 We see a lot of heel pain in our practice. Heel pain isn't always plantar fasciitis or heel spurs, so it's important to see a specialist to get an accurate diagnosis. For some people, heel pain is caused by increased activity in a sport or for weight loss. For others, it may be due to poor shoe choice, such as wearing flip-flops or shoes with little support. For some, it's due to the shape of their foot and how it functions.