
The first step out of bed feels like stepping on a nail; after a few minutes, it gets better, but by evening, the pain returns. This typical initial pain in the heel leads many to a diagnosis of heel spur. However, what is actually behind it is usually something other than the spur on the X-ray. At BodyLab in Zurich Altstetten, we treat heel pain right where it actually originates.
Heel Spur or Plantar Fasciitis: What is Really Causing the Pain?
A heel spur is a small bony growth on the heel bone, easily visible on an X-ray. The catch: many people have a spur and never experience pain, while many others suffer from heel pain without any spur. In most cases, the real driver of the pain is the plantar fascia—the strong band of tissue on the sole of your foot that stabilizes your arch like a tensioning device. When overloaded, it leads to plantar fasciitis: irritation where the fascia attaches to the heel. The spur is usually just a witness to years of tensile stress rather than the culprit. That is why, in almost all cases, it does not need to be removed for the pain to disappear.
What Really Helps with Heel Pain
The plantar fascia responds to the exact same logic as other overloaded structures: it needs less daily irritation and, at the same time, the right stimuli to become more resilient. In concrete terms, this means adapting your load instead of stopping completely, strengthening your foot and calf muscles so they take the pressure off the fascia, improving calf and foot mobility, and addressing triggers like sudden increases in training or worn-out footwear. While insoles can provide relief in certain situations, they are no substitute for active strengthening. Plantar fasciitis often persists for months before it is treated, and it takes time to heal. With a structured plan, it is highly treatable—and that is exactly where we come in.
Treatment at BodyLab
During the initial assessment, we determine whether the pain is truly coming from the plantar fascia or if another factor is at play—such as the tendon attachment at the heel, an irritated nerve, the fat pad under the heel bone, or, in adolescents, an irritated growth plate. We then combine manual techniques on the fascia, calf, and ankle joints in physiotherapy with a progressive strengthening program in our dedicated on-site training area, while guiding you through load management in your daily life. If the root cause runs through the entire kinetic chain—for example, if the calf, knee, or pelvis is increasing tension on the sole of the foot—osteopathy complements the treatment. The goal is not just for the pain to go away, but to ensure it does not return: giving you a resilient, strong foot that confidently supports your standing job and running workouts again.
Doctor-approved for your peak performance
If you've experienced a fall, suffer from nighttime pain at rest, a fever, or numbness in your heel or sole, we recommend getting a medical evaluation first. Where necessary, we will coordinate directly with your doctor to get you back on track.
Who covers the cost? Let's talk investment in your future.
Physiotherapy is fully covered by your basic health insurance with a doctor's referral, and by accident insurance or your health insurance's accident coverage after an injury.
You can book osteopathy directly without a referral; it is covered through your supplementary insurance for alternative and complementary medicine.
Whether you choose physiotherapy or osteopathy: you are always welcome as a self-paying client, with no compromise on treatment quality or time. To find out what your treatment will cost, visit Rates and Coverage.
Book your appointment now
Online, often on the very same day. Urgent? Call us: 044 545 03 03













































