Wearing the wrong type of shoes is one of the most common reasons for heel pain because the lack of proper support by footwear causes the plantar fascia fibers to undergo stress. Wearing the right size of shoes as well as the use of soft insoles will counter strain on the foot and ensure comfort. Heel pain needs to be correctly identified, and in many canse the nature of the pain can lead to a quick and rapid diagnosis. Specific problems manifest themselves in certain symptoms, or groups of symptoms, although most lead to the pain intensifying over time. I'm a construction worker and have to be on my feet most of the time. My feet never gave me any trouble until a few weeks ago when I had to carry lumber up and down stairs several times a day. After about a week on the job I noticed pain in my heel to the extent that I could barely walk. I had a vacation coming up so I thought I'd give it a rest to see if it got better. But it's just as bad and even worse first thing in the morning. What can possibly be causing it?" Pump Bump may also be referred to as a Haglund's deformity as well as a retrocalcaneal bursitis. Typically, women most commonly complain of the irritation due to their selected shoes designed for fashion rather than comfort. The pain is sharp and along the side of the Achilles tendon insertion into the heel. Many of my patients find significant relief when they wear athletic shoes or backless shoes, but additional treatment is often needed to be completely pain free. On examination, the back of the heel will appear red, slightly swollen and painful to the touch. X-rays or ultrasound will often reveal some degree of boney deformity or mechanical disruption. Instead, I disciplined myself to begin the day by performing ten to twelve foot flexes while sitting on the edge of the bed. This involved moving the feet up and down off the floor with a slight pulling feeling at the back of the leg. Once done I'd then stand on both feet and walk around the house until the initial tightness and stiffness felt at the back of the heel and calves had slowly eased. Later on during the day I would commence a program of foot exercises involving gentle but progressive stretching of the calf muscles and hamstrings. Foot pain is very common and an estimated 75% of people will suffer from some type of foot pain at some point in their life. The foot is a complex structure made of 26 bones, 33 joints and layered with an intertwining web of more than 120 muscles, ligaments and nerves. With each step we take, a force of 2-3 our body weight is placed on our feet and during a typical day, people take 8,000 - 10,000 steps. Therefore it comes as no surprise that at some time in our lives we will suffer some type of foot complaint.