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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.

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