Introduction: Pain originating from heel has various causes– due to structural abnormality or pathological causes. Fowler Philip angle, Calcaneal inclination angle and Ruch’s total angle are some radiological parameters which are playing very vital role in posterior heel pain.

Objective: Analytical study was conducted to find the significance of these radiological parameters in patients of posterior heel pain.

Materials and methods: After obtaining permission from Institutional Ethics Committee the case and control groups underwent lateral view X–ray of foot. Three angles were calculated from the radiograph and compared in respect to their sensitivity, % of false positive and negative.

Results: There was a significant relationship between case and control group for all the three parameters. Though significant but sensitivity of Fowler & Philip angle was found to be only 46.66%. The sensitivity of Calcaneal Inclination angle was highest (68%) and that of Ruch’s total angle was 38.2%.

Conclusion: Calcaneal Inclination angle was found to be most reliable indicator of posterior heel pain among the three parameters.