 You can go to therapy to stretch your Achilles and you can put inserts in your shoes to try to get that bump away from the back of your heel. Sometimes rarely we need to do surgery to take the bump off. So what is the bump itself? Is it like a growth on the bone? Is it like muscle that's kind of jumbled up? What is it? It's a couple of things. It could be a bony overgrowth that wasn't there when you were younger, but as you got older, it started to develop there. But it can also be the reaction of the Achilles tendon to the bump where it gets inflamed and degenerative.