Rehab8, our chiropody team provides expert assessment and treatment to identify the underlying cause of heel and arch pain. Whether it stems from inflammation, biomechanical issues, or footwear-related factors, we aim to relieve discomfort, promote healing, and prevent recurrence.

1. What causes heel and arch pain?

Heel and arch pain can arise from many factors, often linked to overuse, improper footwear, or structural imbalances in the foot. These issues can strain the soft tissues and joints that support the foot’s natural arch and heel structure.

Common causes include:

• Overuse from walking or standing for long hours
• Sudden increase in physical activity
• Wearing unsupportive shoes or high heels
• Flat feet or high arches
• Tight calf muscles or Achilles tendon
• Poor biomechanics or gait abnormalities

If left untreated, heel and arch pain can worsen and lead to compensatory issues in the ankles, knees, hips, or lower back.
‍

2. Common conditions related to heel and arch pain

Several conditions may contribute to pain in the heel or arch area.

Plantar Fasciitis

One of the most common causes, plantar fasciitis occurs when the plantar fascia (a thick band of tissue that supports the arch) becomes inflamed due to overuse or excessive strain. Pain is typically sharp and most noticeable with the first steps in the morning.

Heel Spurs

Heel spurs are bony growths that can form at the base of the heel bone, often developing as a result of chronic stress on the plantar fascia. They can cause pain during walking or standing.

Flat Feet (Pes Planus)

When the arches of the feet collapse or are lower than normal, it can place additional strain on the heel and midfoot, leading to discomfort and fatigue.

High Arches (Pes Cavus)

Feet with high arches can lead to uneven pressure distribution, causing pain in both the heel and ball of the foot.

Achilles Tendonitis

Inflammation or overuse of the Achilles tendon can cause pain at the back of the heel, particularly during activity.

Fat Pad Atrophy

Over time, the natural cushioning under the heel can thin, leading to a bruised or sore sensation when walking or standing.‍

3. How chiropody can help manage and prevent pain

Chiropody focuses on identifying the root cause of heel and arch pain and developing a personalized plan to restore function and reduce discomfort. At Rehab8, we take a comprehensive approach that addresses both symptoms and underlying biomechanical issues.

Comprehensive Assessment

We begin with a detailed foot and gait analysis to identify structural or movement-related causes of pain.

Custom Orthotics

Custom orthotics are often recommended to correct foot mechanics, redistribute pressure, and support the arch and heel for long-term relief.

Footwear Advice

Our chiropodists provide guidance on choosing appropriate footwear that supports your arch and absorbs shock effectively.

Manual Therapy and Taping

Hands-on techniques, soft tissue therapy, and taping can relieve tension in the plantar fascia and reduce inflammation.

Stretching and Strengthening Exercises

Targeted exercises for the feet, calves, and lower legs can improve flexibility, support the arch, and prevent recurrence of pain.

Shockwave Therapy or Other Modalities

Depending on the severity and cause, advanced treatment options may be recommended to promote healing and tissue recovery.

Takeaway

Heel and arch pain can interfere with daily movement and comfort, but with proper diagnosis and care, recovery is achievable. At Rehab8, our chiropody team provides personalized assessment, treatment, and education to help restore foot health and prevent future discomfort.