Heel Sports Injury
Information reviewed by: Dr. Foo Gen Lin | Last updated: Oct 29, 2025
Heel sports injuries can cause persistent heel pain, reduced mobility, and difficulty with daily or sporting activities. Dr Foo provides thorough assessment and personalised treatment to help relieve symptoms, support recovery, and help you return to activity.
MBBS (University of London) | MMed (Ortho) | FRCSEd (Ortho) | FAMS (Ortho)
What Causes Heel Sports Injuries?
Heel sports injuries can occur when the heel is exposed to repeated stress, poor movement mechanics, or sudden increases in activity. These factors place extra strain on the tissues and bones in the heel, making it more vulnerable to injury during sport.
- Repetitive strain from high-impact activities such as running and jumping
- Unsuitable footwear that does not provide adequate cushioning or support
- Poor biomechanics, including overpronation, flat feet, or high arches
- Training errors, such as sudden increases in mileage, speed, or intensity
- Muscle tightness, especially in the calves or Achilles tendon
- Inadequate recovery between training sessions or competitions
- Excess body weight, which increases heel loading with every step
What Are Common Types of Heel Sports Injuries?
Several conditions are commonly linked to heel pain, particularly among athletes and active individuals:
Plantar Fasciitis
Plantar fasciitis is
inflammation of the plantar fascia, a thick band of connective tissue running from the heel
bone to the base of the toes that supports the arch of the foot.
Common causes: Repetitive running or jumping, tight calf muscles, poor
footwear, and overuse in high-impact sports such as running, basketball, and tennis.
Achilles Tendinopathy
Achilles tendinopathy is an overuse injury
affecting the Achilles tendon, the strong cord-like tendon that connects the calf muscles
(gastrocnemius and soleus) to the heel bone.
Common causes: Excessive running, sudden increases in training, limited ankle
flexibility, and calf muscle imbalance, often seen in runners, footballers, and sprinters.
Heel Spurs
Heel spurs are bony projections that develop on the underside of the heel bone, usually where the
plantar fascia attaches. They are often associated with long-term plantar fasciitis.
Common causes: Long-term strain on the plantar fascia, repetitive stress, and poor
foot biomechanics, particularly in athletes engaged in running and jumping sports.
Calcaneal Stress Fractures
Calcaneal stress fractures are tiny cracks
in the calcaneus (heel bone) that develop from repetitive loading rather than a single traumatic
event.
Common causes: Overtraining, running on hard surfaces, insufficient rest, and low
bone density, especially in distance runners, military trainees, and basketball players.
Retrocalcaneal Bursitis
Retrocalcaneal bursitis is inflammation of the retrocalcaneal bursa, a small fluid-filled sac that
cushions and reduces friction between the Achilles tendon and the back of the heel bone.
Common causes: Repetitive friction from footwear, tight Achilles tendon, and
overuse in sports involving frequent running or jumping, such as football, volleyball, and
athletics.
Sever’s Disease (Calcaneal Apophysitis)
Sever’s
disease is irritation and inflammation of the growth plate (apophysis) at the back of the
heel bone, most often affecting adolescents during growth spurts.
Common causes: Rapid growth in active children, repetitive running or jumping, and
participation in sports with sudden stops or sprints such as football, basketball, and gymnastics.
Nerve Entrapment (Baxter’s Nerve Compression)
Baxter’s nerve compression occurs when the inferior calcaneal
nerve, a branch running along the inner heel, becomes irritated or trapped.
Common causes: Overuse, poor footwear support, and foot deformities such as flat
feet, which increase nerve pressure, sometimes aggravated by prolonged running or court-based
sports.
What Are the Symptoms of a Heel Sports Injury?
A heel sports injury often causes pain or discomfort that varies depending on the type and severity of the condition. Common symptoms include:
- Pain in the heel region, which may be sharp with the first steps in the morning or after rest
- Tenderness at the base of the heel or at the back near the Achilles tendon
- Stiffness or tightness that worsens with physical activity or prolonged standing
- Swelling or inflammation around the heel area
- Difficulty bearing weight on the affected foot in more severe injuries
- Persistent pain at rest, particularly in cases such as stress fractures
- Redness, warmth, or bruising when inflammation is present
These symptoms may appear gradually with overuse or suddenly after an intense activity, making early recognition important for timely treatment.
How Are Heel Sports Injuries Diagnosed?
