Differential Diagnosis for Tender and Swollen Bump on Heel
Single Most Likely Diagnosis
- Plantar Fasciitis: This condition is characterized by inflammation of the plantar fascia, leading to pain and swelling on the heel. It's a common issue, especially among individuals who engage in activities that put stress on the heel, such as running or standing for long periods.
Other Likely Diagnoses
- Achilles Tendinitis: Inflammation of the Achilles tendon can cause pain and swelling at the back of the heel. This condition is common in athletes or individuals who suddenly increase their physical activity.
- Bursitis: Inflammation of the bursae (fluid-filled sacs) near the heel can cause swelling and pain. This condition often results from repetitive motion or pressure on the heel.
- Heel Fat Pad Atrophy: This condition involves the loss of the fat pad on the heel, leading to pain and swelling due to the lack of cushioning.
- Sever's Disease: A common condition in adolescents, characterized by inflammation of the growth plate in the heel, causing pain and swelling.
Do Not Miss Diagnoses
- Osteomyelitis: A bone infection that can cause pain, swelling, and redness on the heel. Although less common, it's a serious condition that requires prompt medical attention.
- Tumor (Benign or Malignant): Although rare, tumors can cause a bump on the heel. Early detection is crucial for effective treatment.
- Infection (Cellulitis or Abscess): Bacterial infections can cause swelling, redness, and pain on the heel. Prompt treatment with antibiotics is necessary to prevent complications.
Rare Diagnoses
- Paget's Disease: A rare condition characterized by an abnormal breakdown and regrowth of bone tissue, which can cause pain and swelling on the heel.
- Heel Neuroma: A rare condition involving the growth of nerve tissue on the heel, leading to pain and swelling.
- Gout or Pseudogout: Although more common in the toes, these conditions can cause sudden, severe pain and swelling on the heel due to the deposition of urate crystals.