Diagnosed with " Peripheral Neuropathy " recntly a large lump on my left achilles has been growing and tender to touch?
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Large bulge above heel
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As a general rule, mass that is getting larger should be evaluated as soon as possible by a doctor who specializes in the treatment of that area. Attempting to diagnose a mass or "lump" on the Achilles' tendon without a proper physical evaluation would not be very useful or accurate. X-rays may be needed as well as possibly an MRI. Possible causes could include a partial rupture (tear) of the tendon or tendinosis (chronic degenerative changes within the tendon) as well as various types of soft tissue masses. Get an evaluation by a podiatrist in your area for proper diagnosis and treatment recommendations.
The prior comments by my colleagues are reasonable. Stop speculating and see a podiatrist who will obtain objective information such as x-rays, ultrasound or MRI to discern why you have your symptoms and help direct your subsequent treatment. I doubt your neuropathy is related but this too should benefit from an expert evaluation.
The lump can be initially evaluated with ultrasound imaging in an office setting in addition to evaluating the heel bone with an x-ray. The ultrasound is a good tool to evaluate the status of the Achilles tendon in addition to the looking at the nature of the "lump". An MRI can be used if the diagnosis is unclear or the "lump" needs to be removed. I also agree the neuropathy and the lump are unrelated. Yes, a podiatry visit is valid and warranted.
There are a number of things this could be - from a simple cyst to a bone spur on the back of the heel to a soft tissue tumor. Start by seeing a podiatrist, who will likely x-ray it. This will tell him or her if it is BONE or SOFT TISSUE. An MRI may be done if the x-ray is normal and there is no bony enlargement. A rupture of the Achilles tendon, while usually related to an injury - can occur without one. This can be a concern as it is always best to find out early and immobilize it if possible. It does not sound like the neuropathy has anything to do with the lump, but it is possible you injured it and didn't really feel any pain at the time.
What is you cholesterol reading. A tendon xanthoma can occur in the achilles. An MRI is indicated. http://radiopaedia.org/articles/achilles-tendon-xanthoma
A lump or focal enlargement of the Achilles tendon usually represents a condition referred to as tendinosis. This essentially represents the reparative process of a diseased or chronically inflamed tendon. If acutely inflamed (swollen and tender) there is an increased risk of rupture and it should be immobilized in a walking boot if possible. Although the lump may decrease in size with treatment, it rarely resolves completely but will function just fine.
The neuropathy and the lump are likely unrelated. The lump is most likely swelling of the Achilles Tendon or perhaps bursitis. Both can look similar. Both of these issues are treated similarly as well. However, any "lump" that continues to hurt, enlarges or changes for the worse should always be evaluated. A benign ganglionic cyst is also a possibility. Tumors are rare but not impossible. See your local podiatrist who can help you with the lump as well as the neuropathy.