Heel pain is one of the more common running injuries I see at the San Diego Running institute. The runner often complains that they have pain in their heel or arch that is worse in the morning and gradually “warms up”. They also say that the pain gets progressively worse as they “run through it” and following running the pain is much worse sometimes causing them to limp. It is surprising how many of these runners with heel and or arch pain have been either misdiagnosed or given bad advice or ineffectual treatment. Heel pain can be plantar fasciitis, heel spurs, stress fracture or Joggers Foot. If it is plantar fasciitis or heel spurs there are simple plantar fasciitis exercises and stretches as well as a plantar fasciitis night splint that should be used first in plantar fasciitis or heel spur treatment. These products are sold at the San Diego Running Institute for under $42. Another primary plantar fasciitis or heel spur treatment is orthotic arch supports that retail for $45.99. We have found the orthotic insoles, SUPERFEET to be effective in the treatment of plantar fasciitis and heel spurs. If it is stress fractures the runner will need to rest between 4-6 weeks or they may worsen the condition. If they are suffering from Joggers Foot then they have compression of their medial plantar nerve. The condition is similar to carpal tunnel syndrome in the wrist. The medial plantar nerve passes under a ligament in the ankle and can result in burning pain near the heel and arch of the foot. When the simple fixes for plantar fasciitis or heel spurs are not effective then stress fractures of the heel and joggers foot should be ruled out. For this the San Diego Running Institute can refer you to Dr. Victor J. Runco. He is a marathon runner and running injury specialist. If you have foot pain, arch pain or heel pain or have already been diagnosed with plantar fasciitis and the treatments are not working call the San Diego Running Institute at (858) 268-8525 for an appointment.