Heel Burning: Why It Happens and How to Find Relief

By Orthofeet Team  /  August 27, 2025 Blog Home

Experiencing a burning sensation in the heel can be both uncomfortable and concerning. This hot, tingling, or stinging pain differs from the sharp, stabbing pain of other heel conditions and often leaves people wondering why their heel burns. Recognizing the cause of heel pain and addressing it early can prevent further complications. Choosing the right shoes for heel pain is one key step in prevention and relief.


Causes of Heel Burning Sensation


The burning sensation feels like heat, electrical tingling, or persistent stinging in the heel area. While this type of pain can be alarming, it's typically related to nerve issues or inflammation rather than serious underlying conditions. Still, many people wonder if shoes can cause heel pain since footwear choices can play a role in irritation and discomfort.Understanding the various causes can help you identify the most likely source of your discomfort.


Neuropathy and Nerve-Related Causes


Peripheral neuropathy is one of the most common causes of burning heel pain, affecting approximately 20 million Americans [1]. This condition involves damage to the nerves outside the brain and spinal cord, often resulting in burning, tingling, or electric-like sensations in the feet and heels.

Diabetes is a leading cause of peripheral neuropathy, with up to 50% of people with diabetes developing some form of nerve damage over time. High blood sugar levels can damage nerve fibers, leading to the characteristic burning sensation that's often worse at night.

Other triggers for nerve-related heel burning include vitamin B12 deficiency, thyroid disorders, and compression of nerves as they pass through tight spaces in the foot or ankle. Tarsal tunnel syndrome, similar to carpal tunnel syndrome in the wrist, can cause burning sensations when the tibial nerve becomes compressed.

Nerve pain differs from mechanical heel pain in that it often includes tingling, numbness, or electrical sensations rather than sharp stabbing or aching pain. This type of pain may not always correlate with activity levels and can sometimes worsen at rest.

Shoes designed for diabetic neuropathy or neuropathy footwear can provide relief by offering cushioning, support, and pressure relief, helping to reduce nerve pain. Explore Orthofeet’s diabetic shoes and neuropathy footwear for enhanced comfort and protection.


Plantar Fasciitis and Inflammation


Plantar fasciitis is another prevalent issue that can cause not only significant discomfort but also heel pain. For those asking why their heels hurt or why their feet hurt every day, plantar fasciitis is often a leading culprit. While plantar fasciitis typically causes sharp, stabbing heel pain, inflammation in the plantar fascia can sometimes present as a burning sensation, particularly in the early stages or during flare-ups. The inflamed tissue can feel hot and tender, creating a burning feeling, especially after periods of rest or prolonged standing.

This burning sensation from plantar fasciitis often occurs alongside the more typical stabbing pain and is usually worse in the morning or after sitting for extended periods. The inflammation can create a feeling of heat in the heel area that some people describe as burning rather than sharp pain [2].

Heel spurs, which are calcium deposits that form in response to chronic plantar fasciitis, can contribute to the burning sensation when they irritate surrounding soft tissues. The combination of inflammation and pressure can create various types of pain, including burning sensations. Shoes designed for plantar fasciitis can help alleviate the discomfort caused by inflammation and provide better support.


Other Medical Conditions Linked to Heel Burning


Several less common conditions can cause heel burning. Bursitis, which involves inflammation of the small fluid-filled sacs that cushion the heel area, can create deep, burning pain that's often triggered by pressure or repetitive motion.

Infections, though rare, can sometimes cause burning sensations in the heel area. These might include skin infections or deeper tissue infections that create inflammation and nerve irritation.

Autoimmune conditions occasionally present with burning foot pain as part of systemic inflammation. However, these conditions typically have other symptoms beyond isolated heel burning.

Most cases of heel burning are not serious and respond well to conservative treatment. However, persistent symptoms that don't improve with basic care should be evaluated by a healthcare provider to rule out underlying conditions, like when people ask if heel pain is a sign of cancer.


How to Relieve Heel Burning


Self-care approaches can be highly effective for managing heel burning, particularly when combined with proper footwear choices. The key is addressing both the symptoms and any underlying causes contributing to the burning sensation.


