Heel Spurs vs. Plantar Fasciitis: What’s Causing Your Pain?

If your heel hurts when you take that first step in the morning, you may be wondering if it’s a heel spur or plantar fasciitis. The two conditions are often confused, and they can even show up at the same time, but they’re not the same thing. At his Las Vegas, Nevada, practice, Dr. Ted Cohen, an experienced podiatrist, helps patients understand what’s behind their heel pain and how to treat it.

What Is a Heel Spur?

A heel spur is a small bony growth that develops on the underside of the heel bone. It forms over time when there’s repeated strain or pressure on the foot, particularly where the plantar fascia attaches to the heel. Contrary to what some people think, a heel spur doesn’t always cause pain. In fact, many people have them and don’t even know it until they get an X-ray for a different reason.

When heel spurs do hurt, it’s often because of surrounding inflammation or irritation of nearby tissues pushing against it, not the spur itself digging into the foot.

What Is Plantar Fasciitis?

Plantar fasciitis is inflammation of the thick band of tissue (the plantar fascia) that runs along the bottom of your foot, from your heel to your toes. It’s one of the most common causes of heel pain. Most people with plantar fasciitis feel sharp or stabbing pain near the bottom of the heel, especially with the first steps after resting or waking up.

This condition develops when the plantar fascia is overstretched or strained, often from overuse, flat feet, high arches, poor footwear, or long hours on hard surfaces.

Key Differences to Know

The main difference is that plantar fasciitis is a soft tissue problem, while heel spurs are bony growths. You can have one without the other, or you can have both at once. An accurate diagnosis from a foot doctor is important because while the symptoms can be similar, the treatment approach varies.

How a Podiatrist Like Dr. Cohen Can Help

At his Las Vegas, Nevada, office, Dr. Ted Cohen begins by reviewing your symptoms, daily activities, and footwear habits. A hands-on exam imaging with X-rays helps determine whether your pain is due to a spur, fascia inflammation, or both.

Treatment usually starts conservatively, with stretching exercises, supportive shoes, custom orthotics, and targeted therapies to reduce inflammation. Many patients find relief without surgery. In more stubborn cases, advanced options may be discussed.

Don’t Guess, Get the Right Diagnosis

Living with heel pain isn’t something you have to accept. Whether it’s a spur, plantar fasciitis, or another issue entirely, getting clarity is the first step toward walking comfortably again.

If you’re in the Las Vegas, Nevada, area and need answers, schedule an appointment with Dr. Ted Cohen by calling (702) 387-8777.