Heel pain in children is a self-limiting condition involving the heel epiphysis. It occurs in children aged 8-13 years and is common in boys. The onset of most patients appears to be related to excessive repetitive injury or stress to the Achilles tendon at the heel attachment. There is often pain in the posterior aspect of the heel, especially when running, jumping, or walking upstairs, and sometimes there is occasional claudication. On examination, there is round swelling, hardness and pressure pain in the posterior aspect of the heel. X-rays show swelling of the soft tissue of the Achilles tendon attachment. The size, shape, density, and internal structure of the heel ossification center are irregular, and sometimes fragments are seen. It is noteworthy that in normal children X-ray manifestations similar to those of osteochondrosis of the heel epiphysis are often seen. The disease should be differentiated from posterior heel bursitis and Achilles tendon periostitis. When symptomatic, avoid strenuous sports such as bouncing and running. Elevating the heel to reduce tension on the Achilles tendon and removing any factors that can cause pressure behind the heel can lead to pain relief. Diagnosis is based on the patient’s age, history of onset in sports and the typical site of pain, which is along the edge of the growth center. Occasionally there is localized fever and swelling, and X-rays are not helpful in making the diagnosis. Treatment with strong arch pads or perimeter heel pain pads placed in the shoe can reduce the pull of the Achilles tendon on the heel. Plaster immobilization of the foot is somewhat effective, but more cumbersome and complicated, and less acceptable to the child. It is important to relieve the concerns of the patient and his parents because the disease can heal spontaneously after reducing the amount of activity without leaving any sequelae, but the symptoms can last for months and affect the child’s school and life, so treatment is needed.