When patients present with heel pain without symptoms such as back pain, leg pain and abnormal sensation in the lower extremities, numbness, or weakness, then it may not be related to the lumbar spine. Heel pain may be caused by localized causes of pain, commonly heel pain on the bottom of the foot, Achilles tendonitis on the back of the foot, and plantar metatarsal tendonitis, which usually leads to heel pain. Heel pain from the lumbar spine may also be present, but is often accompanied by low back pain and radiating pain in the lower extremities. Abnormal sensations may be present in the foot or outer calf, especially from the hip to the back of the thigh to the outer calf to the heel. When there are symptoms such as abnormalities, numbness and weakness, in severe cases, there is also a loss of muscle strength in the lower limbs and a lack of power when moving. If the heel pain is simple and there are no other symptoms, it has little to do with the lumbar spine. When a patient has heel pain it is not necessarily a problem with the lumbar spine, the patient should go to the hospital for examination to clarify the cause and take appropriate treatment under the guidance of the doctor.