The aim is to avoid pressure on the prominence which can often be achieved by adjusting footwear or putting some protective padding around the painful area. In particular, when the overlying soft tissue is a red and inflamed protection from pressure is very helpful. In addition, an aspiration of fluid can be performed if ultrasound scan confirms a bursa (fluid collection).
Shockwave treatment can be very helpful for persistent pain arising from calcification within the Achilles tendon but if the painful prominence is arising from the heel bone surgical excision might be the only successful option. Using modern techniques, recovery is relatively quick and results are very satisfactory.
