The pain is still there one year after the comminuted fracture of the heel bone, the treatment is different according to the different causes, the common causes are delayed fracture healing, traumatic arthritis, joint stiffness, etc., which need to be targeted treatment under the guidance of the doctor, such as proper rest, medication, surgical treatment, etc. 1. Delayed fracture healing: If the fracture heals slowly due to premature activity after fracture, poor nutritional status, or underlying diseases such as osteoporosis, you can take proper rest, strengthen nutrition, and use medication for anti-osteoporosis treatment, such as alendronate. 2. Traumatic arthritis: after fracture, there is a certain possibility of traumatic arthritis, which is mainly caused by uneven joint surface, degeneration and ossification of articular cartilage, and it can be treated by oral non-steroidal anti-inflammatory drugs for anti-inflammatory and analgesic, such as diclofenac sodium, and it can also be treated by surgery to clean up the joints. 3. Joint stiffness: After the heel bone fracture, the ankle joint lacks of activity, and the surrounding tissues are adhesive, causing joint stiffness and pain. Appropriate hot compresses and massages can be applied to the ankle joint, and in severe cases, surgery can be performed to loosen the adhesions in the joint. There are many reasons for pain one year after a comminuted fracture of the heel bone, if the symptoms continue to be unrelieved, it is recommended to consult a doctor in time to clarify the cause of the disease and carry out targeted treatment. The above medication needs to be under the guidance of a doctor.