A bump on the back of your heel can be concerning and uncomfortable, especially if it interferes with daily activities like walking or wearing shoes. Several conditions can cause this issue, and understanding the underlying cause is key to finding effective treatment.
Common Causes of a Heel Bump
- Haglund’s Deformity
- Also known as “pump bump,” this bony enlargement on the back of the heel develops due to repeated pressure and friction, often from stiff-backed shoes like pumps or boots. It can lead to irritation of the Achilles tendon and inflammation of the surrounding soft tissues.
- Retrocalcaneal Bursitis
- Inflammation of the bursa (a fluid-filled sac that cushions the heel) can cause swelling and pain at the back of the heel. This condition is commonly associated with overuse, high-impact activities, or ill-fitting footwear.
- Achilles Tendonitis or Tendinosis
- Chronic stress on the Achilles tendon can result in thickening, swelling, or even the development of bony spurs where the tendon attaches to the heel bone. This can cause a noticeable lump and pain, especially during activity.
- Bone Spurs
- Over time, repetitive stress or tightness in the Achilles tendon can lead to the formation of bone spurs at the back of the heel, contributing to pain and discomfort.
- Soft Tissue Lumps or Cysts
- Occasionally, benign growths such as ganglion cysts or lipomas can form near the heel, causing a noticeable bump. These are usually painless but may become bothersome depending on their size and location.
Symptoms to Watch For
- Swelling, redness, or warmth around the heel
- Pain when wearing shoes or walking
- Stiffness or reduced range of motion in the ankle
- A visible lump or hard mass at the back of the heel
Treatment Options
Depending on the underlying cause, treatment for a heel bump may include:
- Footwear Changes: Avoiding tight or stiff-backed shoes can reduce pressure and irritation.
- Orthotics & Heel Lifts: Custom inserts or heel lifts can help reduce strain on the Achilles tendon.
- Ice & Anti-Inflammatory Medications: To reduce pain and swelling.
- Stretching & Physical Therapy: Exercises targeting the Achilles tendon and calf muscles can help relieve symptoms.
- Injections: PRP injections may be used in certain cases to reduce inflammation.
- Surgery: If conservative treatments fail, surgical intervention may be necessary to remove bone spurs or correct structural issues.
When to See a Specialist
If your heel pain persists despite at-home treatments, it’s important to seek professional evaluation. A foot and ankle specialist can diagnose the cause of your heel bump and develop a tailored treatment plan to help you find relief.
At our clinic, we specialize in diagnosing and treating heel conditions to get you back on your feet pain-free. If you're experiencing discomfort from a bump on the back of your heel, schedule an appointment with us today!