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Why Does Your Heel Hurt When You Wake Up? Here’s What Might Be Happening

Many people experience a sharp pain in the heel when they take their first steps in the morning. The image suggests that something important is happening inside the foot, and in many cases, that’s true.

The Most Common Cause: Plantar Fasciitis

One of the most frequent causes of morning heel pain is Plantar Fasciitis.

The plantar fascia is a thick band of tissue that runs along the bottom of your foot and connects your heel bone to your toes.

Why It Hurts More in the Morning

During sleep:

  • The plantar fascia tightens slightly.
  • Small areas of irritation begin to settle.
  • When you take your first steps, the tissue suddenly stretches.

This can cause:

  • Sharp heel pain
  • Stabbing pain with the first few steps
  • Improvement after walking for several minutes

Other Possible Causes

Heel Spurs

Heel Spur can sometimes occur alongside plantar fasciitis.

Achilles Tendinitis

Inflammation of the Achilles tendon may cause pain at the back of the heel.

Arthritis

Certain forms of arthritis can affect the foot and heel joints.

Nerve Compression

Irritated nerves around the ankle or foot can also cause heel discomfort.

What Can Help?

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