Osteoid osteoma is a small common benign osteoblastic tumor. Foot osteoid osteomas represent a minority of cases. Patients are usually male children and young adults within the third decade. In our case report we describe an osteoid osteoma of the calcaneus in a young adult, semi-professional basketball player. Starting from the case description, we aim to: 1) Analyse the reasons of initial misdiagnosing, also due to misleading previous sport injury, and potential mimickers, 2) Discuss the different conservative and surgical therapeutic options. The clinical case presented here suggests that close collaboration between general practitioner and physical therapist could lead to a faster correct management of this rare disease. Osteoid osteoma should be considered in differential diagnosis when chronic foot pain, in children or in young adults, doesn`t improve with conservative treatment.
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