I developed them when I was young. They are only a problem for me in some shoes; generally shoes with a stiff plastic heel counter. Even then, it depends on the shoe.

For shoes that are a problem, I use a sharp razor blade to slice open the back of the shoe over the bump. Be careful to not cut through to the fabric on the inner side of the shoe. (If you cut all the way through, the fabric will quickly ball-up, wear-out, etc.) I then sometimes use the handle of a small screw driver to push the plastic out.

Note that the plastic in heel counters is generally heat moldable. So you can also try using a heat gun to heat the plastic, then push an accommodating bump into the plastic. But, you will risk melting the fabric... Proceed cautiously, and try this on old shoes first.[/img]

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2015 USAT Long Course National Champion (M50-54)

Thanks Paul.

Have yours gone away or do you have to tolerate them all the time?

The bumps are always there. They are not painful to touch, but if I am walking in bare feet, they are obvious. (People sometimes comment on them.) As long as there is little to no pressure, they don't cause me any issues.

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2015 USAT Long Course National Champion (M50-54)

I used Dr. Scholl's bunion cushions for years. I'd cut the center hole a little larger, and place it around the bump. That allowed enough pressure relief. Dr. Scholl's would stay in place throughout an IM, but other brands would not. For a long time I had a subscription to them, but they stopped making them. I still have some, but after many years, I'm not currently having the problem.
If I wasn't running, I always wore sandals or shoe without a heel cup. Nothing could touch my heel. I still won't let them touch the bed when I sleep, but that's more habit now.