The main question that comes to mind is "is it a problem?". You see, we often have differences from one body part to another but they may not be symptomatic.
Common symptoms from an Achilles insertional tendinopathy or Haglund's deformity include pain, swelling, redness, stiffness and an aching sensation with prolonged activity.
There also might be pain associated with the bursa that Dr Sean has mentioned together with discomfort when wearing shoes.
If the area is symptomatic, there are a few steps to consider:
1. An ultrasound scan of the tendon to assess the bony lump, determine if there are any tears or inflammatory changes around the tendon or if there is a bursa
2. Consider physiotherapy as often there is an element of hamstring or calf tightness
3. Consider shockwave therapy, which can help break down calcific changes that occur in the tendon, although it may be of less benefit in a Haglund's deformity.
4. If there are tears in the tendon or a painful bursa, you could consider a PRP or prolotherapy injection - a number of patient who have done well after this and are back to normal activity
5. If the symptoms are ongoing despite all these conservative treatments, perhaps consider a surgical intervention
Hope this helps you plan out your treatment a little bit better. I would suggest seeing a Physiotherapist or a Sports/MSK physician in the first instance - they can assess you clinically and investigate as appropriate.
BW
Dr Dinesh
