Waking up with a sharp, stabbing sensation in your heel can turn a simple morning routine into a struggle. Heel pain is one of the most frequent reasons patients visit All Valley Podiatric Group in Fresno, CA. Understanding the source of your discomfort is the first step toward lasting relief. Dr. Anoosh Moadab, DPM, evaluates the unique structure of your foot to identify which of the following common conditions is responsible for your symptoms.

The most frequent cause of heel pain is plantar fasciitis. This condition involves irritation of the thick band of tissue that runs across the bottom of your foot, connecting your heel bone to your toes. When this tissue becomes overstretched or develops microscopic tears, it results in intense pain, particularly during those first few steps after getting out of bed or after sitting for a long period. The pain often subsides as the tissue warms up but may return after prolonged standing or exercise.

If your discomfort is located at the back of the heel rather than the bottom, you may be dealing with Achilles tendonitis. This injury results from repetitive stress to the tendon that attaches your calf muscles to your heel bone. Athletes or individuals who suddenly increase their activity levels are often susceptible to this dull ache or tenderness. Over time, the tendon can thicken or develop small bone spurs at the attachment point, further complicating your mobility and comfort.

Often associated with long-term plantar fasciitis, heel spurs are calcium deposits that form a bony protrusion on the underside of the heel bone. While the spur itself is not always painful, it can dig into the surrounding soft tissues, causing chronic inflammation. Dr. Anoosh Moadab, DPM, uses diagnostic imaging at our Fresno, CA, office to determine if these structural changes are contributing to your persistent heel pain and to develop a plan to relieve the resulting pressure.

Not all heel pain results from ligament or tendon issues. In some cases, repetitive impact from running or jumping can cause a stress fracture, a small crack in the calcaneus (heel bone). This type of pain usually intensifies with activity and lingers even during rest. Additionally, nerve entrapment, such as Baxter’s nerve compression, can cause burning or tingling sensations that mimic other conditions. A professional evaluation is necessary to rule out these more complex issues and ensure you receive the correct treatment.

Whether your pain is caused by faulty foot mechanics, improper footwear, or an overuse injury, you do not have to endure the limitations of foot pain. Dr. Anoosh Moadab, DPM, provides thorough examinations and non-invasive treatment options to help the residents of Fresno, CA, return to their active lifestyles. Taking action early prevents a minor ache from becoming a chronic disability. If you’re having problems with your heels you need checked out, call us at (559) 436-1213.