Posts for category: Haglunds Deformity

By Affiliated Foot & Ankle Care
October 30, 2018
Category: Haglunds Deformity

Do you have a painful bump on the back of your heel? Is it red and sometimes swollen? Does the pain get worse when you wear shoes with rigid backs? If yes, you may have Haglund’s Deformity, a condition we treat fairly often at Affiliated Foot & Ankle Care. Although wearing pumps may make the symptoms of Haglund’s Deformity worse (hence the nickname of this condition, “pump bump”), it doesn’t actually cause the problem. Haglund’s Deformity develops as a result of faulty foot structure issues including:

  • Tight Achilles tendon
  • High arches
  • The tendency to walk on the outside of your heel

These structural defects can be genetic.

Treatment Options

Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, will first want to confirm the diagnosis of Haglund’s Deformity and rule out other possible conditions. To do this, the foot doctor will examine your heel and the rest of your feet and also order an x-ray, MRI, ultrasound or other diagnostic imaging tests. The type of treatment prescribed will have to do with the cause behind the deformity. Some possible options include:

  • Changes in footwear—wearing shoes made of soft materials and those with no backs will lessen pressure and pain on the bony enlargement.
  • Custom orthotics—the foot doctor may prescribe an orthotic to reposition the foot and help correct for a structural problem.
  • Immobilization—if the inflammation is severe, a soft case or walking boot may be used to allow time for healing to occur.
  • Heel pads—to cushion the bony protrusion and decrease pain
  • Heel lifts—if you have high arches, heel pads can help compensate.
  • Physical therapy
  • Stretching exercises—to loosen the Achilles tendon

If none of these options are successful, surgery may be recommended which can eliminate Haglund’s Deformity. Need more information on how to treat Haglund’s Deformity? Contact Affiliated Foot & Ankle Care at our Edison, Monroe, Linden or Monmouth Junction office in New Jersey by calling: 732-662-3050.

I’m pretty sure that it is safe to say that unless you have this syndrome, you have no idea what this is! Well don’t worry, by the end of this blog you will know exactly what this is and how to recognize it if you or someone you know should ever develop it. So what exactly is Haglunds Deformity? It is when you get a bony growth on the back of your heel that sticks out. This bone grows due to constant rubbing and friction on the bone. After time this new bone can cause something called bursitis, which adds to the bump forming! A bursa is a sac of fluid that prevents rubbing between things like skin and bone, but sometimes they can get inflamed, which is called bursitis. A nickname for this syndrome is “pump bump”, because women tend to get this from wearing high heels! Some of our favorite actresses like Kaley Cuoco and Jessica Simpson are prone to developing this because they were high heels so frequently.

The symptoms of this syndrome include an abnormal bump on the back of the heel, it is very painful and if the bursa becomes inflamed the bump will increase in size and usually turns red. Needless to say, it’s pretty obvious when someone has this syndrome!

So what should you do if you have this bump on your heel? The first thing you should do is make an appointment with your local podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe NJ!  Depending on the severity of the deformity there are 4 different treatment options. For a syndrome that isn’t too severe and is relatively new, the RICE idea will work, rest, ice, compression and elevation. Also getting shoes that aren’t tight fitting is important! Sometimes orthotics are prescribed to help avoid pressure on the heel. In the most severe cases surgery and injections are required to reduce the inflammation and to get rid of the growing bone bump.

By  Varun Gujral