Plantar Fasciitis (Heel Spurs)

When walking, your heels repeatedly hit the ground with considerable force. They have to be able to absorb the impact and provide a firm support for the weight of the body. When pain develops in the heel, it can be very disabling, making every step a problem, affecting your posture.

There are various types of heel pain. Some of the most common are: heel spurs (plantar fasciitis); heel bursitis and heel bumps.


The pain is usually worse on standing, particularly first thing in the morning when you get up. It is relatively common, usually occurring in the over forty age group. There are no visible features on the heel but a deep localised painful spot can be found in, or around, the middle of the sole of the heel. Although it is often associated with a spur of bone sticking out of the heel bone (heel spur syndrome), approximately ten per cent of the population have heel spurs without any pain.


Treatment is aimed at minimising and reducing the pain in the first few weeks, it will not disappear quickly.

Treatment must be individually designed, usually including; footwear modification, orthotics and insoles, stretching and strengthening and deep tissue ice massage. Sometimes night splints and injection therapy may be considered. Very ocasionally surgery is an option.

Plantar Fasciitis Information Pack

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