The child always says their feet hurt and doesn't want their toes touched.

Patient's question:

The child always says his feet hurt and doesn't want his toes touched. If they are touched, he cries, but there is nothing visibly wrong. The shoes are not too small, and there is no lack of trace elements. He has no problems walking or running normally, but he refuses to wear socks. When he does wear socks, there is no issue. It's quite troublesome every morning to get him to wear socks, as it takes coaxing for half the time. He is not allowed to have his nails cut while awake, and they can only be trimmed when he is asleep.

Doctor's answer:

There are many causes of heel pain, and clinically the main ones include:
(1) Periosteitis around the Achilles tendon;
(2) Heel spur;
(3) Heel bursitis;
(4) Heel fat pad injury;
(5) Heel fracture;
(6) Subcutaneous bursitis of the heel;
(7) Soft tissue strain in the tarsal tunnel;
(8) Heel tuberculosis, tumors, etc.
Methods for maintaining heel health include:
1. Rest;
2. Choose shoes with thick soles, non-soft soles, and softer insoles. It is best for the heel area to have a certain curvature to accommodate the heel's shape;
3. Apply soft padding to the heel, such as silicone-made heel pain pads, to protect the heel and reduce friction;
5. Functional exercises.
It is recommended to go to the hospital for examination and treatment.

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