Heel pain in children can have many causes. Typically, children often develop pain in their heels in late childhood or early adolescence due to inflammation in the heel bone growth plate. This condition usually resolves on its own, but can be sped along with proper treatment. Other causes of heel pain can include sports injuries and bruises to the heel, inflammation of a ligament called the plantar fascia (more common in adults). Tissue strain because of poorly supportive or poorly laced shoes can contribute to heel pain as well. Stress fractures in the heel bone are possible in children but are very uncommon. In very rare cases, some tumors can develop in the heel bone, which may be either benign or malignant cancer. These are quite rare, but should at least be ruled out on exam due to their serious implications.