HomeAnswersPhysiotherapyheel painI am suffering from heel and bump pain. Please help.

What is the treatment of heel pain?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Atul Prakash

Medically reviewed by

iCliniq medical review team

Published At January 24, 2024
Reviewed AtJanuary 24, 2024

Patient's Query

Hi doctor,

Three days ago, I woke up with stabbing pain in the bottom of my right heel. It hurts to walk, and there were no previous injuries or unusual activities that could have caused this pain. I massaged the heel the same day and noticed a small flesh-colored bump on the inside of the right heel (under the skin, not a wart). When I pushed on this area, the pain in the bottom of the heel seemed to release somewhat, but the bump turned red or purple under the skin. Now, I have pain in both the bottom of my heel and the side of the heel where this bump is. I went to a podiatrist today, and the X-ray was normal with no findings. He is unsure about the heel pain and the bump and suggested a magnetic resonance imaging (MRI) if it does not improve in a week. He mentioned that the bump could be a possible small cyst or vein problem. I have read about piezogenic pedal papules and think this bump could be that, and maybe I popped it when I pressed on it. However, I am unsure about the heel pain. I am scared but can not afford a magnetic resonance imaging (MRI). Please help.

Answered by Dr. Atul Prakash

Hi,

Welcome to iCliniq.

I do understand your concern.

I am sorry. I can not comment on the exact cause of pain without examining you or looking at clinical pictures. Piezogenic papules are simply pressure-related fat extrusions through the thick, deep layer of the skin. You cannot pop a piezogenic papule like a balloon. This is a cosmetic issue and rarely causes pain. For painful papules, icing the area may help. If there is no improvement, steroid and local anesthetic injections can be tried. Take NSAIDs (non-steroidal anti-inflammatory drugs) for 10 days and ice the area to see how you are in a week.

Thank you for reaching out to me at iCliniq.com.

I hope I was able to help you. Wishing you better health.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atul Prakash
Dr. Atul Prakash

Orthopedician and Traumatology

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