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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.
Your doctor will examine your heel, looking and feeling for signs of tenderness and swelling. You may be asked to walk, stand on one foot or do other physical tests that help your doctor pinpoint the cause of your sore heel. Conditions that cause heel pain generally fall into two main categories: pain beneath the heel and pain behind the heel. Pain Beneath the Heel If it hurts under your heel, you may have one or more conditions that inflame the tissues on the bottom of your foot: 1  Stone bruise: When you step on a hard object such as a rock or stone, you can bruise the fat pad on the underside of your heel. It may or may not look discolored. The pain goes away gradually with rest.