Heel sports injuries are usually diagnosed through a combination of clinical assessment and imaging tests when needed. The process may involve:
- Medical history review to understand the onset of pain, your activity level, training load, footwear, and any past foot or ankle issues.
- Physical examination to identify the exact site of tenderness, assess flexibility, and check for swelling or structural changes in the heel and surrounding tissues.
- Functional assessment including gait analysis or movement tests, such as single-leg heel raises or squat tests, can help identify biomechanics issues like flat feet, overpronation, or tight calf muscles.
- Imaging tests such as X-rays to detect bone spurs or stress fractures, ultrasound to evaluate soft tissue inflammation, and MRI to confirm tendon injuries or nerve compression.
How Are Heel Sports Injuries Treated?
Treatment for heel sports injuries focuses on reducing pain, controlling inflammation, and restoring function. Non-surgical care is recommended first, while surgery is considered when conservative measures do not provide relief.
| Treatment | Description & Purpose |
|---|---|
| Non-Surgical Management | |
| Pain Management | Oral medications such as non-steroidal anti-inflammatory drugs (NSAIDs) may help relieve pain and reduce inflammation. Ice therapy can reduce acute irritation, while heat therapy helps relax tight muscles. |
| Activity Modification | Adjusting or reducing high-impact activities such as running and jumping allows the heel to rest. Switching to low-impact exercises like swimming or cycling helps maintain conditioning without stressing the heel. |
| Footwear and Orthotics | Supportive shoes with cushioning or custom orthotic inserts reduce strain on the heel and improve foot biomechanics during activity. |
| Physiotherapy | Structured, progressive exercises for the calf and foot to restore flexibility and tendon resilience. Manual therapy and taping techniques may also be applied to reduce strain and support recovery. |
| Shockwave Therapy | Extracorporeal shockwave therapy (ESWT) delivers sound waves to the heel to stimulate tissue healing, commonly used for chronic plantar fasciitis or Achilles tendinopathy. |
| Injection-Based Therapies | Image-guided injections such as corticosteroid injections, including bursa injections for retrocalcaneal bursitis, can help control short-term inflammation. Platelet-rich plasma (PRP) supports tissue healing, while hyaluronic acid (knee gel injections) may improve joint cushioning when heel pain is linked to arthritic changes. |
| Surgical Intervention | |
| Plantar Fascia Release | A procedure where part of the plantar fascia is surgically released from the heel bone to relieve tension and chronic pain in plantar fasciitis. |
| Heel Spur Removal | Surgery to remove a bony spur from the underside of the heel when it causes persistent pain and limits movement. |
| Achilles Tendon Debridement / Repair | Removal of damaged tendon tissue or surgical repair of the Achilles tendon to restore function and reduce chronic pain. |
| Gastrocnemius Recession | Surgical lengthening of the calf muscle (gastrocnemius) to reduce tension on the Achilles tendon and plantar fascia, often for chronic heel pain linked to calf tightness. |
| Bursectomy | Removal of an inflamed retrocalcaneal bursa when persistent bursitis causes heel pain and has not improved with non-surgical treatment. |
How Long Does Recovery from a Heel Sports Injury Take?
Recovery time from a heel sports injury varies depending on the condition and its
severity. Mild injuries may improve within a few weeks with rest and appropriate care,
while chronic problems such as plantar fasciitis or Achilles tendinopathy often take several months
to settle.
Typical recovery timelines include:
- Plantar fasciitis – several months, depending on severity and response to treatment
- Achilles tendinopathy – three to six months for full recovery with structured rehabilitation
- Heel spurs – recovery varies, and symptoms often persist until the underlying plantar fasciitis is addressed
- Calcaneal stress fractures – six to eight weeks of reduced weight-bearing activity
- Retrocalcaneal bursitis – a few weeks to a few months with activity modification and treatment
- Sever’s disease (calcaneal apophysitis) – improves within weeks to months, often resolving once growth plates close
- Nerve entrapment (Baxter’s nerve compression) – recovery varies, from weeks with conservative care to longer if surgery is needed
Returning to sport too quickly can delay healing or increase the risk of reinjury, so a gradual, supervised rehabilitation programme is usually advised.
