Haglund’s Deformity and Heel Pain

The condition of Haglund’s deformity is often referred to as the “pump bump” since it tends to affect individuals who frequently wear tight fitting high-heeled shoes. The bony protrusion forms near the Achilles tendon, often causing heel pain and sometimes leading to a complication called bursitis which can separate the tendon from the bone. Bursitis can also contribute to further calcification of the area, causing the bump to become larger and possibly more painful.

Conservative treatments for Haglund’s deformity

These non-invasive treatments are often very effective:

• Change your shoes—Wear backless or very soft footwear that helps by removing the pressure on the heel.
• Immobilize the foot—A specially made boot can decrease rubbing and irritation.
• Medications—Ibuprofen or other NSAIDS can reduce pain and inflammation. Topical pain reliever ointments applied directly to the area may also help.
• Icing—Decrease inflammation by applying ice wrapped in a towel to the area at fifteen-minute intervals.
• Flexibility and strengthening exercises—Stretching and strengthening exercises will increase muscle strength and flexibility and decrease pressure on the Achilles tendon.
• Custom made orthotic inserts—Custom orthotic inserts such as heel lifts placed inside the shoe will minimize movement of the foot and provide relief of pain and discomfort.

These methods will also treat the bursitis that may be causing a significant amount of pain and discomfort. If the remaining bony bump continues to cause trouble, surgical shaving or removal of the bone may be required to provide complete relief. 

If you are experiencing the pain of a Haglund’s deformity on the back of your heel, see your podiatrist for the proper treatment. Dr. Scott Nelson of Foot and Ankle Medical Clinic in Garland, TX, is a board-certified and highly experienced podiatrist who has helped people suffering from all types of foot and ankle injuries and deformities. From bunions to diabetic foot problems, sports injuries and fungal nails, you can trust that Dr. Nelson and his staff are wholeheartedly devoted to your foot health. Please contact our office with any questions you may have or to schedule an appointment by calling 972-414-9800.