Heel Pain

Heel pain is one of the most common foot complaints — and in most cases, it’s highly treatable. At Big Sky Foot and Ankle Institute, we help patients in Butte and surrounding areas find long-lasting relief through expert diagnosis and personalized care.

What Causes Heel Pain?

The leading cause of heel pain is plantar fasciitis — an inflammation of the thick band of tissue (plantar fascia) that runs from your heel to your toes. When a bone spur is also present, this is sometimes referred to as heel spur syndrome.

Other possible causes include:

• Stress fractures

• Tendonitis

• Arthritis

• Nerve irritation

• Heel cysts (less common)

Because several different issues can lead to heel pain, getting an accurate diagnosis from a foot and ankle specialist is essential to effective treatment.

Understanding Plantar Fasciitis

Plantar fasciitis develops when the plantar fascia becomes irritated and inflamed, typically due to stress or strain. Contributing factors include:

• Flat feet or high arches

• Obesity

• Long hours of standing or walking

• Poor footwear without adequate support

Common Symptoms

Plantar fasciitis symptoms often include:

• Sharp pain in the bottom of the heel

• Pain that’s worse in the morning or after resting

• Discomfort that flares up after long periods on your feet

Pain may improve after walking for a few minutes, but it often returns with prolonged activity.

How Heel Pain Is Diagnosed

Our podiatrists will review your medical history, perform a physical exam, and may use imaging (like X-rays) to rule out other conditions such as fractures or nerve issues. While heel spurs may show up on imaging, they are rarely the actual source of pain.

Nonsurgical Treatment Options

Most patients improve with conservative care. Your treatment plan may include:

• Stretching exercises – Targeted stretches to relieve tension in the fascia and calf

• Supportive footwear – Proper shoes with good arch support and a slight heel

• Ice therapy – Reduces inflammation and pain

• Activity modification – Limiting high-impact activities to allow healing

• Anti-inflammatory medications – Such as ibuprofen or other NSAIDs

If pain persists, advanced treatments may be recommended:

• Custom orthotics

• Padding and strapping

• Cortisone injections

• Night splints

• Removable walking boot

• Physical therapy

When Is Surgery Needed?

Surgery is rarely necessary, but it may be considered if conservative treatments don’t provide relief after several months. Our podiatrists will review all surgical options with you and guide you toward the most effective solution.

Long-Term Prevention

Even after treatment, the underlying causes of plantar fasciitis can remain. Ongoing care may include:

• Wearing supportive shoes

• Regular stretching

• Using custom orthotics for proper foot alignment