Heel pain after running is a common complaint among athletes and recreational runners alike. While it can be frustrating and sometimes debilitating, understanding the potential causes of heel pain can help you find relief and prevent further injury. 

One of the most common causes of heel pain is plantar fasciitis, an inflammation of the thick band of tissue that runs along the bottom of the foot. This condition typically presents as sharp pain in the heel, especially in the morning or after periods of inactivity. The repetitive impact from running, especially on hard surfaces, can irritate the fascia, leading to pain. 

Another possible cause is Achilles tendinitis, which occurs when the tendon connecting the calf muscles to the heel becomes inflamed. This condition is often linked to overuse, tight calf muscles, or improper running form and it can cause pain at the back of the heel, especially after intense activity. 

A less common, but still relevant cause of heel pain, is heel spurs. These are bony growths that can develop on the bottom of the heel bone, often as a result of plantar fasciitis. While heel spurs themselves are not always painful, they can cause discomfort, particularly when the surrounding tissues become inflamed. 

In some cases, stress fractures in the heel bone can cause pain, particularly if a runner has rapidly increased their mileage or intensity without proper conditioning. Stress fractures are often sharp and localised, with pain increasing with activity and decreasing with rest. 

If you’re experiencing heel pain after running, it’s important to consult with a podiatrist. Podiatrists are experts in diagnosing and treating foot and lower limb conditions. Through a comprehensive assessment, they will identify the root cause of your pain, which may include reviewing your running technique, footwear and biomechanics. 

Podiatrists use a range of diagnostic tools, such as physical examinations, gait analysis and sometimes imaging (like X-rays or ultrasound) to determine the exact cause of heel pain. Based on their findings, they will create a personalised treatment plan tailored to your specific needs. This may include recommendations for stretching and strengthening exercises, changes to footwear, custom orthotics, or adjustments to your running routine to avoid further stress on your feet. 

With the right diagnosis and treatment plan, most cases of heel pain can be managed effectively, allowing you to return to running pain-free and with a reduced risk of future injury.