Skip to main content

Heel Pain Service

0121 685 4212

About

The Heel Pain Clinic at The Royal Orthopaedic Hospital offers innovative and advanced evidence treatments for heel pain.

The Heel Pain Clinic is part of Foot and Ankle Services.

The Heel Pain Clinic was established to provide streamlined treatment for patients with heel pain, reducing the need multiple appointments with different healthcare professionals. It acts as a “one stop” clinic for the diagnosis and treatment of heel pain.

The Heel Pain Clinic is supported by the orthopaedic consultant foot and ankle surgeons, who can provide clinical support. The clinic has full access to a number of investigations including, ultrasound, MRI scans and bloods. Should our patients require further or alternative management, we have access to other services, such as rheumatology, neurology and pain management.

How to access the heel pain clinic

If you would like to be referred to the Heel Pain Clinic ask your GP to refer you. The heel pain clinic is accessible via Choose and Book.

Choose and Book reference: 7450708

How to ease heel pain yourself

Do

  • rest and raise your heel when you can

  • put an ice pack (or bag of frozen peas) in a towel on your heel for up to 20 minutes every 2 to 3 hours

  • wear wide comfortable shoes with a low heel and soft sole

  • use soft insoles or heel pads in your shoes

  • wrap a bandage around your heel and ankle to support it

  • try regular gentle stretching exercises

  • take paracetamol

Don't

  • do not take ibuprofen for the first 48 hours after an injury

  • do not walk or stand for long periods, especially barefoot

  • do not wear high heels or tight pointy shoes

The treatments we offer

Footwear advice

We may advise you to change your footwear. You should avoid wearing thin, flat-soled shoes because they won't provide your heel with support and could make your heel pain worse. Ideally, you should wear shoes that cushion your heels and provide a good level of support to the arches of your feet. It is important to wear footwear with cushioning under the heels around the home.

Orthoses

Orthoses are medical insoles that fit inside your shoe. They alter the pressure and forces under your foot and provide some cushioning. There is good evidence, from medical studies, that orthoses can help reduce the symptoms associated with heel pain.

Specific exercise and stretching programs

There are a number of good quality medical trials that show that stretches can help with heel pain. Exercises are often prescribed to stretch both your calf muscles and your plantar fascia (the band of tissue that runs under the sole of your foot). Our team can devise an individualised set of stretches and exercises to help restore your mobility and reduce pain.

Strapping and night splints

An alternative to using orthoses is to have your heel strapped with a special type of tape. This may help relieve pressure on your heel. We can teach you how to apply the tape yourself.

Night splints, which look like boots, are designed to keep your toes and feet pointing up while you're asleep. This will stretch both your Achilles tendon and your plantar fascia, which may help speed up your recovery time.

Injection therapy

In some cases of heel pain, we may recommend the use of corticosteroid (steroid) injections. Corticosteroids are a type of medication that has a powerful anti-inflammatory effect and can help to reduce pain. These injections are helpful in reducing pain in the short to medium term.   

Extracorporeal Shockwave therapy (eSWT)

Extracorporeal shockwave therapy is a relatively new type of non-invasive treatment. Non-invasive means it doesn't involve making cuts into the body. The treatment involves using a device to deliver high-energy soundwaves into your heel. Shockwave therapy is thought to work in two ways:

  • Have a "numbing" effect on the nerves that transmit pain signals to your brain
  • Help stimulate and speed up the healing process.