Patel Podiatry
Haglund’s Deformity
Have you noticed a sore bump on the back of your heel? Usually it’s hard to the touch and may make wearing some shoes very uncomfortable. You may have developed a Haglund’s deformity. Typically the problem will get worse if you do not treat it; however, you can relieve your discomfort with some simple, conservative management.
What Is It?
A Haglund’s deformity is a painful, enlarged bump on the back of your heel bone, where stiff-backed shoes rub against it and aggravate the tissue there. This irritation causes swelling that worsens the problem. The pain may be exacerbated by heel bursitis as well. The pressure of shoes on the bulge causes inflammation in the protective heel bursa and makes the foot even more uncomfortable, particularly when you use your Achilles tendon.
Since the issue is particularly common among women who wear pumps regularly, the condition is also known as a “pump bump,” even though any tight, rigid shoe back can lead to swollen and aggravated heel bones, including men’s footwear. The development of the condition is related to your foot shape as well. High arches, tight Achilles tendons, and walking on the outside of the heel stress the bone and can contribute to the deformity.
Managing the Bump
Fortunately, Haglund’s deformity can usually be managed without surgery. You’ll need to have Dr. Sanjay Patel evaluate your lower limbs to determine the extent of your condition and any contributing factors that may need to be addressed. Our staff will use X-rays, and possibly other tests, to get a clearer picture of your needs. Then we can help you move forward with treatment.
Conservative therapies largely revolve around reducing inflammation, especially in the bursa. Icing the heel helps minimize the irritation. We may recommend anti-inflammatory medications as well. Most likely you’ll need to adjust your shoes. Avoid high heels or other stiff-backed shoes that would aggravate your pump bump. You may need pads to protect the back of your foot from the shoe. Sometimes orthotics like heel lifts or arch inserts can help decrease the pressure on your heel bone. Stretching out a tightened Achilles may also be important to decrease strain.
Contact Us
Don’t Wait to Contact Us Today
If you’re struggling with stubborn pain from a pump bump, don’t ignore it and hope it will improve on its own. Since the pain is caused by a bony enlargement, the problem will only get worse the longer it goes unaddressed. You can take care of your feet and restore them to full strength. Dr. Patel will be happy to meet you and help you find the relief you deserve. Schedule an appointment today by calling 203-876-7736 or 203-288-4055 for Hamden, or by filling out our online form.