Causes of heel pain include physiological factors, foot lesions, neuropathy, etc. 1. Physiological factors: If the sole of the shoe is too hard, heel pain will occur after standing for a long time. Generally, the pain will get better after reducing the weight on the heel or changing to soft shoes. 2. Foot lesions: metatarsal tendonitis, Achilles fat pad lesions, Achilles tendinopathy, etc. will be manifested as heel pain. The foot is the largest weight-bearing part of the body, bearing the weight of the body and carrying out daily exercise and labor. Excessive and incorrect exercise can lead to changes in the normal structure of the foot. Injury and inflammation of the subtalar bursa, calcaneal tubercle bursa, calcaneal epiphysis, calcaneal fat pad, and metatarsal tendon membrane, as well as calcaneal fracture and Achilles tendon stop tear, can all cause pain. Especially the elderly, obese people due to excessive weight, osteoporosis and other reasons are more likely to have foot pain. 3. Neuropathy: peripheral or central neuropathy, nerve entrapment can cause foot pain, such as sciatic nerve entrapment by the pyriformis muscle, lumbar spinal stenosis, peripheral nerve entrapment of the heel bone, etc., the patient can be accompanied by lumbar pain, radiating pain in the lower limbs, local skin sensory abnormalities and other symptoms. If the heel pain does not improve after resting, it is recommended to seek medical treatment in time.