The pain above the heel can be caused by the following causes: First, gout: patients with gout can cause pain at the Achilles tendon above the heel, and in severe cases there will be redness of the skin, increased skin temperature, and gout stone deposits, attention should be paid to physical examination and blood uric acid tests for diagnosis, and early treatment with uric acid-lowering drugs. Second, Achilles tendonitis: patients with Achilles tendonitis can have pain at the Achilles tendon stop above the heel, seen in patients who have been doing sports activities or walking long distances for a long time. The pain in the heel is evident during exercise or walking, after examination, heel x-ray or heel MRI for diagnosis, early symptomatic treatment is given, and rest is paid attention to during treatment.