Itchy heels are mainly caused by irritation of the nerve endings. Mild itching can occur, while severe irritation can cause damage to the nerve endings, resulting in pain and other sensations. This irritation is usually sterile inflammation, but of course it can also include mild external mechanical stimulation, such as gently stroking the heel, etc. Generally sterile inflammation does not cause pain. Non-aseptic inflammation means infection, and infection is usually painful because it is a reaction to more severe irritation. Aseptic inflammation includes osteoporosis, especially when osteoporosis produces aseptic inflammatory edema inside, the tension of the nerve will increase, further causing nerve irritation and will itch. There is also a factor that may be localized to the wrong posture of wearing shoes, excessive wear and tear although it does not cause damage, when resting will also produce a mild edema of the tissue, which will also produce pain and also produce itching sensation.