Cost of Diagnosis and Treatment for Heel Sports Injuries
At Apex Sports Clinic, we offer a range of diagnostic and treatment options for heel sports injuries. Prices are as follows:
| Treatment & Services | Estimated Cost (SGD) |
|---|---|
| Consultation & Assessment | |
| Initial Consultation | From $200 |
| Follow-Up Consultation | From $150 |
| Diagnostic Services | |
| X-Ray | From $100 |
| MRI Scan | From $1,000 |
| Ultrasound Imaging | From $100 |
| Non-Invasive Treatments | |
| Physiotherapy / Sports Physiotherapy | From $200 per session |
| Shockwave Therapy | From $100 per session |
| Injection-Based Treatments | |
| Cortisone Injection | From $250 per injection |
| Bursa Injection | From $250 per injection |
| Hyaluronic Acid Injection | From $1,000 per injection |
| Platelet-Rich Plasma (PRP) Treatment | From $1,000 per injection |
| Ultrasound-Guidance for Injections (in addition to cost of injection) | From $150 |
| Surgical Options (if required) | |
| Plantar Fascia Release | From $8,000 |
| Heel Spur Removal | From $8,000 |
| Achilles Tendon Repair | From $8,000 |
| Bursectomy | From $5,000 |
| Debridement (soft tissue or bony overgrowth) | From $6,000 |
*Prices listed above are estimates and may vary depending on the complexity of the condition, type
of procedure, and other clinical considerations.
For treatments or services not listed above, please contact
us to enquire further.
When Should You Seek Medical Help for a Heel Sports Injury?
You should see a doctor for a heel sports injury if symptoms are severe, persistent, or interfere with normal activity. Situations where prompt medical attention is advised include:
- Pain that lasts longer than two weeks despite rest and basic care
- Pain or stiffness that interferes with walking, training, or daily activities
- Swelling, redness, or warmth around the heel
- Sudden injury during sport with immediate heel pain
- Difficulty bearing weight on the affected foot
Early diagnosis and treatment can relieve symptoms, support your return to activity, and protect long-term foot health.
Every patient deserves a treatment plan tailored to their needs. We start with non-surgical approaches before considering more invasive interventions.
Find a Foot Doctor and Specialist Near Me
Apex Novena
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101 Irrawaddy Rd, #18-12 Royal Square Medical Centre, Singapore 329565
Nearest MRT: NS20 Novena
Apex East Coast
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112 E Coast Rd, #03-03/04 i12 Katong, Singapore 428802
Nearest MRT: TE26 Marine Parade
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Specialist in Sports Orthopaedics & Injury Management
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Frequently Asked Questions (FAQs)
Heel or calcaneus pain after running is relatively common and often linked to overuse, poor footwear, or tight calf muscles. While mild discomfort may resolve with rest and stretching, persistent or worsening pain could indicate an underlying condition such as plantar fasciitis, Achilles tendinopathy, or a stress fracture. If pain continues beyond a few days or interferes with activity, it is advisable to consult a foot doctor or sports specialist.
A heel injury may be serious if pain is severe, does not improve with rest, or is accompanied by swelling, bruising, or difficulty bearing weight. Sudden sharp pain during sport or pain that persists beyond two weeks may suggest conditions like stress fractures or tendon injuries. If you are experiencing these symptoms, it is advisable to consult a foot doctor or orthopaedic specialist for assessment and treatment.
Treatment for a heel impact injury typically involves rest, ice application, elevation, and supportive footwear to reduce stress on the heel. Non-steroidal anti-inflammatory drugs (NSAIDs) may help with short-term pain and swelling. In some cases, physiotherapy, orthotic support, or shock-absorbing heel pads may be recommended.
Heel pain from sports often occurs due to repetitive impact, poor biomechanics, or inadequate footwear that increases strain on the heel. Conditions such as plantar fasciitis, Achilles tendinopathy, or bursitis are common among athletes involved in running, jumping, or court-based activities. Pain can also result from training errors like sudden increases in intensity or insufficient recovery. If symptoms persist, it is advisable to consult a foot doctor or sports specialist.
Sever’s disease, a common cause of heel pain in children and adolescents, usually improves once the growth plates in the heel close. Symptoms often settle within weeks to months with rest, stretching, footwear adjustments, or physiotherapy, but recovery varies depending on growth and activity levels. It is best to consult your doctor or specialist who can provide an estimate for recovery based on your condition.
