That said, sometimes adding a small heel lift to the shoe will help as it may raise the heel just enough so that the top back portion of the shoe does irritate the enlarged bone and bursal sac. If the area is not too inflamed and painful, one may try some of the new gel cushions that are available in an effort to reduce friction.From a medical stand point, short term anti-inflammatory medication may help but of course will not cure if the shoe is still irritating the area. Cortisone injections in very limited amounts, as well as physical therapy may also be effective.In instances where conservative measures fail, the patient should entertain surgical excision whereby the overgrowth of bone is removed as well as the overlying bursitis. This is usually reserved for people who have stopped wearing the shoes that originally caused the problem, but are still having pain nonetheless. Unfortunately, many foot problems can continue to be bothersome even when the causative agent is identified and removed. (Once you have it; you have it!)For more information on various causes of foot pain, as discussed by a podiatrist, click here. A podiatrist with over 25 years of clinical experience discusses various types of foot, ankle and lower leg pain and medical conditions. For more information on various causes of foot pain, as discussed by a podiatrist, click here.