The most common cause of rearfoot pain is Plantar Fascitis – The pain of plantar fasciitis is usually insidious in onset. Sometimes referred to as heel spurs. Usually worse in the morning and improved with exercise at first and aggravated by standing. More common in runners and older individuals. Is often associated with biomechanical abnormalities such as excessive high or low arched foot. Other factors to consider are increased weight in the individual and ankle flexibility.

Another cause of rearfoot pain is the fat pad syndrome – also known as bruised heel.
Less common causes of heel pain treated as stress fractures of the calcaneous – namely tarsal tunnel syndrome or medial calcaneal nerve entrapment.

Forefoot problems range from calluses and nail problems to bone and joint abnormalities. Forefoot pain can be triggered from overuse and usually an insidious onset.