The most common is trauma, which can cause pain in the heel, and a history of trauma and corresponding X-rays can help in the differential diagnosis. 2, it is also possible that osteophytes, or bone spurs as they are called, cause pain in the heel, which requires local X-rays to help in the differential diagnosis. 3, it is also possible that gout nodules are present. Because gout nodules often occur in small joints, but the appearance of pain in the heel can not be ruled out, you need to combine the patient in the blood uric acid and medical history, according to whether a similar reaction has occurred before to decide, if the uric acid is elevated, the previous gout nodules did appear, it is possible that the pain caused by gout nodules, this time the treatment needs to reduce uric acid, pain relief and inhibit the release of uric acid. 4, Of course, it does not exclude the early appearance of heel pain in certain rheumatic diseases, which is relatively rare, but also requires attention.