Heel pain is a complaint frequently encountered in orthopaedic clinics that has peculiar symptoms and may have various etiological causes. A good history with detailed annotation of complaints and a comprehensive physical examination enable the commencement of an appropriate treatment. These will lead us to the correct diagnosis. A palliative treatment of the pain without determination of the factors that cause heel pain will result in failure. Due to these complexities, a classification of heel pain into subcategories, such as the localization of the pain, etiological factors and anatomical structures, provides great convenience for diagnosis. However, the most important factor in establishing the diagnosis is the localization of the pain.
A treatment administered without revealing the exact cause of the pain does not provide a benefit, and moreover aggravate the existing clinical table. A better assessment of this complaint, which is mostly attributed to the use of inconvenient footwear and undertreated with the diagnosis of calcaneal spur without executing an adequate examination, can be presented as an initial symptom of a systemic disease or a clinical picture requiring surgical intervention. The most accurate way to ensure fastest recovery is investigation of the causes entirely and determination of the most appropriate treatment option.