A heel spur is a bony outgrowth on the heel bone that is often linked with strain of the soft tissues in the foot. This page explains common causes, typical symptoms, how clinicians evaluate the problem and when to seek specialist care.
A heel spur is a small calcified projection on the underside or back of the calcaneus (heel bone). It commonly develops with repeated pulling or pressure on the plantar fascia or surrounding soft tissues. Risk factors include prolonged standing, inappropriate footwear, rapid increases in activity and excess body weight.
The most commonly reported complaint is pain at the heel with the first steps after rest, such as getting out of bed in the morning. Pain may increase with walking, running or long periods on your feet; some people describe stiffness, tenderness or a throbbing sensation. Severe or persistent symptoms can interfere with work and routine activities.
Evaluation usually begins with a medical history and physical exam focused on pain location, onset and triggers. Imaging such as X‑ray or ultrasound can add information but does not always explain symptoms by itself. Primary care clinicians often do the initial assessment; referrals are commonly made to orthopaedics or physical medicine and rehabilitation (PM&R) if specialist care is needed.
Steps that may reduce risk include choosing supportive footwear, introducing activity increases gradually and managing overall body weight. For people whose work or hobbies involve long standing or high-impact activity, planning preventive measures can help limit strain on the heel.
Seek prompt medical review if you cannot walk, if heel pain suddenly worsens, or if there is redness, heat or fever suggesting infection. In such situations, contact emergency services or a healthcare provider for timely assessment.
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