Effective Stretching and Foot Care Techniques


Gentle stretching can help reduce tension and improve circulation in the heel area, which may alleviate burning sensations. Focus on stretches that target the calf muscles and plantar fascia:

  • Calf stretches: Stand facing a wall with your hands pressed against it, step the affected foot back, and lean forward while keeping the heel down

  • Towel stretches: Sit with legs extended, loop a towel around the ball of your foot, and gently pull your toes toward you

  • Plantar fascia stretches: While seated, pull your toes back toward your shin to stretch the bottom of your foot


Perform these stretches 2-3 times daily, holding each stretch for 30 seconds. Gentle is better than aggressive - the goal is to improve flexibility without causing additional irritation.

Ice therapy can help reduce inflammation and provide temporary relief from burning sensations. Apply ice to the heel for 15-20 minutes several times throughout the day, using a thin towel between the ice and skin.

Elevating your foot when resting can improve circulation and reduce swelling that might contribute to nerve compression. Gentle foot massage, particularly around the arch and heel area, can also help improve blood flow and reduce tension.

Avoid walking barefoot on hard floors, as this places maximum stress on inflamed tissues and can worsen burning sensations.


Orthotic Solutions for Heel Burning


Cushioned insoles and custom orthotics can provide significant relief for heel burning by redistributing pressure and supporting proper foot alignment. These devices help reduce stress on inflamed tissues and can alleviate nerve compression that contributes to burning sensations.

Look for orthotics with specific features for burning heel pain:

  • Gel heel pads for additional cushioning and shock absorption

  • Arch support to maintain proper foot alignment and reduce strain

  • Deep heel cups to cradle the heel and provide stability

  • Metatarsal support to redistribute pressure across the forefoot


Orthofeet orthotics are designed to address these specific needs, providing targeted relief for burning heel pain through advanced materials and anatomical design. The combination of support and cushioning can help reduce nerve irritation while supporting healing.


Footwear Features That Provide Relief


The right shoes can make a dramatic difference in managing heel burning. Specific features help reduce pressure, improve circulation, and minimize nerve irritation:


Soft, cushioned heels absorb shock and reduce impact forces that can worsen burning sensations. Look for shoes with adequate heel padding that compresses slightly under pressure but returns to its original shape.

Ergonomic soles promote better gait mechanics and reduce abnormal pressure patterns that can contribute to nerve irritation. A mild rocker design helps encourage smooth heel-to-toe transition during walking.

Seam-free interiors prevent irritation and eliminate pressure points that could worsen burning sensations, particularly important for people with sensitive feet or neuropathy.

Wide, supportive base reduces nerve compression by providing adequate space for natural foot movement while maintaining stability and support.


These features reduce nerve compression, improve circulation, and support healing. For casual wear, especially when standing for long hours, consider heel pain slippers or heel pain sneakers for added comfort. For those looking for ways to stop foot pain from standing all day, footwear is a critical first step.


Why Orthofeet Shoes Can Help


Orthofeet orthopedic shoes incorporate all the features necessary for managing heel burning while providing the comfort and style needed for daily activities. Orthofeet offers heel pain shoes for men and women's heel pain shoes designed to provide comfort, support, and relief for burning heel pain. Our designs address both the symptoms and underlying causes of burning heel pain.

Our built-in orthotic insoles provide anatomical arch support and deep heel cups that help maintain proper foot alignment while reducing pressure on sensitive areas. The premium materials used in our orthotics offer superior cushioning and support compared to standard shoe insoles.

Padded heel collars and ergonomic soles work together to minimize impact forces and promote natural foot movement. The mild rocker design encourages proper gait mechanics while reducing stress on the heel and arch areas.

For people with neuropathy, plantar fasciitis, or generally sensitive feet, our seam-free interiors eliminate potential irritation points while providing a smooth, comfortable environment for healing.

The combination of these features creates footwear that doesn't just mask symptoms but addresses the root causes of heel burning. You don't have to sacrifice style or ease of use to get the therapeutic benefits your feet need.

Comfort and support go hand in hand in Orthofeet designs, proving that therapeutic footwear can be both effective and attractive for any lifestyle or activity level.


 



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Sources:

[1] National Institute of Neurological Disorders and Stroke. "Peripheral Neuropathy Fact Sheet."
https://www.ninds.nih.gov/peripheral-neuropathy-fact-sheet

[2] Journal of Foot and Ankle Research. "Plantar fasciitis: A concise review."
https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-019-0312-z