Heel pain is common and due to a variety of osseous and soft tissue disorders. Causes of heel pain can be classified by the anatomic structure in which they arise and include disorders of the (1) Achilles tendon, (2) plantar fascia, (3) calcaneus, (4) bursae, (5) nerves in the hindfoot, (6) and heel pad. Although careful history taking and physical examination are important, imaging plays a vital role in the diagnosis and management of heel pain. MR imaging is the best imaging test to assess pain in the heel. This review discusses the common causes of heel pain, focusing on MR imaging appearances.