Piezogenic Pedal Papules—What Are Those Bumps on Your Heel?

Have you ever stood up, looked at your heels, and spotted little skin-coloured bumps that seem to appear out of nowhere? You might have thought they were blisters or something to worry about—but in many cases, they’re actually something called piezogenic pedal papules.

The name sounds complex, but don’t panic. These little bumps are usually harmless. Let’s break it down in plain English.

What Are Piezogenic Pedal Papules?

Piezogenic pedal papules are small, soft bumps that show up on the sides or backs of your heels when you stand or put weight on your feet. They tend to disappear when you sit down or take the pressure off.

They form when tiny pockets of fat from under the skin push through the connective tissue, a bit like a cushion poking through a pillowcase.

Who Gets Them?

They’re surprisingly common—especially in:

• People who stand for long periods

• Runners or athletes

• Those with looser connective tissue (can be more common in women)

• People with certain conditions like Ehlers-Danlos syndrome

Even children can get them, and in most cases, they cause no trouble at all.

Do They Hurt?

For many, they’re painless and nothing to worry about. But for some, especially if there’s extra pressure or strain on the heels, they can become tender. This can happen if:

• You stand for hours at work

• You’re wearing unsupportive shoes

• You’re doing high-impact activities like running or jumping

How Are They Treated?

If your piezogenic papules aren’t painful, you don’t usually need treatment—just reassurance that they’re harmless.
If they are sore, your podiatrist might suggest:

• Supportive shoes with cushioned heels

• Orthotics to reduce pressure on the heels

• Avoiding long periods of standing where possible

• Gentle stretches for your calves and feet to relieve tension

When to See a Podiatrist

If you’re unsure whether your heel bumps are piezogenic papules, or they’re painful and affecting your daily activities, it’s worth getting them checked. At The Foot & Lower Limb Clinic, we can confirm the diagnosis and give you practical ways to relieve discomfort.

Final Thoughts

Piezogenic pedal papules might have a big, complicated name, but they’re usually just a normal response to pressure on your feet. Knowing what they are—and how to manage them if they cause discomfort—can take away the worry and keep you moving comfortably.

If heel bumps are bothering you, we’re here to help you find relief and keep you on your feet without pain.