Heel pain is one of the most common complaints from patients. While heel spurs may or may not show up on an x-ray, the spurs themselves are a result of the actual problem: plantar fasciitis.
Plantar fasciitis is caused from inflammation of the connective tissue that stretches from the base of the toes to where it attaches to the heel bone. Symptoms include stiffness and tightness in the back of the leg and bunion joint, along with an uneven gait. Heel pain is often the first sign of plantar fasciitis.
Treatments include anti-inflammatory medications, ice packs, stretch exercises, steroid injections, orthotics, and physical therapy. For persistent cases, heel spur excision may be needed.