The reason why it still hurts after 6 years of comminuted heel fracture is mainly considered to be related to local degenerative lesions and traumatic arthritis. 1. Local degenerative lesions: after a comminuted heel fracture, there will be local structural changes, and in the later stages, there may be bone spurs growing and other degenerative lesions, so the symptoms of pain still occur after 6 years. 2. Traumatic arthritis: it is one of the common complications after joint trauma. Heel comminuted fracture is still painful after 6 years, may be related to the local complication of traumatic arthritis. If the pain is more serious, you need to check the specific cause of the disease, under the guidance of the doctor targeted treatment, to relieve the pain symptoms, to prevent the later impact on the function of walking, to improve the quality of life of patients.