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Other Causes of Heel Pain. Plantar fasciitis can be confused with a condition called tarsal tunnel syndrome. In tarsal tunnel syndrome, an important nerve in the foot, the tibial nerve, is pinched as it passes by the ankle joint. There are also other less common problems causes of heel pain such as nerve problems, stress fractures, and fat pad necrosis, all of which can cause foot pain.
(See Anatomy of the Foot and Ankle). Gait abnormalities can cause inflammation of the structures attached to the heel bone, resulting in heel pain. Inflammation of the plantar fascia, called plantar fasciitis, is the most common cause of heel pain.Plantar fasciitis often causes pain that is more severe following a period of rest (e.g., after sleeping).eel pain also is relatively common in active children and adolescents between the ages of 8 and 13. Pediatric heel pain frequently occurs on the bottom rear of the heel or the sides. Heel pain occurs in both heels (bilaterally) in less than 30 percent of cases. The left heel is commonly the first to be affected.