- Begins as a dull, intermittent heel pain or arch pain.
- The pain develops into a sharp, persistent pain.
- A piercing pain in the heel in the morning and gradually disappears with walking.
- Tightness in calf muscles or Achilles tendon.
- Noticeable heel pain after long periods of standing or walking.
- Heel pain worsens when climbing stairs or standing on the toes.
- Heel pain when running, particular up a slope, and less so when running downhill.
- Heel pain lessens with activity but returns during rest.