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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.
A steroid is usually injected in order to reduce inflammation, along with lidocaine, which is an anesthetic that blocks pain signal transmission. A heel spur is a painful condition that is caused by the accumulation of excessive calcium under the heel of the foot. The heel bone is made up of a large structure called the calcaneus, which is connected to the bottom of the foot by durable connective tissue called fascia.