Waking up in the middle of the night with a throbbing, aching heel can be incredibly frustrating. Unlike the sharp “first-step” pain of classic plantar fasciitis, heel pain at night or while you’re resting can be a signal that something different is happening in your body. This type of pain, often referred to as resting heel pain, can point to a variety of conditions, some of which are more serious than a simple overuse injury.
This guide will help you understand the common causes of nighttime foot ache, explore the reasons for nerve heel pain, and provide general tips for relief. It is designed to empower you with knowledge and help you know when it’s time to seek a professional diagnosis.
MEDICAL DISCLAIMER: The information provided in this blog post is for educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health provider with any questions you may have regarding a medical condition.
Why Does Resting Heel Pain Happen?
While weight-bearing activities put stress on your feet, pain that occurs at rest is often a sign of inflammation or nerve-related issues. When your body is not actively moving, your nerves and soft tissues can be more sensitive to compression or irritation that has built up during the day. This is why a nighttime foot ache can be a very different type of problem than one that bothers you only when you’re on your feet.
Common Causes of Nighttime Foot Ache
If you are experiencing heel pain at night, it could be due to one of the following conditions:
- Tarsal Tunnel Syndrome: This is a key cause of nerve heel pain. Tarsal tunnel syndrome occurs when the posterior tibial nerve, which runs through a narrow tunnel on the inside of your ankle, becomes compressed. The pain is often described as a burning, tingling, or shooting pain that can feel like a restless foot ache and is often worse at night when you’re lying down.
- Nerve-Related Conditions: A common and significant cause of nocturnal foot pain is peripheral neuropathy, which is a type of nerve damage. For individuals with diabetes, this is a major concern, as diabetic nerve heel pain is a frequent symptom. This type of pain is not from a strained muscle but from damaged nerves, which can cause a burning or numbing sensation that intensifies during the night.
- Inflammatory Arthritis: Systemic inflammatory conditions like rheumatoid arthritis or gout can cause joint pain that is worse at rest. Gout, in particular, often causes a sharp, burning pain in the big toe, but it can also affect the ankle and heel. The affected area may be warm, swollen, and very tender to the touch.
- Plantar Fasciitis (in some cases): While classic plantar fasciitis pain is worse in the morning, the inflammation that builds up during the day can cause some individuals to experience heel pain at night, especially if the foot is not properly elevated or supported.
- Stress Fractures: A stress fracture in the heel bone (calcaneus) is an overuse injury that causes small cracks in the bone. While it may be worse during activity, the constant ache can persist and become a noticeable resting heel pain, even waking you from sleep.
What You Can Do for Resting Heel Pain
While a professional diagnosis is the only way to know the exact cause of your pain, you can try these general remedies for temporary relief.
- Elevation & Icing: Elevating your feet while you rest can help reduce swelling that may be putting pressure on nerves. Applying an ice pack to the painful area for 15 minutes can also help soothe inflammation.
- Gentle Stretching: A gentle stretch of the calf and foot before bed may help ease some tension. However, if stretching increases your pain, stop immediately and consult a professional.
- Over-the-Counter Medication: Anti-inflammatory medications can provide temporary relief, but it is essential to consult your doctor before taking any medication.
- Supportive Footwear: Make sure you are wearing supportive shoes during the day. Avoiding walking barefoot on hard surfaces can also help prevent the pain from building up.
Conclusion
A nighttime foot ache is a frustrating symptom that should not be ignored. By paying attention to the unique characteristics of your resting heel pain, you can provide valuable information to a healthcare professional. A proper diagnosis is the key to finding the right treatment and getting back to a full night’s sleep, free from pain.
MEDICAL DISCLAIMER: The information provided in this blog post is for educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health provider with any questions you may have regarding a medical condition.