POSTERIOR HEEL PAIN

Pain at the back of the heel is a problem that can affect growing children, active adults, and the ageing population alike. The causes can vary widely — involving the bone, muscles, tendons, or bursae (fluid-filled sacs that reduce friction).

Posterior heel pain can range from mild discomfort to severe pain that limits walking, exercise, or daily activity.

 

Common Causes of Posterior Heel Pain

There are several possible diagnoses for pain at the back of the heel, including:

• Calcaneal apophysitis (Sever’s disease) – common in active children and adolescents

• Mid-portion Achilles tendinosis

• Insertional Achilles tendinosis

• Achilles tendon tear

• Calcaneal or retrocalcaneal bursitis

• Haglund’s deformity (a bony prominence at the back of the heel)

• Blisters, contusions, or pressure sites

 

The underlying cause may be due to ill-fitting footwear, overuse, or even sleeping position. Often, the calf muscles and Achilles tendon play a significant role in heel pain, as they work together to help point the foot downward, propel you forward when walking, and maintain balance while standing.

 

Assessment and Diagnosis

At Coastal Health Podiatry, your podiatrist will begin with a detailed history and physical assessment to identify the cause of your pain.
If necessary, we may refer you for radiological imaging such as an X-ray or diagnostic ultrasound for further evaluation.

Understanding the specific cause of your heel pain is the first step in creating an effective, personalised treatment plan.

 

Treatment and Management

Treatment is tailored to your condition, activity level, and goals for recovery.
Depending on your diagnosis, treatment may include:

• Footwear advice and modifications

• Stretching and strengthening exercises

• Lifestyle and activity guidance

• Padding or strapping to reduce pressure

• Heel lifts or orthotic devices for support

• Skin care to address blisters or friction sites

 

Our goal is to relieve pain, improve mobility, and help you return to your normal activities comfortably and confidently.

 

Professional Care for Heel Pain

If you’re experiencing pain at the back of your heel, early assessment and treatment can prevent the condition from worsening.

Book an appointment with Coastal Health Podiatry to have your heel pain assessed and managed with a personalised, evidence-based approach.
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