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Osteoid osteomas are distinctive, benign tumors of bone that cause localized pain. This problem, although rare in athletes, must be resolved before pain-free competition can resume. We present a case of a 14-year-old white, male football player who complained of heel pain. He was treated conservatively with ice, stretching, and a nonsteroidal anti-inflammatory drug (Advil). Postseason, his symptoms worsened and he was referred for orthopedic consultation. Radiography displayed a possible osteoid osteoma; a CT evaluation confirmed the diagnosis. The athlete was treated surgically for the condition, and following a 2-week immobilization and a 3-week rehabilitation program, the pain completely resolved.