Achalasia is a painful condition of the heel surface (i.e., heel) caused by a variety of chronic disorders, which are closely related to strain and degeneration. Common causes include: (1) heel fibrofatty pad inflammation; (2) fasciitis; and (3) heel spurs. The clinical manifestations are mainly pain, swelling and pressure on the heel surface, which is aggravated by walking. The disease occurs mostly in obese individuals after middle age, with a high incidence in males and a simultaneous onset on one or both sides. Most of them have chronic onset and are often accompanied by rheumatic or rheumatoid arthritis, osteoarthritis, etc. The disease is mainly treated with non-surgical therapy, which is more effective. If non-surgical treatment is not effective, surgical treatment is required. Clinical manifestations: 1. Local pain and swelling in the heel, aggravated by walking. 2. Anteromedial pressure pain at the base of the heel. 3, sometimes there are other deformities, such as flat feet. Diagnosis: 1. The onset of the disease is mostly in middle age or older, with pain in the heel surface, aggravated by walking. Anteromedial pressure pain at the base of the heel. 2, lateral X-ray of the heel bone may have bone spurs. Treatment principles: 1, reduce local compression: sponge heel pad, orthopedic shoes, external fixation of plaster. 2.Local physical therapy or hot compress. 3, pain point closure: use hydrocortisone acetate or prednisolone 12, 5-25mg plus 1%-2% procaine 0.5-2ml local injection, once a week, 1-3 times for a course. 4.External application of blood circulation herbs. 5.Anti-inflammatory and pain-relieving drugs are applied. 6.If non-surgical treatment is ineffective, surgical treatment is feasible: such as bone spur removal, tendon membrane attachment release or posterior tibial nerve heel branch severance. Medication principles: 1, in the outpatient treatment to local closure, physiotherapy and external blood circulation herbal medicine, can be supplemented with anti-inflammatory and analgesic drugs. 2.Surgical treatment is feasible for those with intractable pain who have been treated ineffectively by conservative treatment, and postoperative antibiotics and support are needed for symptomatic treatment, and different antibiotics are selected according to the specific situation. Ancillary tests: 1. For outpatient treatment, one or more of the tests in box “A” should be used as the main test items; 2. 3. If it is necessary to differentiate from soft tissue suppurative infection of the heel, early heel osteomyelitis or tuberculosis, the examination protocol can include examination box “A”, “B” or “C”. Evaluation of efficacy: 1.Cure: disappearance of symptoms and signs and recovery of function. 2.Improved: Significant improvement of symptoms and signs. 3.Not cured: symptoms and signs do not improve. Warm tip: A significant part of this disease is caused by overexertion, weight gain, shoe discomfort, etc. Therefore, this disease can be prevented. Therefore, this disease can be prevented, the key to prevention is to avoid overexertion, proper weight control and selection of appropriate shoes, etc. People with significant weight gain, steeply increase the weight of the foot, very easy to induce the disease. Those who need to walk long distances or stand for long periods of time should first do a good job of preparing their feet for activities, select suitable shoes, and soak their feet in warm water afterwards, which can often reject the disease or significantly reduce pain. The heel spur is not a characteristic of the disease, and those with spurs may be asymptomatic, and those with symptoms may be spurless. However, oblique anterior and inferior spurs may cause pain. For local closure, attention should be paid to the aseptic operation, and the needle should be inserted from the thin lateral skin and injected accurately into the pressure pain. The disease can be cured by non-surgical treatment, and surgical treatment can be considered for those who are ineffective.