
Heel spurs are bony growths that develop on the underside of the heel bone. They often form over months or years due to repeated strain on foot muscles and ligaments.
While some people have heel spurs without realizing it, others experience significant discomfort that affects their daily activities.
Related: Symptoms of Pelvic Inflammatory Disease
Common Signs of Heel Spurs
Recognizing heel spur symptoms early can help you seek appropriate treatment and prevent the condition from worsening. The discomfort typically develops gradually rather than appearing suddenly.
Sharp Pain in the Heel
One of the most distinctive heel spur symptoms is a sharp, stabbing pain in the bottom of your heel. This pain is often most intense when you first stand up in the morning or after sitting for extended periods.
The sensation is commonly described as feeling like a knife or pin is sticking into the heel. Many people find that the pain decreases somewhat after walking for a few minutes as the foot "warms up."
Tenderness When Pressing the Bottom of the Foot
If you press on the bottom of your heel and feel significant tenderness, this could indicate a heel spur. The area may be sensitive to touch even when you're not putting weight on it.
This tenderness typically centers on a specific spot rather than affecting the entire heel.
Inflammation and Swelling
Heel spur symptoms often include visible inflammation around the affected area. You might notice slight swelling on the bottom or side of your heel.
The skin may also feel warm to the touch. This inflammation occurs because the body responds to the irritation caused by the bony protrusion.
Difficulty Walking or Standing
As heel spur pain symptoms progress, you may find it increasingly difficult to walk normally or stand for long periods. Some people develop a limp to avoid putting pressure on the painful heel.
Activities that involve being on your feet, such as shopping or exercise, can become particularly challenging.
How Heel Spur Symptoms Differ from Other Foot Conditions
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Understanding what heel spur symptoms are specifically can help you distinguish them from other common foot problems. While there's often overlap, certain characteristics can point toward heel spurs rather than other conditions.
Heel Spurs vs. Plantar Fasciitis
Plantar fascia heel spur symptoms are closely related to plantar fasciitis because the two conditions frequently occur together. Plantar fasciitis involves inflammation of the thick band of tissue running across the bottom of your foot.
While plantar fasciitis causes pain along the arch and heel, heel spurs create a more localized, sharp pain directly under the heel bone. Many people have both conditions simultaneously, as chronic plantar fasciitis can lead to heel spur development.
Heel Spurs vs. Achilles Tendonitis
Achilles tendonitis affects the back of the heel where the Achilles tendon attaches, while heel spur symptoms focus on the bottom of the heel. Achilles tendonitis typically causes pain that worsens with activity, particularly running or jumping.
Heel spurs, in contrast, often hurt most after rest periods.
Heel Spurs vs. Stress Fractures
Stress fractures in the heel bone cause pain that intensifies with activity and improves with rest. The pain from a stress fracture is usually more widespread throughout the heel rather than concentrated in one spot.
Stress fractures also tend to develop suddenly after increased activity, while heel spur symptoms develop gradually over time.
What Causes Heel Spur Pain and Discomfort
Understanding why heel spurs cause pain can help you make informed decisions about treatment and prevention. The discomfort doesn't always come from the spur itself.
Calcium Deposits Creating Bone Protrusions
Heel spurs form when calcium deposits build up over time, creating a bony extension from the heel bone. This process happens gradually, often taking several months to a year.
The spur can grow to be a quarter to half an inch long. While the spur itself may not hurt, it can irritate surrounding tissues.
Strain on the Plantar Fascia
The plantar fascia is the band of tissue connecting your heel bone to your toes. When this tissue experiences repeated stress, it can pull on the heel bone.
This constant pulling triggers the body to deposit calcium at the attachment point, eventually forming a heel spur. The ongoing strain on the plantar fascia is often what causes pain rather than the spur itself.
Repetitive Stress and Overuse
Heel spur symptoms and diagnosis often reveal that repetitive activities contributed to the condition. Running, jumping, or standing on hard surfaces for extended periods can all strain the heel.
Wearing shoes with poor arch support or inadequate cushioning increases this stress. Being overweight also places additional pressure on the heel with each step.
Diagnosing Heel Spurs: What to Expect
Proper diagnosis ensures you receive appropriate treatment for your heel spur symptoms. Healthcare providers use several methods to confirm the presence of a heel spur.
Physical Examination by a Healthcare Provider
Your doctor will first examine your foot and ask about your symptoms. They'll press on different areas of your heel to identify where the pain is most severe.
You'll likely be asked about your activity level, footwear choices, and when the pain is worst. The provider may also watch you walk to observe any changes in your gait.
X-Ray Imaging to Confirm Presence
Heel spur x-ray findings provide definitive confirmation of a heel spur. The x-ray will show the bony protrusion extending from your heel bone.
Heel spurs appear as a hook-like or shelf-like growth on x-rays. Interestingly, the size of the spur doesn't always correlate with the severity of pain.
Some people have large spurs with minimal discomfort, while others have small spurs but significant pain.
Ruling Out Other Conditions
Part of the diagnostic process involves eliminating other potential causes of heel pain. Your healthcare provider may check for plantar fasciitis, arthritis, nerve compression, or stress fractures.
Blood tests might be ordered if inflammatory conditions like rheumatoid arthritis are suspected. A thorough diagnosis ensures you receive treatment targeting the actual source of your heel spur symptoms.
Get Relief from Heel Pain with MedsRUs

Living with heel spur symptoms doesn't have to limit your daily activities. While heel spurs themselves may not always require removal, managing the pain and inflammation is essential for maintaining your quality of life.
At MedsRUs, our healthcare team can help you find effective pain relief options that address your specific symptoms.
From anti-inflammatory medications to personalized treatment recommendations, we're here to support your journey toward more comfortable, pain-free movement. Our convenient online consultation process makes it easy to get expert guidance without leaving home.
Reach out to MedsRUs today to discuss your heel pain and discover treatment options that work for your lifestyle.


