As ever, see a qualified physician if at home therapy and heel padding doesn't help. Your doctor may want to use steroid injections for temporary relief or may decide to make custom orthotics. These will redistribute your weight so that your foot is correctly balanced and the pressure is taken off the spur. As a last resort your doctor can consider surgery to remove the spur If you feel sharp pain in the heel of your foot when you get up out of bed or from a seated position and put your foot on the floor, you may have plantar fasciitis. Significance Only a relatively few cases of heel pain require more advanced treatments or surgery. If surgery is necessary, it may involve the release of the plantar fascia, removal of a spur, removal of a bursa, or removal of a neuroma or other soft-tissue growth. Prevention Although there are several treatment options for plantar fasciitis heel pain, it seldom provides complete relief against the condition. While improvements are seen and the swelling is controlled, the fasciitis heel pain is likely to come back time and again. There are some ways to prevent plantar fasciitis heel pain. Try to maintain your healthy body weight; this will reduce stress on the plantar fascia. Nerve pain Perhaps the most unrecognized and overlooked factor in heel and foot pain is nerve pain. The peripheral nerves of the ankle and foot originate in the brain, course through the spine, exit the low back and pelvis, and must course – fluidly – through the soft tissues of the entire leg. Repetitive impact forces from running – often combined with compromised spine posture from running all day (or, in our normal lives, sitting) – can cause these nerves to develop “hitches.” This is a concept called nerve tension The author, performing a mid-foot self-mobilization in standing. Try with soft-heeled shoes on, if too sore with direct skin contact. Heel spur A heel spur is an abnormal growth of bone at the area where the plantar fascia attaches to the heel bone. It is caused by long-term strain on the plantar fascia and muscles of the foot, especially in obese people, runners or joggers. As in plantar fasciitis, shoes that are worn out, poorly fitting or poorly constructed can aggravate the problem. Heel spurs may not be the cause of heel pain even when seen on an X-ray. In fact, they may develop as a result of plantar fasciitis. Plantar fasciitis can be an annoying condition. Follow these steps consistently and your heel pain with improve in no time. Persistent pain may need slightly more extensive treatment, such as the use of orthotics (custom-made shoe inserts), a walking cast to keep your foot immobile or a night splint to stretch the plantar fascia out. Your podiatrist may also suggest physical therapy (including extracorporeal shock wave therapy), padding and strapping (or taping) the foot to ensure things stay in their proper positions, and cortisone injections (although you don't really want to have more than one of these, since repeated injections can weaken the fascia). If you are diabetic, it is important to check your feet daily and see a physician at least once a year for a check up. Anyone undergoing pain in the heel should seek advice from his or her healthcare provider in order to get a definitive diagnosis. Heel pain can be caused by many contributing factors and should be diagnosed by a healthcare professional. In making a definitive diagnosis, x-rays will be needed. Once the diagnosis is made and the causative factors identified, treatment can be started. A tight Achilles tendon, flat feet, a high rigid arch in the foot, running uphill or on very soft terrain such as sand and a sudden increase in weight or training intensity all increase the risk of plantar fasciitis," Figelman and Young explained. Typically, symptoms - pain and localized tender¬ness - come on gradually and worsen over two to three weeks. Players usually notice the pain initially after practice or play. Sometimes swelling arises at the fracture site, or the youngster will feel pain at the site when another place on the bone is struck. Anytime a young athlete complains of persistent, bone-related pain occurring during and after play or practice, a parent should consider a stress fracture as a possible explanation," Figelman and Young said. Pain when taking the few steps after getting out of bed in the morning or after a period of rest such as sitting in a chair. The last area that can refer pain into the heel is the low back. The low back must be ruled out first otherwise a patient could go weeks to months of care and never get at the true culprit for why they have heel pain. A simple 5 minute screen will rule out the low back as a culprit for heel pain. The number of patients whose heel pain is caused by systemic arthritic diseases is small in comparison to those with pain from other causes, but these arthritic diseases must be ruled out through appropriate physical examination and laboratory studies before the heel pain is treated. Use of orthotic shoe inserts and night splints can also prove to be very effective. A foam rubber pad placed on the heel of the shoe can help provide adequate support to the heel and can dissipate the shock impact of each step. On the other hand night splints, arch braces and silicone cups help in reducing the tension on the ligament as well as ensure that there is no abnormal heel movement. The first step to treating heel pain involves determining the cause. Once the cause of your heel pain has been diagnosed, it can usually be relieved with a few simple at-home treatments along with changes in footwear. Are you suffering from episodes of morning foot pain? Do you find it hard to walk because of intolerable heel pain? These conditions are serious and they need immediate attention and treatment. If you neglect the pain, then you may suffer from excruciating pain for the rest of the day. Worse, the condition may degenerate and might cause permanent foot muscle damage leading to disability. Understanding the causes of the pain is very crucial. If you know what's causing the problem, you will be in a better position to treat it.