Haglund’s deformity is a bony enlargement on the back of the heel. The soft tissue near the Achilles tendon becomes irritated when the bony enlargement rubs against shoes. This often leads to painful bursitis, which is an inflammation of the bursa (a fluid-filled sac between the tendon and bone).
Haglund’s deformity is often called “pump bump” because the rigid backs of pump-style shoes can create pressure that aggravates the enlargement when walking. In fact, any shoes with a rigid back, such as ice skates, men’s dress shoes or women’s pumps, can cause this irritation.
To some extent, heredity plays a role in Haglund’s deformity. Inherited foot structures that can make one prone to developing this condition include:
Haglund’s deformity can occur in one or both feet. The symptoms include:
After evaluating the patient’s symptoms, the doctor will examine the foot. Normally, X–rays will be ordered to help the doctor evaluate the structure of the heel bone.
Nonsurgical treatment of Haglund’s deformity is aimed at reducing the inflammation of the bursa. While these approaches can resolve the pain and inflammation, they will not shrink the bony protrusion. Nonsurgical treatment can include one or more of the following:
If nonsurgical treatment fails to provide adequate pain relief, surgery may be needed. The doctor will determine the procedure that is best suited to your case. Typically, surgery to remove or reduce the bone bump is involved.
To help prevent a recurrence of Haglund’s deformity:
If you are suffering from pain in the back of your heel, do not hesitate to call us (949) 833-3406 or request an appointment online. Our doctors are well-versed in this condition and can develop an effective treatment course to get you back in action as soon as possible.