A torn heel ligament often causes sharp pain, swelling, bruising, and instability after a twist or impact, with pain worsening under weight-bearing. Reduced range of motion and tenderness along the heel are common, though symptoms may overlap with sprains or fractures. If you are experiencing these signs, it is advisable to consult an orthopaedic or sports medicine specialist for proper assessment and treatment.
A bruised heel usually causes localised tenderness and improves gradually with rest, while a fractured heel often brings sharper pain, marked swelling, bruising, and difficulty bearing weight. Injuries from falls, jumps, or strong impact are more likely to involve a fracture rather than a simple bruise. Because symptoms can overlap, it is advisable to consult a foot specialist for assessment and imaging if needed.
There is no single fastest way to heal a heel injury, but timely rest, activity modification, supportive footwear or orthotics, and targeted physiotherapy can promote recovery. Ice and short courses of NSAIDs may ease pain, while heel cups and calf stretching often help in plantar fasciitis and heel spurs. Persistent symptoms may require shockwave therapy or injections. For optimal recovery, it is best to consult a doctor or specialist who can recommend a treatment approach that is suitable to your condition.
Yes, small calcaneal stress fractures can develop gradually, causing activity-related heel pain that eases with rest, without a single obvious injury. Swelling, point tenderness, and pain on squeezing the heel are clues, and symptoms may mimic plantar fasciitis. Imaging is often needed for confirmation. If pain persists beyond a few days of rest, it is advisable to consult a doctor or orthopaedic specialist.
Healing time varies depending on the condition and severity. Mild bruises may resolve in days, while plantar fasciitis and Achilles tendinopathy often take months, and calcaneal stress fractures usually require six to eight weeks of reduced loading. Recovery is generally quicker with early diagnosis, proper offloading, and structured rehabilitation. It is best to consult your doctor or specialist for an estimate on recovery based on your condition.
Two common signs are pain or stiffness at the back of the heel, often worse with the first steps in the morning, and tenderness or swelling along the Achilles tendon that increases with running or jumping. You may also notice reduced ankle flexibility or a creaking sensation during movement. If pain persists or function declines, it is advisable to consult a sports medicine or orthopaedic specialist.
Light, low-impact activity is reasonable if pain is mild and improves during movement, but you should avoid exercise if it worsens symptoms. Cross-training options such as swimming or cycling can maintain fitness while the heel recovers, alongside stretching and footwear adjustments. If pain limits walking, persists beyond several days, or follows an acute injury, it is advisable to consult an orthopaedic or sports specialist for a proper diagnosis and treatment.
Playing sports with Sever’s disease is not usually recommended if heel pain is present, as high-impact activity often worsens symptoms. Some children may tolerate light, low-impact activity if discomfort is mild, but pushing through pain can delay recovery. Rest, stretching, and supportive footwear are usually advised until symptoms improve. It is best to follow the advice of your doctor or specialist on whether you can play sports based on your condition.
Sever’s disease does not heal immediately, but rest from impact sports, supportive footwear, heel cushions, and calf stretches can speed improvement. Ice and short-term activity changes often relieve pain, and physiotherapy may help with flexibility and movement patterns such as walking or running form. Symptoms usually settle as growth stabilises. It is best to consult your doctor or specialist on the most suitable treatment approach for recovery based on your condition.
Sever’s disease most commonly affects children between 8 and 14 years old, when the heel growth plate is still open. It is often linked to growth spurts combined with high sports activity, especially running and jumping. The condition usually resolves once the growth plate closes, although supportive care can help reduce discomfort during this period.
Yes, sciatica can cause heel pain when irritation of the sciatic nerve sends pain signals down the leg into the foot. This discomfort often feels different from local heel injuries, with symptoms such as tingling, burning, or numbness. Because sciatica and sports-related heel conditions can overlap, it is advisable to consult a doctor or specialist for a proper diagnosis and tailored treatment.
You should see a doctor if heel pain is severe, persists for more than two weeks despite rest, or makes walking or exercise difficult. Medical attention is also advised if swelling, redness, or sudden injury is present, or if weight-bearing is limited. Early diagnosis can help prevent worsening of heel injuries and support timely recovery.
Gout can cause heel pain when uric acid crystals build up in the heel joints or nearby tissues, triggering sudden inflammation. While the big toe is the most common site, the heel may occasionally be affected, leading to severe pain, redness, and swelling. If you suspect gout or experience recurring heel pain, it is advisable to seek medical evaluation for a proper diagnosis.