Why Does the Back of My Heel Hurt? Causes and Solutions By Dr. Kashyap Solanki – Orthopaedic Surgeon, Andheri East, Mumbai

Heel pain, especially at the back of the heel, is a common issue that can affect your ability to walk, run, or even stand comfortably. Understanding the possible causes can help you seek the right treatment early and avoid complications.

Common Causes of Back Heel Pain

1. Achilles Tendinitis

This is inflammation of the Achilles tendon—the thick band that connects your calf muscles to the heel bone. It typically occurs due to overuse, especially in runners or after a sudden increase in activity.

2. Haglund’s Deformity

Also called “pump bump,” it’s a bony enlargement at the back of the heel that can rub against shoes and cause pain, redness, and swelling.

3. Retrocalcaneal Bursitis

The small fluid-filled sac (bursa) near the Achilles tendon can become inflamed due to repetitive stress, tight footwear, or poor foot alignment.

4. Sever’s Disease (in Children & Teens)

Seen in growing children, especially those active in sports, this condition involves inflammation of the growth plate in the heel.

5. Insertional Achilles Tendinopathy

This involves degeneration or damage where the Achilles tendon inserts into the heel bone, often seen in middle-aged individuals and may be accompanied by calcification.

Solutions and Treatment Options

🔹 Rest and Ice – Reduce inflammation by resting and applying ice to the area.

🔹 Proper Footwear – Avoid tight shoes and opt for cushioned soles or heel lifts.

🔹 Stretching Exercises – Calf stretches and eccentric loading exercises can help improve tendon health.

🔹 Physical Therapy – Guided rehab programs can address biomechanical issues.

🔹 Orthotics – Custom insoles may help correct foot alignment and offload pressure.

🔹 Medical Treatment – In stubborn cases, anti-inflammatory medications, shockwave therapy, or PRP injections may be advised.

🔹 Surgery – Reserved for severe or chronic cases not responding to conservative care.

When to See a Specialist

If your heel pain persists for more than a few days, worsens with activity, or interferes with walking, it’s best to consult an orthopaedic specialist. Early diagnosis can prevent long-term damage and ensure quicker recovery.

About Dr. Kashyap Solanki

Orthopaedic Surgeon – Andheri East, Mumbai

Dr. Kashyap Solanki specializes in hip and knee replacement, robotic-assisted knee surgery, and joint preservation procedures like HTO, arthroscopy, and ligament reconstruction. He is also known for performing complex revision joint replacements and managing challenging upper and lower limb fractures. With a focus on precision and patient-centered care, Dr. Solanki helps restore mobility and improve quality of life through advanced orthopaedic solutions.

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