Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
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Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Trusted by 1M+ Social Media Followers
Our foot specialists provide accurate diagnosis and personalized treatment plans to help you heal quickly and prevent it from coming back.
Trusted by 1M+ Social Media Followers
Find Expert Podiatry Care at the Location Nearest You.
Bloomfield Hills
43494 Woodward Ave # 208, Bloomfield Twp, MI 48302
This video goes over what causes the back of the heel pain. It then goes over the BEST back of the heel pain treatment options!
The most common causes:
Persistent heel pain isn’t something you should ignore. Our foot specialists at Michigan Foot Doctors provide expert diagnosis and tailored treatment plans to help you find fast, lasting relief. Book your consultation today.
Back of heel pain is more common than most people think—and it can quickly interfere with your daily life, from walking the dog to climbing stairs. The discomfort can range from mild stiffness to sharp, stabbing pain that worsens over time. To help you understand what might be causing the issue and how to treat it, here are the 6 most common causes of back of heel pain, along with their symptoms and treatment options.
Cause:
Overuse or strain on the Achilles tendon, often due to running, jumping, or wearing improper footwear.
Symptoms:
Treatment:
Cause:
Inflammation of the bursa (fluid-filled sac) between the Achilles tendon and the heel bone, usually due to repetitive stress or tight shoes.
Symptoms:
Treatment:
Cause:
A bony enlargement on the back of the heel, often caused by pressure from stiff shoes (like pumps or cleats).
Symptoms:
Treatment:
Cause:
A partial or complete tear of the Achilles tendon, often caused by sudden or intense physical activity.
Symptoms:
Treatment:
Cause:
Growth plate inflammation in the heel, typically affecting active children during growth spurts.
Symptoms:
Treatment:
Rest and activity modification
Cause:
Excess bone growth on the heel, often associated with chronic inflammation or pressure.
Symptoms:
Treatment:
You don’t have to live with discomfort every time you walk. Our team is here to help identify the cause of your heel pain and offer real solutions. Schedule your visit now and take the first step toward pain-free movement.
This is most commonly related to Achilles tendinitis, but this can lead to heel spurs, bone problems, and even bursa rubbing.
There is 4 very common back of heel pain causes:
We will recommend some great treatment options to get you feeling better almost immediately!
This is the Achilles tendon inserting into the calcaneus. As you get Achilles tendonitis for many years, it gradually rips out of the bone and causes an Achilles tendon heel spur.
Why do these problems happen?
The underlying cause of all of these is your Achilles pulling out due to too much stress, but at the same time, it can irritate against the back of your heel.
Back of the heel pain can be dangerous. This is an Achilles tendon tear from chronic Achilles tendonitis.
This is the start of a moderate insertional Achilles tendon-bone spur. This is a large spur that does rub the back of the heel for this patient. An option would be to cut out this spur, and this patient did not have complete relief with changing shoes, heel gel pads, and orthotics.
This is a true Achilles tendon insertional heel spur. This patient had years of chronic Achilles tendonitis pain. This led to chronic hearing out of the Achilles tendon from the bone, and as it bled, that blood turned into bone over many years.
The Achilles tendon is most susceptible to pain in the 2-6cm region above the calcaneus. This is called Achilles tendonitis.
A large rounded bump like this is called a Haglund’s bump. This is not quite an Achilles tendon insertional heel spur.
Also, Consider:
For more information about the back of heel pain, visit Bursitis of the heel.
This is a bone spur at the bottom of the heel. This is caused by a condition called plantar fasciitis.
Achilles tendon-bone spur is at the back of the heel where the Achilles tendon inserts.
Plantar fasciitis is a horizontal strain of the plantar fascia ligament. Fat fad heel atrophy is the loss of fatty tissue on the heel. Most people under 75 years old have plantar fasciitis. As you get older, it is possible to get heel pad atrophy.
Foot Fat Pad Atrophy is a condition where the natural cushioning on the ball or heel of the foot thins, causing pain and pressure. Treatment focuses on relieving discomfort, improving support, and restoring mobility.
Plantar fasciitis is a horizontal strain of the plantar fascia ligament. Fat fad heel atrophy is the loss of fatty tissue on the heel.
Most people under 75 years old have plantar fasciitis. As you get older, it is possible to get heel pad atrophy.
Bottom of the foot pain at the heel is most commonly by plantar fasciitis & heel spurs.
You can also get a stress fracture, fat pad withering, bruising and more!
This happens after a long-running or a big fall.
A bruised heel occurs when the fat pad under the heel becomes damaged from repeated impact or sudden force, such as running, jumping, or walking on hard surfaces. It causes deep heel pain and tenderness, especially when standing or walking, and often improves with rest, cushioning, and proper support.
This is a deep contusion after stepping on a stone.
A stone bruise in the heel happens when a small, hard object or sharp impact compresses the heel’s fat pad against the heel bone, causing deep tissue injury. It leads to sharp, localized heel pain when walking and may feel like stepping on a rock, even without visible bruising.
If the pain is at the bottom of the heel or arch: Consider Arch Pain.
This is the back of the ankle joint anatomy: You can back the heel pain where the Achilles tendon inserts into the calcaneus.




















