Heel pain and swelling, the following reasons are common: 1, heel bone fracture, the patient jumped from a high place, the heel part of the foot on the ground, easy to occur heel bone comminuted fracture. Especially in elderly patients with severe osteoporosis, the heel bone is also prone to comminuted fracture after external force. Comminuted fracture of the heel bone can lead to pain and swelling in the heel, accompanied by changes in the height of the arch of the foot, and X-ray can confirm the comminuted fracture of the heel bone. 2, Achilles tendon end disease, the end of the Achilles tendon stops at the Achilles node, and there is a hyperplastic bone abrasion, which will cause repeated wear and tear of the Achilles tendon, and the patient will have localized swelling and pain, and the motor function will be severely limited, usually there is a localized mass when touching, and the pain symptom worsens when pressed. There is usually a localized lump on palpation, and the pain worsens when pressure is applied. MRI of the Achilles tendon can show Achilles tendon injury, inflammation of the Achilles tendon, and inflammatory bursa and hyperplastic bursae can form in the Achilles tuberosity.