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Foot and ankle

Heel pain and heel spurs podiatrist

Most heel pain comes from the band of tissue under your foot, not the bony heel spur. Podiatry care focuses on stretching, footwear and orthoses to settle it.

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Understanding the condition

Most heel pain, especially the sharp pain under the heel with your first steps in the morning, comes from the thick band of tissue along the sole of the foot (plantar fasciopathy, often called plantar fasciitis).1 A heel spur is a small bony growth on the heel bone. Spurs are common, many people with a spur have no pain, and the spur stays on an X-ray after the pain has settled, so it is often not the real cause.2,3

Podiatry care starts with finding what is loading your heel, including your footwear, activity and calf flexibility. Stretching the plantar fascia and calf muscles is recommended.3 Supportive footwear, heel pads, taping and orthoses (shoe inserts) are often added, and orthoses work best alongside other treatments. An off-the-shelf insert can be as useful as a custom one.3,4 Most heel pain improves over weeks to months with this kind of care.2,4

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Heel pain and heel spurs podiatrist

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Pain under the heel that is often sharpest with the first steps after getting out of bed or standing after a long sit
  • Pain that eases as you warm up but returns after long periods on your feet
  • Tenderness when you press on the underside of the heel
  • Pain that builds with running, long shifts standing or flat, hard-soled shoes
  • A heel spur seen on an X-ray, which is common and does not always mean the spur is causing your pain
  • See a doctor straight away if you feel sudden pain in your calf or heel while exercising, as it may be an Achilles tendon rupture, or if heel pain starts suddenly after an injury. See your doctor if heel pain has not settled after about eight weeks.

How our team helps

  • Assessment and diagnosis, including a gait and footwear review, to work out what is behind your heel pain
  • Exercise and stretching advice for the plantar fascia and calf muscles
  • Orthotic and insole prescription, including heel pads and arch support where they suit you
  • Footwear advice so your work, sport and everyday shoes support your feet
  • Offloading and padding to take pressure off a sore heel while it settles
  • Shockwave therapy with our physiotherapy team where it suits you, alongside your exercise and footwear plan
  • Coordination with your GP if pain continues or other care is needed

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Podiatry
Podiatry
Allied health team
Podiatry
Comprehensive foot assessments and diabetes-related foot care from experienced podiatrists.
Read more

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
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Sources and clinical review

Our care follows current Australian consumer guidance on heel pain and the 2023 JOSPT clinical practice guideline for plantar heel pain, used because Australian guidance on treatment detail is limited.

  1. Healthdirect Australia. Heel pain. Sydney: Healthdirect Australia; reviewed July 2024.
  2. Healthdirect Australia. Plantar fasciitis, treatment, symptoms and causes. Sydney: Healthdirect Australia; reviewed March 2025.
  3. Koc TA Jr, Bise CG, Neville C, Martin RL, McDonough CM. Heel pain: plantar fasciitis. Revision 2023. J Orthop Sports Phys Ther. 2023.
  4. Trojian T, Tucker AK. Plantar fasciitis. Am Fam Physician. 2019;99(12):744-750.
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Common questions

Is a heel spur causing my heel pain?
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Often not. Heel spurs are common, many people with a spur have no pain, and the spur remains after pain settles. Most heel pain comes from the plantar fascia, the band of tissue under the foot. A podiatrist can work out what is behind your pain.

How do you treat a heel spur or plantar fasciitis?
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First-line care is stretching the plantar fascia and calf, supportive footwear and managing how much load your heel takes. Heel pads, taping or orthoses are often added alongside these, rather than used on their own. Your podiatrist builds a plan around your feet and activity.

How long does heel pain take to go away?
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It often takes weeks to months, and everyone recovers at a different pace. Most people improve with consistent stretching and supportive footwear. If pain has not settled after about eight weeks, or limits your daily activities, see your doctor or podiatrist.

Do I need a cortisone injection or shockwave for heel pain?
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Not usually at the start. Stretching, footwear and orthoses are the first steps. Shockwave therapy is available here and can be added when pain continues, alongside your exercise plan. We do not give steroid injections, so your podiatrist will liaise with your GP if you want to discuss one.

Do I need a referral to see a podiatrist for heel pain?
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No referral is needed for private appointments. A Medicare rebate needs a GP Chronic Condition Management Plan and a GP referral, and applies to up to five eligible allied health services a calendar year. Private health extras often cover podiatry, and DVA or NDIS funding may apply in some cases.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

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