Click this link for the best podiatrist recommended orthotics!
Best Full Length Achilles tendonitis Orthotics:








Best Dress Shoe Achilles tendonitisOrthotics:






Best 3/4 Length Achilles tendonitis Orthotics:










































Our experienced podiatric surgeons combine precision, care, and innovation to deliver successful outcomes in flatfoot reconstruction. With modern facilities, patient education, and compassionate care, we’ve become the trusted choice for foot and ankle surgery in Southeast Michigan. We’re committed to restoring your stride—comfortably and confidently.
Real Relief, Real Results
“Finally Relief from Back of Heel Pain”
“I had constant pain in the back of my heel that made walking and standing uncomfortable. After visiting Balance Foot & Ankle Specialist, Dr. Tom Biernacki took the time to explain what was causing my pain and created a treatment plan that actually worked. Within weeks, I noticed a huge improvement. I’m so grateful for the care I received in Howell.”
“Professional Care That Truly Helped”
“I struggled with back of heel pain for months and tried resting and changing shoes with no success. The team at Balance Foot & Ankle Specialist in Bloomfield Hills was incredibly knowledgeable and kind. Dr. Biernacki diagnosed the issue quickly and recommended treatment that relieved my pain without surgery. I can walk comfortably again.”
“Highly Recommend for Heel Pain Treatment”
“The pain at the back of my heel was affecting my daily life. From my first visit, the staff made me feel comfortable and well cared for. Dr. Tom Biernacki and his team provided effective treatment and clear guidance throughout my recovery. I highly recommend Balance Foot & Ankle Specialist to anyone dealing with heel pain.”
Trusted. Experienced. Compassionate.
Board-certified podiatrist specializing in diabetic care, senior foot health, wound care, and mobility restoration. Known for a compassionate, gentle approach.
Experienced in geriatric foot conditions, chronic pain treatment, and difficult toenail management. Highly rated by Michigan seniors for comfort-focused care.
Experienced in treating a variety of conditions including diabetic foot care, foot pain and trauma.
Brings a fresh, patient-focused perspective to foot and ankle care, combining her medical expertise with a strong passion for helping others.
Common causes include Achilles tendinitis, retrocalcaneal bursitis, and Haglund’s deformity.
Achilles tendinitis usually causes pain, stiffness, and swelling in the back of the heel or lower calf, especially after activity.
No, plantar fasciitis typically affects the bottom of the heel, not the back.
Yes, shoes with poor heel support or stiff backs can irritate the Achilles tendon or bursae.
If the pain persists for more than a week, worsens, or affects your ability to walk, you should see a specialist.
Treatments may include rest, physical therapy, orthotics, anti-inflammatory medication, or in some cases, surgery.
It can be, especially if the Achilles tendon is tight after sleep or long periods of inactivity.
Yes, specific stretches for the Achilles tendon and calf muscles can relieve tension and pain.
With proper care, mild cases can improve in a few weeks. More severe conditions may take several months.
Our specialists use advanced diagnostics to differentiate between simple strain and serious conditions like Sever’s Disease or tendon tears.