Occasionally the Achilles calcification fragments or breaks making it symptomatic. If the usual measures mentioned above for tendonitis don't calm symptoms down, then surgery may be recommended. This is more likely if the calcification is fragmented and toe stands cause pain. Pump Bumps and bursitis in the back of the heel are due to bony prominances on the heel bone itself. Bursitis is an inflammation of the sack or cushion that protects the bone from pressure.
Conservative measures mentioned above along with accommodative padding are helpful.
Surgery is less likely for these conditions than for the others mentioned above. I usually don't recommend surgery for the chronic Achilles conditions unless patients have tried six months or more of conservative treatment. As with any health problem, the treatment is more successful with an accurate diagnosis. Achilles tendon problems don't have to be your weakness. Don't fool yourself thinking it can't be that bad if it doesn't hurt while you exercise.