Tendon sheath cysts in the heel can be treated by local puncture and surgical treatment as follows: 1. Local puncture: the fluid in the cyst is withdrawn through a syringe, and hormonal drugs, such as prednisolone acetate, are injected synchronously, and the local pressure bandage promotes adhesion, so that the cysts can be closed gradually and local recurrence can be avoided; 2. Surgical treatment: if the cysts recur repeatedly, and conservative treatment is ineffective, it is necessary to consider surgical treatment. Surgery: if the cyst is recurrent and conservative treatment is ineffective, it is necessary to consider surgical treatment, complete removal of the cyst through surgery, including the cyst wall tissues, and at the same time, local pressure bandage, avoid weight-bearing walking, which can make the cyst completely treated. After the above methods, the patient’s symptoms and swelling can be completely cured, and in normal life, attention should be paid to avoiding local overweight and reducing local friction, which can prevent the recurrence of symptoms.