Painful Heel Lump or Bump on the Back of the Foot

Painful Heel Lump or Bump on the Back of the Foot

Painful Heel Lump: The cause of back of the heel pain are a haglund’s bump, achilles calcification and achilles bursitis.

Causes Of A Painful Back Of The Heel Lump:

1) Back Of The Heel Bone Formation:

  • A lump or bump at the back of the heel is  a Haglund’s bump.
  • It can also be called an enthesopathy: this means calcification of the Achilles tendon.
  • This is basically excess bone that forms over time due to improper rubbing and biomechanics.
  • This is especially likely in females that wear improper shoes like flats or high heels.
  • This excess bone formation of bone at the back of the heel can put pressure on the soft tissue.
  • This will eventually lead to irritation and inflammation in the area.


Painful Heel Lump or Bump on the Back of the Foot
A painful heel lump or bump is known as a Hagland’s bump, this can be very painful!

2)Back Of The Heel Bursitis:

  • There are two gel-like pouches on the inside and on the outside of your Achilles tendon.
  • These pouches  are known as bursa.
  • The normal function of the bursa is to provide a lubricated surface for the Achilles tendon to slide.

  • It should allows the tendon to slide between the bone and the skin.
  • If one of these get inflamed or damaged you can get a condition known as bursitis.


Painful Heel Lump or Bump on the Back of the Foot
A heel lump or bursitis can lead to Achilles tendinitis.


Who Gets A Back Of The Heel Lump Or Bump:

  • The most likely demographic to be affected are females aged 20-30 years old.
  • Especially those who wear high heel shoes.
  • It is more likely in people with a high arched foot.
  • Those who frequently have friction against the back of their heel.
  • But It can happen to anyone.


Plantar Fascia Foot Pain
If the pain is at the bottom of the heel, then suspect plantar fasciitis!


Back Of The Heel Lump Or Bump Symptoms:

  • Can be fast on setting pain or very gradually on setting pain.
  • Pain that hurts before motion and starts to get better as you move around more.
  • The back outside of your heel is painful.
  • Achilles tendon insertion pain is likely.
  • Inflammation and redness likely in the skin.


Painful Heel Lump X-rays:

  • Large bump on the upper outside of your heel (Haglund’s deformity).
  • Calcification of the insertion of the Achilles tendon.
  • Soft tissue swelling (bursitis).
  • Rule out any damage to the Achilles tendon.
  • Rule out any heel spur.



Treatment Guide

Here is the guide on how to handle a Haglund’s bump in 3 easy steps:


Stage 1: Conservative Treatment

Stage 2:  Extensive Conservative Treatment or Surgery

Stage 3: Surgery




Other Back Of The Foot Pain Causes:

1)Achilles Tendinitis:

  • If the pain appears more slowly and you cannot physically feel a bump on the back of your foot.
  • Suspect Achilles Tendinitis.

2)Plantar Fasciitis :

  • Suspect this if the bottom of your heel is hurting.
  • Suspect this if your arch is also hurting.
  • This is the most common cause of heel pain.

3)Tarsal Tunnel Syndrome:

  • Suspect these if you have numbness burning or tingling.