Heel swelling and pain may be caused by physiological reasons such as excessive walking and thin soles, or it may be caused by pathological factors such as osteophytes and trauma. 1. Physiological reasons: the heel is also clinically referred to as the heel, the focus of the heel is the heel bone, the heel bone part of the main heel fat pad, plantar fascia and other soft tissues attached. If you walk more or the sole of the shoes is thin, it may lead to fatigue injury of the soft tissues in the heel bone area, which may cause swelling and pain in the heel, such as heel bursitis, plantar fasciitis, and so on. 2. Pathological factors: due to the increase of age and the decrease of hormone level in the body and other reasons, the heel bone will appear osteophyte abnormality, such as bone spurs, when the bone spurs are bigger, it will produce certain stimulation symptoms to the periphery of the heel bone’s nerve root, and at the same time, there is also a swelling and pain in the heel; if the heel bone suffers from trauma, it may also appear the above mentioned symptoms, such as heel bone fracture, and so on. There may be other causes of heel swelling and pain, it is recommended to go to the hospital in time, complete the examination to clarify the cause of the disease, and then give targeted treatment or therapy under the guidance of the doctor.