Haglund’s Deformity: Causes, Symptoms, and Treatment
Haglund’s deformity, sometimes called a “pump bump,” is a bony enlargement on the back of the heel that can cause irritation, pain, and swelling. At the Foot Care Center, our podiatrists specialize in diagnosing and treating Haglund’s deformity to relieve heel pain and prevent long-term complications.
What Is Haglund’s Deformity?
Haglund’s deformity occurs when a bony enlargement forms at the back of the heel bone (calcaneus). This prominence often rubs against shoes, leading to irritation of the surrounding soft tissues, especially the Achilles tendon and the fluid-filled sac called the bursa. Over time, this friction can result in chronic heel pain and inflammation.
Symptoms of Haglund’s Deformity
- A noticeable bony bump at the back of the heel
- Heel pain, especially when wearing rigid shoes
- Redness, swelling, or tenderness at the heel
- Blisters or calluses where the bump rubs against footwear
- Achilles tendon discomfort or tightness
Causes and Risk Factors
Several factors can contribute to the development of Haglund’s deformity:
- Foot structure: High arches, tight Achilles tendons, or a particular heel shape can increase risk.
- Footwear: Rigid-backed shoes, such as pumps, dress shoes, or ice skates, can aggravate the heel.
- Overuse: Repetitive stress on the heel from running, walking, or athletic activity.
- Genetics: Inherited foot shape or gait issues may predispose some individuals.
How Haglund’s Deformity Is Diagnosed
At the Foot Care Center, diagnosis begins with a physical examination of the heel, followed by imaging tests if necessary:
- X-rays: To evaluate the bone structure and confirm the presence of a bony prominence.
- Ultrasound or MRI: To assess soft tissue involvement, such as bursitis or Achilles tendon irritation.
Treatment Options for Haglund’s Deformity
Non-Surgical Treatments
- Shoe modifications: Wearing open-back shoes or those with softer heels to reduce pressure.
- Heel pads or orthotics: Custom inserts to relieve stress on the heel and improve foot alignment.
- Anti-inflammatory medications: NSAIDs to reduce pain and swelling.
- Ice therapy: Applying ice packs to decrease inflammation after activity.
- Physical therapy: Stretching exercises for the Achilles tendon and strengthening routines.
Surgical Treatment
If conservative methods fail, surgery may be recommended to remove the bony enlargement and restore proper heel function. Our podiatrists perform minimally invasive procedures whenever possible to reduce recovery time and improve outcomes.
Complications of Untreated Haglund’s Deformity
- Chronic heel pain and swelling
- Development of bursitis (inflamed bursa at the back of the heel)
- Achilles tendon irritation or tendonitis
- Difficulty wearing shoes or participating in activities comfortably
Why Choose Foot Care Center for Haglund’s Deformity Treatment
The Foot Care Center offers comprehensive diagnostic testing and both conservative and surgical options for managing Haglund’s deformity. Our goal is to relieve your heel pain, improve mobility, and help you return to your daily activities without discomfort.
Final Thoughts
Haglund’s deformity is a treatable condition that can cause significant heel pain if left untreated. With expert podiatric care at the Foot Care Center, you can find relief and prevent long-term damage to the heel and Achilles tendon.