Children’s heel pain may be physiological, may also be pathological factors such as muscle strain, trauma and other causes. 1. Physiological factors: children’s epiphysis has not yet closed, the growth period can be caused by excessive activities and heel pain, to the night pain is obvious, mostly belong to the growing pain is a normal physiological phenomenon. 2. Pathological factors (1) muscle strain: such as children’s long-term strenuous exercise, standing, etc., so that the heel muscles in a long time in a tense, stiff state, in the long run caused by children’s heel muscle strain, heel pain symptoms can occur. (2) Trauma: such as heel collision, extrusion, etc. can cause heel pain, if the injury is serious, it may also cause heel bone fracture with obvious activity disorder. After excluding physiological heel pain, it is recommended that children with heel pain consult a doctor in a timely manner to identify the cause and then actively treat it to avoid delaying the condition.