Heel pain is caused by a variety of chronic disorders that result in pain on the metatarsal surface of the heel (i.e., the heel) and is closely related to strain and degeneration. The common causes are: 1, heel fibrofatty paditis; 2, metatarsal fasciitis; 3, heel bone spur. Clinical manifestations: mainly pain, swelling and pressure on the plantar surface of the heel, aggravated by walking. The disease occurs mostly in obese people 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 ineffective, surgical treatment is required. Heel pain is an orthopedic disease caused by the unbalanced force of the muscles and ligaments attached to the plantar surface of the heel bone, causing the periosteum to be stretched, which is called “heel osteochondritis” and “heel spur” in modern medicine. Heel pain is caused by a variety of chronic disorders of the heel surface (i.e., heel) pain, which is closely related to strain and degeneration. The disease is mainly treated with non-surgical therapy, which is more effective. If non-surgical treatment is not effective, surgical treatment is required. Etiology: With age, the human tissue undergoes degenerative changes, and long-term strain causes pathological changes in the heel tissue. Such as heel fatty fibrous pad inflammation, metatarsal tendinitis, heel bursitis, Achilles tendon periarthritis, heel hypertension and heel bone spurs. These corresponding diseases occurring in different tissues around the heel bone are important etiologies for the formation of heel pain. Since the cream has a high consistency, it has a series of advantages such as high content of active ingredients, slow precipitation, long lasting effect on the main symptoms, and effective local healing effect. Heel pain must be applied externally five ointment, the active ingredients can penetrate into the skin to produce blood, pain, siltation, through the meridians, open the orifice, dispel wind and cold effects, clinical manifestations and diagnosis: 1, heel fat pad inflammation: heel fiber fat pad referred to as the heel pad, separated by elastic fibers, wrapped around the fatty tissue composed of shock absorption and prevention of sliding effect. Heel stabbed by hard objects or long-term compression or wind, cold and damp invasion caused by the heel pad inflammation. The patient has pain and swelling under the heel with superficial pressure pain. Heel weight-bearing area medial pressure pain, the elderly heel pad atrophy thinning, easy to cause symptoms, local can be palpable fibrous masses. 2, metatarsal tendonitis: metatarsal tendon membrane from the heel node and to the metatarsal bone, is a large elastic tendon membrane on the bottom of the foot. Trauma, strain and cold and humidity can cause inflammation of the metatarsal tendon membrane, and those with valgus are especially susceptible to this disease. Patients often have pain under the heel or the heart of the foot, plantar tugging and tension, the heel node area and tendon membrane in the middle of the pressure pain is obvious. 3, heel bursitis: trauma or repeated friction can cause inflammation of the bursa under the heel, after or before the Achilles tendon. The patient has local pain, swelling and pressure pain. If combined with infection can cause redness, swelling, heat, pain and other typical inflammatory manifestations. 4.Achilles tendon periarthritis: inflammation of the tissues around the Achilles tendon attachment site due to trauma or strain causes swelling and pain in the Achilles tendon. The patient’s Achilles tendon becomes thicker, with localized pressure pain and a sense of friction, and axial strangulation sounds may appear when the inflammation spreads to the tendon sheath. The pain can be aggravated by dorsiflexion and plantar flexion of the ankle joint. Achilles tendon periarthritis often due to wear hard heel, hard shoes, long-term pressure friction formation. 5, heel hypertension: the heel bone itself due to chronic compression or bone degeneration, the heel bone pressure increases, resulting in heel pain. Achilles hypertension is mostly seen in middle-aged and elderly people, and can develop unilaterally or bilaterally, with pain in the heel affecting walking. Early elevation of the lower extremity may relieve the symptoms, and there is pressure and percussion pain on the medial and lateral sides of the heel bone as well as on the metatarsal side. Heel decompression therapy is effective. 6, heel bone spur: metatarsal tendon membrane and the short toe flexor or the repeated pulling injury of the Achilles tendon, the heel bone degenerative changes, metatarsal tendon membrane of the heel bone attachment part of the formation of cone-shaped bone called bone spur. The direction of the bone spur is mostly consistent with the direction of the Achilles tendon and the metatarsal fascia. The heel spur can be clearly seen on lateral radiographs of the heel bone. However, patients with heel spurs do not necessarily develop heel pain. When heel pain is present, the heel spur is often present after treatment has resolved the inflammation in the soft tissues surrounding the heel bone. The heel spur is a characteristic manifestation of degeneration and aging of the bones and joints in the elderly. Diagnosis: This disease can be diagnosed based on history, symptoms and relevant examinations. However, attention should be paid to differentiate it from the following diseases: 1. Heel osteomyelitis: Although heel osteomyelitis has symptoms of heel pain, there may be obvious signs of acute infection such as localized redness, swelling, heat and pain, and in severe cases, there are systemic symptoms such as high fever. Laboratory tests and X-ray examinations can establish the diagnosis. 2, heel tuberculosis: this disease is mostly found in adolescents, with obvious local symptoms, a large range of swelling and pain, poor general condition, and low fever and night sweats, fatigue and weakness, loss of appetite, etc. Laboratory tests and X-ray examinations can identify it. Treatment: The onset of the disease varies, but heel pain is its common feature. The pathological changes are inflammatory changes in the soft tissues around the heel and elevated intraosseous pressure in the heel bone. Treatment mainly uses acupuncture, massage, physiotherapy, external blood circulation drugs, hydrocortisone acetate 25mg plus 1% procaine 2ml or hydrogenated prednisone acetate plus lidocaine 2Tnl painful point local seal, so that the local sterile inflammation subsides. Fibrofatty pad inflammation of the heel can be treated with a soft insole hollowed out in the middle of the heel. Surgical excision may be considered for bursitis that is persistent. If conservative treatment of the heel spur under the oblique front is ineffective, surgical excision can be performed, and the muscle attachment point can be relocated, and the inferior heel nerve can be cut in cases of persistent pain. In cases of intraheel hypertension, decompression of the medial and lateral heel spurs is possible to eliminate the symptoms. Heel fracture, fracture deformity healing, heel tuberculosis, osteomyelitis, osteitis, gout, tumor and metatarsal tunnel syndrome can cause heel pain, which should be differentiated from the above diseases.