PATHOGENESIS AND DIAGNOSIS Heel pain is a predominantly painful condition in the impacted portion of the heel caused by acute or chronic injury. It is more common in clinical practice. It occurs more often in middle-aged and elderly women. The onset of the disease can be caused by a trauma. For example, when walking, the heel stepped on a small stone, or when going down the stairs with too much force to follow the ground, can occur. Such patients are manifested as acute pain in the part of the heel force, not dare to walk, especially in the uneven road is not dare to walk, localized swelling, pressure pain obvious. However, most of the patients with heel pain do not have a clear history of trauma, and gradually found that the heel pain. Initially, every time in the morning when stepping on the ground pain, a little activity after the pain is reduced, walking too much pain and aggravated, rest is reduced pain, rest and then walk the pain increased dramatically. These patients, most of the body suddenly fat, or because of foot deformities (such as clubfoot, foot wrapping), heel force is too large, overburdened, resulting in the heel bone under the soft tissue pad suffered repeated extrusion injury, heel pain. The course of the disease for a long time, the weight-bearing surface of the heel bone nodule can produce osteophytes – heel bone spurs, so that the symptoms worsened, into persistent pain. In some cases, the pain is intolerable with every step, or worsened when walking on uneven road or stepping on a small stone, or walking a little too much, which greatly affects the patient’s work and life. Examination can be found in the heel force part of the soft tissue tough hypertrophy, pressure and pain, to the heel of the front central part of the most obvious. When there is a heel spur, you can touch the high protruding hard knots, and sometimes you can find the local soft tissue popping sound. x-ray film helps to differential diagnosis, and exclude other disorders of the heel bone. In the case of heel pain, soft tissue thickening can be found on the x-ray, or bird’s beak-like heel bone spurs. Treatment I. If the pain is severe in the acute stage, proper rest should be taken to avoid re-injury. Second, the shoes will be lined with thick insoles, insoles dug a hole in the back of the heel, the hole is corresponding to the heel pain, the size of the hole depending on the size of the pain range. In this way, when walking, the point of force is distributed around the pain point, to avoid local soft tissues from being pressurized and damaged again. This method is effective in reducing pain. Third, drug therapy: external main. Acute pain period, available blood painkiller (38) scalding. Chronic pain and heel spur formation, can be used No. 3 wash medicine (40) scalding, or 90 grams of Wei Ling Xian, half of the water vinegar, decoction scalding. Fourth, glacial acetic acid iontophoresis can also be applied.