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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.
Heel pain. The most common cause of heel pain is plantar fasciitis, inflammation where this long ligament attaches to the heel bone. The pain may be sharpest when you first wake up and put pressure on the foot. Arthritis, excessive exercise and poorly fitting shoes also can cause heel pain, as can tendonitis. Less common causes include a bone spur on the bottom of the heel, a bone infection, tumour or fracture.