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Back-of-Foot Pain: Causes | Dr. Tom Biernacki Michigan

Quick answer: Foot Pain Causes Back Of Foot has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The most common causes we identify are overuse, ill-fitting shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.

Back-of-Foot Pain

Back-of-foot pain has 4 main causes: 1) Achilles tendinitis (insertional and mid-substance), 2) Retrocalcaneal bursitis (between Achilles and bone), 3) Haglund’s deformity (pump bump), 4) Achilles rupture (sudden pop). Each treated differently.

Back-of-Heel Issues

Achilles tendinitis insertional: Right at attachment. Heel lifts help; don’t do heel drops.
Achilles tendinitis mid-substance: 2-6 cm above. Eccentric heel drops.
Retrocalcaneal bursitis: Between tendon and bone.
Haglund’s: Visible bony bump. Pump bump.
Achilles rupture: Sudden pop. Emergency.

FAQ

How do I tell insertional vs mid-substance Achilles?

Insertional at bone attachment. Mid-substance 2-6 cm above heel.

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Frequently Asked Questions

When should I see a doctor?

See a podiatrist if pain persists past 2 weeks, prevents normal activity, or is accompanied by red-flag symptoms (warmth, swelling, numbness, inability to bear weight).

Can I treat this at home?

Mild cases respond to RICE protocol (rest, ice, compression, elevation), supportive shoes, and OTC anti-inflammatories. Persistent symptoms need professional evaluation.

How long does it take to heal?

Most soft tissue injuries resolve in 2-6 weeks with appropriate care. Bone injuries take 6-12 weeks. Chronic conditions need longer-term management.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.