What Causes a Painful Bump on the Back of the Heel?
A bump on the back of the heel can make every step uncomfortable, especially when shoes rub against it. The area may also become red, swollen, or tender after walking or exercising. At New Jersey Podiatric Physicians & Surgeons Group, our podiatrists can determine whether the bump is related to bone structure, tendon irritation, or another condition.
Could the Bump Be a Haglund’s Deformity?
Haglund’s deformity is a bony enlargement on the back of the heel, near the point where the Achilles tendon attaches to the heel bone.
Rigid shoes, including dress shoes, pumps, and some boots, can repeatedly rub against the enlarged area. This friction may irritate the surrounding tissue and make the bump feel more painful. Because of its association with stiff-backed shoes, Haglund’s deformity is sometimes called “pump bump.”
Can the Achilles Tendon Cause a Heel Bump?
Insertional Achilles tendinitis affects the lower part of the tendon where it attaches to the heel. Repeated strain may cause pain, stiffness, swelling, or thickening near the attachment point. In some cases, a bone spur develops in the same area.
Pain from an irritated Achilles tendon may be worse after activity, when climbing stairs, or when standing on your toes. Discomfort may gradually increase.
How Can You Reduce Irritation?
Choose shoes with soft or open backs that do not press directly against the bump. A heel lift or properly selected shoe insert may also reduce tension, but it should not make the shoe too tight.
Other treatment options may include:
- Temporarily modifying painful activities
- Applying ice for short periods
- Stretching the calf muscles appropriately
- Using physical therapy or custom orthotics
- Taking medication when medically appropriate
Changing shoes may reduce friction, but it will not remove a bony enlargement. Avoid cutting into or padding the area so heavily that the shoe becomes tighter. Learn more about how improper footwear can contribute to Achilles pain.
When Should You See a Podiatrist?
Schedule an evaluation if the bump continues to grow, causes persistent pain, or interferes with walking or footwear. Sudden pain, a popping sensation, or difficulty pushing off the foot requires prompt attention.
Pain behind your heel can make every step uncomfortable, but finding the cause is the first step toward relief. The podiatrists at New Jersey Podiatric Physicians & Surgeons Group can identify what’s causing your pain and recommend treatment based on your symptoms, activity level, and foot structure. Find an NJPPSG location near you to take the next step toward more comfortable movement.
