Are there non-surgical treatments that can be effective for Haglund’s deformity? Gotham Footcare

Haglund’s deformity is a common condition that can cause significant discomfort and pain, particularly for those who lead an active lifestyle. Often referred to as “pump bump” due to its frequent association with wearing high heels, this bony enlargement on the back of the heel can make simple activities like walking or running challenging. While surgery is sometimes necessary to correct this condition, many individuals seek non-surgical treatments first. At Gotham Footcare, our team of expert foot and ankle surgeons in Manhattan is committed to providing comprehensive care, including exploring all non-surgical options before considering more invasive procedures.

What exactly is Haglund’s deformity?

Haglund’s deformity is a bony bump that forms on the back of the heel, near the Achilles tendon. This bump can become irritated and inflamed, especially when it rubs against footwear. The condition often leads to bursitis, which is the inflammation of the fluid-filled sac (bursa) between the tendon and bone. This inflammation can cause significant pain, swelling, and redness in the affected area. People with high arches or a tight Achilles tendon are more prone to developing this condition.

Can wearing the wrong shoes aggravate Haglund’s deformity?

Absolutely. The type of footwear you choose can have a significant impact on the progression and discomfort of Haglund’s deformity. Shoes with rigid backs or those that are too tight can increase friction against the bony bump, leading to more pain and inflammation. High heels, in particular, are notorious for exacerbating this condition due to the way they push the foot forward, increasing pressure on the back of the heel. At Gotham Footcare, we recommend wearing shoes with a soft, padded heel counter and plenty of room in the back to reduce friction and allow for a more comfortable fit.

Are there specific exercises that can help alleviate the symptoms?

Yes, targeted exercises can be highly effective in managing the symptoms of Haglund’s deformity. Stretching exercises, particularly those that focus on the Achilles tendon and calf muscles, can help reduce tension in the area and improve flexibility. Strengthening exercises for the muscles around the ankle can also help stabilize the foot and reduce the strain on the heel. At Gotham Footcare, we often recommend a tailored exercise regimen that includes calf stretches, heel drops, and ankle rotations to our patients. These exercises can be done at home and are designed to improve the overall function of the foot and ankle, reducing the risk of further irritation.

How does physical therapy play a role in non-surgical treatment?

Physical therapy is a cornerstone of non-surgical treatment for Haglund’s deformity. A skilled physical therapist can work with you to develop a personalized treatment plan that includes exercises to strengthen and stretch the affected area, manual therapy techniques to reduce inflammation, and modalities like ultrasound or ice therapy to alleviate pain. The goal of physical therapy is to improve mobility, reduce pain, and prevent the condition from worsening. At Gotham Footcare, we collaborate closely with physical therapists to ensure that our patients receive comprehensive care that addresses all aspects of their condition.

Can custom orthotics help with Haglund’s deformity?

Custom orthotics can be a game-changer for those suffering from Haglund’s deformity. These specially designed shoe inserts can help correct biomechanical issues, provide additional cushioning, and redistribute pressure away from the affected area. By improving the alignment of the foot and reducing the strain on the heel, orthotics can significantly reduce pain and prevent further irritation. At Gotham Footcare, we create custom orthotics tailored to each patient’s unique foot structure and specific needs, ensuring maximum comfort and effectiveness.

Is modifying footwear a viable option for managing the condition?

Yes, modifying your footwear can be an effective way to manage the symptoms of Haglund’s deformity. This might involve switching to shoes with a softer, more flexible back, using heel lifts to reduce pressure on the heel, or even cutting out part of the shoe’s heel counter to create a custom fit that accommodates the bony bump. Additionally, wearing open-back shoes or sandals can help minimize irritation. At Gotham Footcare, we offer guidance on how to modify your existing footwear and recommend specific brands and styles that are better suited for managing this condition.

Can anti-inflammatory medications provide relief?

Anti-inflammatory medications, such as ibuprofen or naproxen, can be very effective in reducing the pain and swelling associated with Haglund’s deformity. These medications work by decreasing inflammation in the bursa and surrounding tissues, providing temporary relief from discomfort. However, it’s important to note that while anti-inflammatory medications can help manage symptoms, they do not address the underlying cause of the condition. At Gotham Footcare, we often recommend using these medications in conjunction with other non-surgical treatments for a more comprehensive approach to managing the condition.

Are corticosteroid injections a viable option?

Corticosteroid injections can provide significant relief for patients with Haglund’s deformity by reducing inflammation in the bursa and surrounding tissues. These injections are particularly useful for patients who experience severe pain that does not respond to other treatments. However, it’s important to use corticosteroids cautiously, as repeated injections can weaken the Achilles tendon and increase the risk of rupture. At Gotham Footcare, we carefully evaluate each patient’s condition before recommending corticosteroid injections, ensuring that they are used only when necessary and in conjunction with other non-surgical treatments.

What role does icing play in managing Haglund’s deformity?

Icing is a simple yet effective way to reduce pain and inflammation caused by Haglund’s deformity. Applying ice to the affected area for 15-20 minutes several times a day can help numb the pain, reduce swelling, and decrease inflammation in the bursa. It’s particularly useful after activities that aggravate the condition, such as walking or running. At Gotham Footcare, we often recommend incorporating icing into a broader treatment plan that includes rest, proper footwear, and targeted exercises.

When should surgery be considered?

While non-surgical treatments can be highly effective in managing Haglund’s deformity, there are cases where surgery may be necessary. If conservative treatments fail to provide relief and the condition significantly impacts your quality of life, surgical intervention may be required to remove the bony bump and alleviate pressure on the Achilles tendon. At Gotham Footcare, our team of expert surgeons carefully evaluates each patient’s condition to determine the best course of action, prioritizing non-surgical treatments whenever possible.

For those dealing with Haglund’s deformity, understanding the range of non-surgical treatments available is crucial for managing the condition effectively. While surgery can be an option for severe cases, many patients find relief through a combination of proper footwear, custom orthotics, physical therapy, and other conservative treatments. At Gotham Footcare, our goal is to provide personalized care that addresses each patient’s unique needs, helping them achieve lasting relief and improved foot health. If you’re struggling with Haglund’s deformity or have any concerns about your foot health, don’t hesitate to reach out to our expert team for a consultation.