Nowadays, there is nothing hotter than square dancing and brisk walking, but many elderly people have heel pain after a period of walking sports, not red or swollen, just a walk a jump on the pain. This time to go to the hospital a film, oh, the original is the heel long “bone spurs”, that can not be painful. Is this really the case? Let’s learn more about heel pain. Heel pain is more common in middle-aged and elderly people and those who are heavier, and is a chronic strain on the plantar fascia caused by long-term, continuous, excessive strain on the heel, resulting in chronic inflammation and pain. Heel pain is characterized by a slow onset, localized pain at the beginning of walking, difficulty in walking, pain relief after a few minutes of walking for a short distance, and increased pain after walking for a long distance. It can develop on one or both sides and can be divided into intraheel pain, posterior heel pain, and inferior heel pain, with inferior heel pain being the most common. Lateral x-ray of the heel bone may show osteophytes of varying sizes at the anterior edge of the nodes on the bottom surface of the heel bone, i.e., bone spurs. However, the degree of pain in heel pain is not proportional to the size of the heel spur, and those with symptoms may be asymptomatic or asymptomatic. Nowadays, it is generally believed that heel spurs are only a possible cause of heel pain, and there is no necessary relationship between the two, so it cannot be wrongly considered that heel spurs are equivalent to heel pain. However, once the heel spur is formed, it is bound to form potential irritation to the surrounding tendon membrane and heel fat pad, and the cumulative irritation causes edema and thickening of the tissue around the heel spur, which in turn stimulates the nerve and becomes a potential causative factor for heel pain. Therefore, the chance of plantar fascia strain injury will increase correspondingly with heavy labor, more walking, excessive weight and foot overload, and heel pain is more likely to occur. Rehabilitation treatment for achilles pain: 1. Limb exercise: mainly includes plantar fascia pulling and Achilles tendon pulling exercise. Since plantar fascia pulling helps the inflammation to subside, repeatedly pulling the Achilles tendon and plantar fascia every day is one of the most effective ways to reduce pain in patients with achalasia. 2.The use of plantar pads and heel pads can reduce or disperse the stress of heel impingement, cushion and support the fibrofatty tissue under the heel thus playing a role in the treatment of heel pain. 3.Limb immobilization: When the pain is severe, use a night splint or plaster rest to immobilize the ankle joint dorsiflexion 5°～10° to avoid making the plantar fascia spasm at night and causing pain when moving in the morning. 4.Extracorporeal shock wave therapy: This therapy can promote local blood circulation at the heel and accelerate the reduction of local inflammation, which is one of the effective methods to treat this disease. 5.Anti-inflammatory and analgesic drugs: mainly non-steroidal anti-inflammatory drugs, which have good analgesic effect, are effective for most acute pain attacks and long-term pain in heel pain. However, the gastrointestinal reaction of such drugs is relatively strong, and patients with a previous history of digestive disease should be used with caution. 6.Local closure: When most conservative therapies fail, many clinicians resort to this therapy. The short-term efficacy of this therapy is certain, but may cause the plantar tendon membrane, Achilles tendon rupture and degeneration of the heel fat pad, so need to be used with caution. 7, surgical treatment: a very small number of patients after more than 6 months of non-surgical treatment is ineffective, surgical treatment can be used, the current surgical methods are mainly soft tissue release, heel bone spur removal. Bone spur removal is not the primary purpose of surgical treatment, but it is still necessary to remove the heel bone spur at the same time as the soft tissue release surgery.