Haglund’s deformity is a defect characterized by a protruding, bony bump on the back of the heel bone. This bump on the back of the heel bone can cause pain from the bony enlargement rubbing against the bursa. The bursa is a fluid-filled sac where the tendon meets the bone. At the back of the heel, the bursa is at the point where the Achilles tendon meets the heel bone. Inflammation of the bursa is called bursitis.
Tight or ill-fitting shoes can contribute to the development of bursitis due to Haglund’s deformity. The bump of the heel bone can rub against the back of shoes. This can irritate the skin, bursa, and soft tissue along the back of the foot. Heeled shoes are especially problematic since the backs of the shoes are often rigid. For this reason, Haglund’s deformity is nicknamed “pump bump.”
Genetics is a contributing factor to developing Haglund’s deformity. Some people may be born with a predisposition to this defect. Wearing heeled shoes seems to increase the risk of developing this condition. People with high arches are also susceptible to Haglund’s deformity.
Symptoms of Haglund’s deformity include pain and swelling along the back of the heel. A bump that can be seen or felt on the back of the heel is also one of Haglund’s deformity symptoms. A person with this condition may notice redness along the back of the heel.
Haglund’s deformity diagnosis may involve x-rays that the doctor will use to view the structure of the heel bone. The goal of noninvasive treatment methods is to reduce the pain and inflammation at the site of the deformity. At times when there is swelling or irritation, the doctor may recommend rest and using ice packs on the area. The use of non-steroidal anti-inflammatory drugs (NSAIDs) may be suggested to reduce pain and inflammation.
Other noninvasive treatment can include exercises or stretches. Physical therapy may be suggested. Orthotic devices such as arch supports or heel lifts may be prescribed in order to control the movement of the foot. Some shoes may be more comfortable or supportive. Some people with Haglund’s deformity may feel the need to wear backless shoes at times that the bursa has become aggravated. Noninvasive methods will not directly affect the bony bump on the heel. Only surgery can remove the bump.
