Skip to main content
needsdoctor Find doctors β€’ Book β€’ Consult

Heel Pain (Plantar Fasciitis)

Pain under the heel that is worst on the first steps of the morning is usually plantar fasciitis. It is stubborn but not serious, and daily stretching with good footwear helps most people recover.

Worst on the first steps Heel spurs are rarely the cause Most recover within a year

Reviewed September 2026 · For information, not diagnosis

A quiet woodland path in soft daylight
On this page When to see a doctor What is plantar fasciitis? Other causes of heel pain Stretches that help Treatment that works The homeopathic approach What the research says Remedies discussed Find a homeopath Sources

🚨 See a doctor promptly if

  • A sudden pain at the back of the heel, as if kicked, often with a snap, and difficulty standing on tiptoe — possible Achilles tendon rupture (same-day care)
  • You cannot put weight on the foot after a fall, jump or injury
  • The heel is hot, red and swollen, or you have a fever
  • You have diabetes and any wound, blister, colour change or numbness on the foot
  • Numbness, tingling or burning in the foot, or pain that is constant and worse at night
  • A young adult with heel pain plus back stiffness in the mornings (possible inflammatory arthritis)

In India call 112 for emergencies or 108 for an ambulance, or go to the nearest hospital emergency department. Do not wait to see whether a remedy works.

What is plantar fasciitis?

The plantar fascia is a tough band of tissue that runs from the heel bone to the toes and supports the arch of the foot. Repeated strain causes small tears and thickening where it joins the heel — a problem of wear and slow repair, more than inflammation.

Typical signs

  • Pain under the heel, often towards the inner side
  • Worst on the first steps in the morning or after sitting, easing after a few minutes of walking
  • Worse again after long periods of standing or walking

Who gets it

  • Adults aged about 40–60, and runners
  • People who stand for long hours on hard floors, or walk barefoot on stone or tiled floors at home
  • People who are overweight, or who recently increased walking or exercise
  • Tight calf muscles, very flat feet or high arches, thin or worn-out footwear

Heel spurs: X-rays often show a small bony spur on the heel, but spurs are just as common in people with no pain. The spur is usually not the cause, and an X-ray is rarely needed to diagnose plantar fasciitis.

Other causes of heel pain

Causes of heel pain
CauseClues
Achilles tendinopathyPain and thickening at the back of the heel, above the heel bone; stiff in the morning.
Heel fat-pad bruisingDeep, bruised pain in the centre of the heel, worse on hard floors.
Stress fracturePain that builds with activity, pain when squeezing the heel from both sides.
Sever’s diseaseHeel pain in active children aged 8–14; settles with rest and growth.
Nerve compressionBurning, tingling or numbness spreading into the sole.
Inflammatory arthritisHeel pain in both feet, with morning back stiffness, psoriasis or swollen joints.

Stretches that help

Do these every day, and especially before the first steps in the morning:

  1. Towel stretch before getting up: sit in bed with the leg straight, loop a towel round the ball of the foot and pull the toes gently towards you for 30 seconds. Repeat three times.
  2. Plantar fascia stretch: sit, cross the painful foot over the other knee, and pull the toes back until you feel the stretch in the arch. Hold 10 seconds, ten times.
  3. Calf stretch against a wall: hands on the wall, painful leg straight behind, heel on the floor; lean forward until you feel the calf stretch. Hold 30 seconds, three times, then repeat with the knee slightly bent.
  4. Roll the arch over a cold water bottle for a few minutes in the evening.

Treatment that works

  • Footwear: shoes with a cushioned heel and good arch support, worn indoors too. Avoid walking barefoot on hard floors and wearing flat slippers or high heels for long periods.
  • Insoles or heel cups from a pharmacy help many people; custom orthotics are rarely necessary.
  • Reduce the load for a while: swap long walks and running for cycling or swimming, and lose weight if needed.
  • Pain relief: ice for 15 minutes, and anti-inflammatory tablets or gel for a short time if safe for you.
  • Physiotherapy, taping and night splints for stubborn cases.
  • Shockwave therapy for pain lasting more than about six months.
  • Steroid injections give short-term relief, but repeated injections can damage the fat pad or weaken the fascia.
  • Surgery is a last resort.

Recovery is slow — most people improve within 6–12 months — but it does happen for almost everyone.

The homeopathic approach

A homeopath distinguishes, for example, pain that is worse on first stepping and eases with walking from bruised, sore pain after over-use, and asks about the person’s general make-up before choosing a remedy.

Using homeopathy safely with heel pain

  • Keep up the stretches and supportive footwear; they are what helps the fascia heal.
  • People with diabetes should have any foot pain or skin change checked by a doctor.
  • Because plantar fasciitis slowly improves on its own, improvement during any treatment is expected.

What the research says

There are no good-quality controlled trials showing that homeopathic remedies relieve plantar fasciitis or heel spurs.

More broadly, the largest independent assessment — the Australian National Health and Medical Research Council’s 2015 review of 176 studies — found no reliable evidence that homeopathy is effective for any health condition, and advised against using it for conditions that are chronic, serious or could become serious. People often do feel better after a long, unhurried homeopathic consultation; in one controlled trial in rheumatoid arthritis, the benefit came from the consultation rather than the remedy.

In practice: if you choose homeopathy, use it alongside the care described on this page, not instead of it — and tell each practitioner what the other has prescribed. More on the research →

Remedies a homeopath may discuss

These are the traditional descriptions (“keynotes”) from the homeopathic materia medica, listed so you recognise names a practitioner may mention. They are not evidence that a remedy works and not a guide to self-treatment. Homeopaths choose one remedy for the whole person rather than by diagnosis.

Ruta Graveolens
Rue

Described for strained tendons and bruised bones, stiff after rest.

Rhus Toxicodendron
Poison ivy, diluted

Described for pain worst on the first steps that eases with continued walking.

Ledum Palustre
Marsh tea

Described for painful soles and heels that feel better for cold.

Arnica Montana
Leopard’s bane

Described for bruised soreness after over-use or a long day standing.

Calcarea Fluorica
Calcium fluoride

Traditionally described for bony growths such as heel spurs.

Hekla Lava
Volcanic ash from Mount Hekla

Traditionally described for bony spurs and exostoses.

Phytolacca
Poke root

Described for heel pain better for raising the feet.

Pulsatilla
Windflower

Described for heel pain in the evening that changes from day to day.

Find a homeopath

If you would like to try homeopathy, see a registered homeopathic doctor (BHMS or MD (Hom)) who will take a full history, knows your other treatment and will tell you when you need a medical specialist. Take your prescriptions and recent test reports with you.

Search all homeopaths → Are you a homeopathic doctor? Create your profile.

Sources

  1. Plantar fasciitis — NHS
  2. Heel pain — NHS
  3. Homeopathy (includes the NHMRC 2015 findings: 57 systematic reviews, 176 studies) — US National Center for Complementary and Integrative Health
  4. Homeopathy (summarises the NHMRC 2015 review and its advice) — Better Health Channel, Victoria State Government
  5. Brien S et al. Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy. Rheumatology 2011 — PubMed 21076131

This page is general information, reviewed September 2026. It is not a diagnosis and does not replace a consultation. Do not stop or change a prescribed medicine without talking to the doctor who prescribed it. In an emergency in India call 112 (ambulance 108).