Heel pain may be caused by many conditions, such as plantar fasciitis, heel spurs, bursitis, Achilles tendonitis or a trapped nerve, states Drugs.com. A doctor considers the symptoms and examines a patient's feet and gait and conducts a neurological examination to determine the specific cause of heel pain.
Each condition has different symptoms to help the doctor diagnose the cause. For example, plantar fasciitis causes the most pain in the morning when the patient first gets out of bed and pain usually decreases after walking, states Drugs.com. Heel spurs cause pain on the underside of the foot and heel, and the pain worsens over time. Pain may be the result of bruising after stepping on a stone or sharp object.
Bursitis is an inflammation of the sac lining the ankle joint and causes pain that worsens when standing. It also creates pain on the back of the heel when moving the ankle up and down, states WebMD. Achilles tendonitis is inflammation of the Achilles tendon where it is attached to the heel. The pain is worse with exercise, and individuals may experience swelling and soreness in the heel.
A trapped nerve may cause pain, tingling or numbness in any location on the heel. The nerve may be trapped due to another injury, such as a sprain or fracture, states Drugs.com