You may notice a bump on your heel or on a family member’s heel. Haglund’s deformity is a bony enlargement that can form at the back of the heel bone where the Achilles tendon is located.
This bump is sometimes called “pump bump” because it often appears in women who wear pump-type shoes. Shoes like pumps, work boots and even ice skates with rigid backs can contribute to the formation of a Haglund’s deformity. Those with a tight Achilles tendon, high arches or those who tend to walk on the outside of the feet are more likely to develop this bump.
Haglund’s deformity can cause heel pain and swelling and also blistering from rubbing against the back of the shoes. Bursitis can develop from irritation to this area.
Try Home Care First
If you have a painful Haglund’s deformity bump on one or both heels, apply ice after taking your shoes off to ease your discomfort. Add heel pads to the backs of your shoes to relieve the pressure, and switch shoes often. Opt for shoes with open heels like clogs to reduce rubbing, but not if you have bunions, tendonitis or foot pain.
If the bump becomes bigger or your pain persists, it’s time to contact Stavros O. Alexopoulos, DPM, for a professional evaluation. He will examine your feet carefully and take x-rays if necessary right in our Chicago office.
Treating Haglund’s Deformity
Based on our findings, we will discuss treatment options with you including:
- Medication – oral anti-inflammatory medication along with topical anti-inflammatory treatment applied directly to the heel can relieve pain.
- Shoe inserts – custom orthotics can alter the position of the foot in your shoe and relieve pressure. We may also recommend over-the-counter heel lifts or arch supports.
- Immobilize the foot – for severe inflammation, a walking boot or soft cast can immobilize the area to allow healing.
If none of these conservative treatments relieve your pain, we will discuss surgical options with you to re-shape the heel bone.
Wearing backless shoes or shoes with backs that are not so rigid can prevent Haglund’s deformity. For patients with a tight Achilles tendon or a high arch, wear your orthotics and regularly stretch the tendon to prevent its development.
Haglund’s deformity can be painful and even affect your walking gait as you live with the pain. We can help reduce inflammation and relieve pain. Call Dr. Alexopoulos, board certified podiatrist at 773-561-8100 for an evaluation appointment. You can also reach us via the website. Don’t wait – call today to begin healing this painful condition.