Waking up with sharp heel pain can be frustrating and confusing. Many people in Succasunna, Hackettstown, and Belvidere experience pain with their first steps out of bed and wonder what is causing it. The good news is that most heel pain can be treated effectively with the right approach.
At New Jersey Foot & Ankle Institute, our doctors see this problem often and understand how disruptive it can be. Here are the most common reasons your heel may hurt in the morning and how treatment can help you feel better quickly.
Common Causes of Morning Heel Pain
Plantar fasciitis is the most common cause of morning heel pain. This condition occurs when the thick band of tissue that runs along the bottom of your foot becomes irritated. After a night of rest, the fascia tightens, leading to sharp pain with your first steps.
Heel spurs can also cause discomfort. These small bony growths form where the fascia attaches to the heel bone. Although they are not always painful, they can add pressure and make walking uncomfortable.
Achilles tendon inflammation is another frequent cause. The tendon at the back of your heel can become tight or swollen, especially if you recently increased your activity level.
Other possibilities include arthritis, bursitis, or thinning of the natural heel cushion that protects the foot from impact.
How Heel Pain Is Diagnosed
Your podiatrist will start with a physical exam and review of your medical history. If needed, imaging such as X-rays may be taken to confirm the cause. Sometimes a gait or pressure analysis helps identify how your walking pattern contributes to pain.
Treatment Options
Treatment depends on the cause but often includes stretching exercises, supportive shoes, and custom orthotics to relieve stress on the heel. Physical therapy, night splints, and anti-inflammatory treatments can also provide relief.
In rare cases when conservative care does not resolve the pain, surgical options may be considered.
At-Home Care Tips
Start each morning by stretching your feet before you get out of bed. Wear supportive shoes even indoors and avoid walking barefoot on hard surfaces. Ice your heel for 15 minutes after long periods of activity and replace worn-out shoes regularly.
If heel pain persists for more than a few weeks, it is time to see a podiatrist.
Our team at New Jersey Foot & Ankle Institute provides personalized care to help you walk comfortably again.


