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Understanding the Different Causes of Pain Beneath the Heel

Pain under the heel is a frequent complaint and can stem from several conditions. The most common cause is plantar fasciitis involving irritation of the thick band of tissue that supports the arch. This often leads to sharp discomfort with the first steps in the morning, or after long periods of rest. Tenderness is usually felt along the bottom of the heel. Another source may be a stress injury to the heel bone. This type of pain often worsens with activity, and may feel deeper or more constant. Nerve irritation can also create burning, tingling, or shooting sensations that travel into the arch. In some cases, thinning of the natural fat pad under the heel reduces cushioning and leads to soreness when standing on hard surfaces. Because symptoms can overlap, a careful examination is important. If you have ongoing pain beneath your heel, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.
Many people suffer from bouts of heel pain. For more information, contact Richard Galperin, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions, please feel free to contact our office located in Oak Cliff section of Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Weight and Foot Health in Seniors

Extra body weight can place added stress on the feet, especially in older adults. This pressure can affect joints and soft tissue, leading to pain and reduced mobility. Body mass index, a measure of weight compared to height, often rises with age. It is also linked to higher rates of foot pain and deformities like hammertoes and claw toes. Extra weight increases pressure on the soles, which can change how the foot functions while walking. Seniors may notice fatigue, balance problems, or difficulty staying active. Long-term overload may weaken ligaments, which are bands that support joints, and can contribute to arch changes or flat-footed posture. A podiatrist can evaluate foot structure, check alignment, order imaging, and provide medical treatment to reduce strain and improve stability. If you are a senior and have foot problems from carrying extra weight, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.
Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Richard Galperin, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.
Problems & Complications
Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.
Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.
Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot.
If you have any questions, please feel free to contact our office located in Oak Cliff section of Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Causes of Mid-Foot Pain

Pain can develop when the structures in the middle of the foot become strained or damaged. This area contains joints, bones, and soft tissue that help support body weight during walking. Common causes of mid-foot pain include stress fractures, which are small cracks in the bone from repeated pressure, and arthritis, which leads to joint inflammation and stiffness. Tendon pain, known as tendinitis, may also occur when tendons become overworked. In some cases, nerve problems like a neuroma can cause burning or sharp pain. Foot shape and alignment issues can place uneven pressure on the mid-foot, leading to discomfort over time. A podiatrist can evaluate gait and order X-rays or other imaging to identify the exact source of pain. Treatment options include bracing, custom orthotics, or surgery in more serious cases. If you are experiencing mid-foot pain, it is suggested that you make an appointment with a podiatrist for treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Richard Galperin, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Oak Cliff section of Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
