www.sofootankle.com Heel pain is common because usually it’s the first thing to hit the ground. It takes a lot of the body weight. Runners can have heel pain; they can get Achilles tendon problems, which attaches to the heel so you can have back of the heel pain where that tendon attaches. You can have stress fractures of the heel due to the pounding of the heel; it can cause a little crack in the bone. There’s multiple things that can happen to the heel. Most of it, though, is from the heel being the first thing to hit the ground and such force is transmitted through the heel.