I'm afraid it's eventually going to affect the tendon tissue. I have knot/ bump about size of 1/3 golf ball on back of my heal and goose egg bump on my big toe joint about of dime that crowns up 3/8 " or more. Those are the two that bother me the most. Smaller one on my little toe joint, and small one under the heal. Going on my 4th year gradually getting worse. I'll go in couple months see again if tissue damage has gotten worse? I suspect the damage to my feet was from wearing steel toed boots for 30 plus years?
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