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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31315
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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The back of my heels hurt to touch and walking but my feet

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The back of my heels hurt to touch and walking but my feet do not swell up at all and my aquilies tendons make a crackle noise when i stand on my toes

Hello Thomas,
I am Dr. Arun and will be helping you today.

Since when are your symptoms?
Was there any injury?
Is the pain more on early morning or after you sit for a long duration?

Thanks for using Just Answer.

Customer: replied 3 years ago.
No injury, pian in morning and after work, i dont want these tendons to tear

Hello Thomas,

The conditions to consider for your symptoms are;


1) Achilles tendinitis; heel tendon inflammation

2) Retrocalcaneal bursitis; bursa are fluid filled sac (pocket like structures) for smooth movement of the tendon, which can get inflamed and termed bursitis. The heel bone is called calcaneum and the bursa below it is inflamed thus the term retrocalcaneal.

3) Plantar fasciitis; heel has got a soft tissue underneath called as plantar fascia, inflammation of which is called plantar fasciitis.

4) Calcaneal periostitis; heel bone inflammation

5) Calcaneal spurs; wear and tear arthritis forms small bone growth.


MRI is the best to diagnose it. The specialists to consult would be;


a) Orthopedic

b) MD in physical medicine and rehabilitation.


The treatment is almost same for all these conditions with the minor variations. Following would help you;


1) Moist heat or ice compresses; whatever suits you

2) Anti-inflammatory analgesics like Ibuprofen

3) Local analgesic ointment /spray

4) Physical therapy

5) Deep electrotherapy like iontophoresis, phonophoresis, short wave diathermy, electrical stimulation etc.

6) Consideration of steroid shot

7) Shock wave therapy

8) Custom-fabricated inserts in shoe-wear


There is a new therapy called as autologous blood injection in which your own blood is injected at the pain site, is said to be quite effective. Shock wave therapy is available in sport medicine clinics or physical therapy clinics.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.


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Dr. Arun Phophalia and 2 other Health Specialists are ready to help you
Customer: replied 3 years ago.
why do my achilies tendons make a crackling noise when i stand on my toes
Customer: replied 3 years ago.
why do my achilies tendons make crackle sounds
Hello Thomas,

This can be due to bursitis, causing crackling of tendon. This itself is not a sign of a serious issue. Physical therapy and deep electrotherapy are likely to take care of it.

It is privilege assisting you.

Dr. Arun
Customer: replied 3 years ago.
what causes the issues with the heel and tendons, im always on my feet and four days a week at the gym
It can be inflammation of tissue around tendon (tendonitis) due to over exertion or over work.