Is It Really a Heel Spur? Understanding the True Cause of Heel Pain
“Doc, I’ve got a heel spur.”
It’s one of the most common things we hear from new patients experiencing heel pain. But here’s the surprising truth: most heel spurs aren’t the real problem—and treating the pain properly means understanding what’s really going on.
What Is a Heel Spur?
A heel spur is a bony outgrowth that forms where the plantar fascia connects to the heel bone (calcaneus). It develops over time due to repetitive pulling and stress on the bone—usually from tension in the plantar fascia.
They’re often found on X-rays during investigations for heel pain, but studies show that many people with heel spurs have no pain at all.
So What’s Really Causing Your Heel Pain?
In most cases, the pain you feel is not the spur itself, but the inflammation and micro-tearing of the plantar fascia—a thick band of tissue running under your foot.
This condition is called plantar fasciitis.
Other possible causes of heel pain include:
Fat pad bruising (especially in people who walk barefoot or on hard floors)
Insertional Achilles tendinopathy (pain at the back of the heel)
Nerve entrapment (like Baxter’s nerve irritation)
Stress fractures (more common in runners or those with low bone density)
That’s why a proper assessment is key to pinpointing the true source of your symptoms.
Signs Your Heel Pain Isn’t Just a Spur
Pain is worst first thing in the morning or after rest
Improves a little with walking but worsens after long periods on your feet
Tender to touch at the bottom or inner heel
No significant injury, but gradually worsening pain over weeks or months
You've tried new shoes, massage, or stretching with little relief
How We Treat Heel Pain at Bondi Podiatry
Our podiatrists take a comprehensive approach to heel pain—because there’s no one-size-fits-all solution.
1. Diagnosis First
We start with a detailed history, biomechanical assessment, and, if needed, referral for imaging (X-ray or ultrasound) to confirm what’s really going on.
2. Targeted Treatment
Once we understand the cause, treatment may include:
Custom orthotics to support the arch and reduce tension on the plantar fascia
Shockwave therapy to promote healing and reduce chronic inflammation
Heel cushions or strapping for short-term relief
Footwear advice to offload pressure points
Stretching and strengthening programs to improve flexibility and muscle balance
Dry needling or manual therapy for tight calf muscles or trigger points
3. Education & Prevention
We’ll help you understand how to manage load, modify activity, and avoid common mistakes (like barefoot walking on hard floors).
When to Worry About a True Heel Spur
Occasionally, a large heel spur can cause mechanical irritation, especially if it’s pressing into surrounding soft tissue. In these rare cases, surgical removal might be discussed—but for most people, conservative care leads to excellent outcomes.
Don’t Let Heel Pain Slow You Down
Whether it’s a true spur or something else, heel pain can interfere with everything—from your morning walk to your workday. The good news is, you don’t have to put up with it.
With expert assessment and the right treatment, most heel pain resolves quickly—and without surgery.
📞 Call us on (02) 8971 1682
📍 Visit us at Suite 301, 251 Oxford Street, Bondi Junction NSW
🌐 Book online at www.bondipodiatry.com.au
Think you’ve got a heel spur? Let’s find out what’s really going on—and get you back on your feet, pain-free.
