White Bumps on Heels: When to See an Orthopedic Specialist?

The pressure on the heel causes the formation of small white particles?

When pressure is applied to the foot while standing on the floor, there are white protrusions on the heel that resemble lymphatic tissue.
These only appear when weight is placed on the floor and are not painful.
Since there is an increase in these protrusions, should I see an orthopedic specialist, or is it something I can ignore?

Zhang, 30~39 year old female. Ask Date: 2023/08/21

Dr. Chen Bochen reply Orthopedics

If there is a continuous increase, you should seek medical attention.

Reply Date: 2023/08/21

More Info

When it comes to white bumps on the heels that appear only under pressure, it is essential to understand the potential causes and when to seek medical advice. Based on your description, these white bumps may be related to a few different conditions, and while they are not causing you pain, it is still advisable to monitor them closely.

One possible explanation for the white bumps could be related to the skin's response to pressure or friction. Conditions such as calluses or corns can develop on the feet due to repeated pressure or irritation. These areas of thickened skin can appear white and may feel firm to the touch. They are generally not painful unless they become too thick or are subjected to excessive pressure. If these bumps are indeed calluses or corns, they can often be managed with proper foot care, including regular exfoliation and moisturizing.

Another possibility is that these bumps could be related to a condition known as plantar fibromatosis, which involves the growth of fibrous tissue in the plantar fascia. This condition can lead to the formation of nodules or lumps on the heel or arch of the foot. While these nodules are typically painless, they can sometimes cause discomfort if they become large enough to interfere with footwear or walking.

In some cases, the bumps could also be related to cysts or other benign growths that may form in response to irritation or pressure. These growths can vary in appearance and may require evaluation to determine their nature.

Given that the bumps only appear when weight is applied and do not cause pain, it may not be an immediate concern. However, it is essential to keep an eye on them. If you notice any changes in size, color, or if they begin to cause discomfort, it would be wise to consult an orthopedic specialist or a podiatrist. They can perform a thorough examination, possibly including imaging studies, to determine the exact nature of the bumps and recommend appropriate treatment if necessary.

In summary, while the white bumps on your heels may not require immediate attention, it is crucial to monitor them for any changes. If they become painful or if you have concerns about their appearance, seeking the advice of an orthopedic specialist or a podiatrist would be a prudent step. Regular foot care, including proper footwear and maintaining skin health, can also help prevent the development of such conditions in the future.

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