Pain in the heel region of the foot leading to problems in walking is a common complaint and can have many causes. These include rare conditions such as nerve entrapment, subtalar joint arthritis, stress fractures & tumors, but by far the commonest cause is plantar faceitis. This commonly affects middle-aged people and develops spontaneously. Typically symptoms are worst early in the morning and respond to anti-inflammatory medication, steroid injections, splintage & heel cushions as well as stretching exercises. Physiotherapy backed up with massage, ultrasound or shockwave therapy can be helpful, but sometimes a surgical release procedure may be necessary for longstanding cases.