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.
Causes of Haglund’s Deformity
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, foot structure (biomechanics) can make one prone to developing this condition, including:
- A high-arched foot
- A tight Achilles tendon
- A tendency to walk on the outside of the heel
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Symptoms of Haglund’s Deformity
Haglund’s deformity can occur in one or both feet. The symptoms include:
- A noticeable bump on the back of the heel
- Pain in the area where the Achilles tendon attaches to the heel
- Swelling in the back of the heel
- Redness near the inflamed tissue
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Treatment of Haglund’s Deformity
Non-surgical 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.
Our Physios will be able to assist with the following:
- Inflammation reduction
- Stretching exercises to relieve tension from the Achilles tendon. These exercises are especially important for the patient who has a tight heel cord.
- Patients with high arches may find that heel lifts placed inside the shoe decrease the pressure on the heel.
- Heel pads placed inside the shoe cushion the heel and may help reduce irritation when walking.
- Advice on shoe modification.
- Orthotic devices to help control the motion of the foot
- Immobilization
When Is Surgery Needed?
If non-surgical treatment fails to provide adequate pain relief, surgery may be needed and we will refer you on to the foot and ankle specialist.
For a full list of foot Related injuries please click here
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