What should i do when my heel hurts really badly?

Get examined...: This could represent any number of conditions. I would see an orthopaedic foot and ankle surgeon to get a diagnosis and start treatment. www.aofas.org.

Combo treatment. : If you have plantar fasciitis, and hurt most with the first few steps in the morning, the more you can do together, the better: #1: supportive shoes. #2: firm inserts or orthotics. #3: oral antiinflammatories (check with your doctor). #4: stretching your foot and calf. #5: icing (10 min at a time). You may also need physical therapy or cortisone injections, or eswt if available in your area.