Pain on both sides above the heel, the common causes are as follows: first, Achilles tendon bursitis is the wear and tear of the Achilles tendon and the hyperplastic bone of the Achilles nodes, causing local swelling and fluid accumulation, clinical manifestations are pain, swelling, local tenderness and palpable sac-like sensation, swelling is limited to both sides of the Achilles tendon, through elevation of the affected limb, local braking and physical therapy, pain symptoms can rapidly improve; second, ankle joint osteoarthritis is Secondly, ankle osteoarthritis is a degenerative disease of the ankle joint, which is related to long-term excessive weight-bearing and repeated injury of the ankle joint. The clinical manifestations are pain in the anterior and posterior space of the ankle joint, swelling of the ankle joint, pressure pain points in the anterior and posterior space of the ankle joint, and the location of the hyperplastic bone.