Lump on Achilles Tendon: Causes, Symptoms, and Recommended Podiatry Treatments

Blog 88 – Lump on Achilles Tendon: Causes, Symptoms, and Recommended Podiatry Treatments

If you’ve noticed a lump on your Achilles tendon, it’s important to understand what’s happening and why. This could be a sign of Achilles tendonitiscalcaneal bursitis, or Haglund’s deformity, each presenting unique challenges.

You might experience symptoms like pain, swelling, or a visible bump, making simple activities uncomfortable. Ignoring these signs can lead to chronic issues, so prompt evaluation by a podiatrist is essential.

But how can you identify the specific cause, and what are your treatment options? Let’s explore the path forward to lasting relief and an active lifestyle.

Key Takeaways

Common causes and Risk Factors

A lump on the Achilles tendon often arises from several common causes, including Achilles tendonitis, calcaneal bursitis, and a bone enlargement like Haglund’s deformity. It’s essential to recognise these conditions to effectively address and manage the associated Achilles tendon pain and lump on the heel:

Common Causes Characteristics Risk Factors
Achilles Tendonitis
Inflammation leading to pain and lump
Repetitive stress, tight calf muscles
Calcaneal Bursitis
Fluid-filled swelling near heel bone
Improper footwear, overuse
Haglund's Deformity
Bony enlargement causing visible bump
High arches, stiff shoes

Achilles tendinitis happens due to overuse, causing tendon fibres to tear and swell. You might notice a painful lump on the heel, particularly if you’re engaging in repetitive activities like running.

Calcaneal bursitis involves inflammation of the bursa, leading to swelling and tenderness where the heel meets the Achilles tendon. Tight calf muscles or poorly fitting shoes can exacerbate this condition.

Haglund’s deformity presents as a bony bump on the heel, often made worse by stiff shoes and high arches. Recognising these risk factors can guide you towards preventive measures, such as proper footwear, stretching, and modulating activity levels to manage detached Achilles tendon concerns.

Recognising Symptoms and Complications

Recognising the symptoms and complications of a lump on the Achilles tendon is essential for effective management and prevention of further issues. You might notice pain, swelling, and redness at the back of your heel. These symptoms often accompany conditions like Haglunds deformity or Achilles tendonitis. It’s also common to see a visible bump, which can become irritated by footwear, leading to calluses or blisters.

Don’t ignore these signs, as untreated lumps can escalate to more severe problems. Here are three potential complications if a lump on the Achilles tendon isn’t addressed promptly:

  • Persistent Pain

    Persistent discomfort can disrupt daily activities and lower your quality of life.

  • Limited Mobility

    You may find it difficult to walk or participate in physical activities due to stiffness and reduced range of motion.

  • Tendon Damage

    Ongoing irritation and inflammation can weaken the tendon, potentially leading to ruptures.

Prompt evaluation by a podiatrist ensures accurate diagnosis and tailored treatment. Treatments like orthotic devices, physical therapy, and, in severe cases, surgery can provide lasting relief. By addressing symptoms early, you can prevent complications and maintain a healthy, active lifestyle.

Diagnostic Approaches for Achilles Lumps

Diagnosing a lump on your Achilles tendon requires a thorough approach combining clinical assessment and advanced imaging techniques:

  • Physical Examination

    Your podiatrist will begin with a physical examination to evaluate the size, location, and tenderness of the lump. They'll assess your range of motion and check for any visible signs of inflammation or deformity.

  • Ultrasound Test

    To gain a more in-depth understanding of your condition, your podiatrist may employ various imaging tests. Ultrasound scanning offers real-time images, allowing for immediate assessment of the lump's nature and extent. This non-invasive technique can reveal soft tissue abnormalities and help differentiate between various conditions affecting the Achilles tendon.

  • MRI Test (if required)

    For a more detailed view, an MRI scan may be ordered. This advanced imaging method provides high-resolution images of the lump and surrounding structures, enabling your podiatrist to make a more accurate diagnosis and develop an appropriate treatment plan.

  • Biopsy Test (rare cases)

    In some cases, particularly when there's concern about underlying conditions, your doctor may recommend a biopsy of the lump. This procedure involves taking a small tissue sample for laboratory analysis, helping to rule out serious conditions and guide your treatment approach.

Effective Podiatric Treatment Options

To effectively address a lump on the Achilles tendon, podiatrists employ a range of treatment options tailored to the patient’s specific condition:

  • Custom Orthotics

    First, orthotic devices can alleviate pressure on the tendon and offer vital support. These custom-made insoles help redistribute weight and reduce friction, thereby minimising pain and preventing further aggravation.

  • Physical Therapy

    Second, engaging in physical therapy exercises is crucial. Strengthening the surrounding muscles and enhancing the tendon's flexibility can greatly reduce discomfort and promote healing. Podiatrists may recommend specific routines aimed at stretching and fortifying the Achilles tendon to improve overall mobility and function.

  • Surgery (rare cases)

    Lastly, when conservative methods fail, surgical intervention might be necessary. In severe cases, removing the lump and repairing any damage to the tendon can provide significant relief. Your podiatrist will discuss the most suitable approach based on your individual needs.

When to Seek Professional Help

Many individuals with a lump on their Achilles tendon may wonder when professional intervention is necessary. You should seek professional help if you notice a painful, growing, or mobility-affecting lump on your Achilles tendon. A prompt evaluation by a podiatrist is vital to determine the cause and recommend appropriate treatment.

Ignoring a lump on the Achilles tendon can lead to serious complications, including tendon tears or ruptures. Professional assessment helps differentiate between benign conditions and more severe issues like Haglund’s deformity. Early intervention by a podiatrist can prevent symptom worsening and improve the prognosis for lasting treatment.

Warnings Signs Action Required
Pain
Seek professional help
Growth in size
Consult a podiatrist
Mobility issues
Schedule evaluation
Persistent swelling
Request assessment
Skin changes
Obtain medical opinion

In Closing...

You’ve learned about Achilles tendon lumps, their causes, and treatments. Remember, early intervention is essential. Studies show that 24% of athletes experience Achilles tendinopathy, highlighting the prevalence of this condition.

Don’t ignore persistent pain or swelling. Consult a podiatrist promptly for a thorough evaluation and personalised treatment plan.

With proper care and adherence to podiatric recommendations, you can effectively manage Achilles tendon lumps and maintain ideal foot function.

You don’t need to put up with Achilles Tendonitis any longer.  Our team of experienced Podiatrists have the education and experience to get you moving pain free again.  Take control today by booking in online or call us today on (03) 8104 9270 to get this issue sorted once and for all.

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Bellevue Podiatry

Bellevue Podiatry has been serving the people of Rosanna and its surrounding suburbs for over 12 years. We have the qualifications, experience and education to effectively treat any lower limb condition or injury that requires expert podiatry care.

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