Understanding the Bony Heel Condition
Haglund’s deformity, often referred to as “pump bump,” is a bony enlargement on the back of the heel. This condition occurs when the soft tissues surrounding the Achilles tendon become irritated due to friction or pressure, often caused by rigid shoes or certain foot mechanics. Haglund’s deformity is not just a cosmetic concern—it can lead to significant discomfort, inflammation, and difficulty wearing regular footwear.
At Gotham Footcare, we specialize in diagnosing and treating Haglund’s deformity to alleviate pain and restore your mobility and comfort.
Footwear Pressure
Shoes with stiff backs, such as high heels, pumps, or athletic shoes, can cause repetitive friction against the back of the heel, leading to irritation and the development of the bony enlargement.
High-Arched Feet
Individuals with high-arched feet are more prone to Haglund’s deformity because their heels tend to tilt inward, increasing pressure on the back of the heel.
Tight Achilles Tendon
A tight Achilles tendon can increase tension on the heel, exacerbating the irritation that leads to Haglund’s deformity.
Genetic Predisposition
Foot structure and biomechanics often run in families, so genetics can play a role in the development of Haglund’s deformity.
Repetitive Activity
Activities such as running or walking that put repeated stress on the back of the heel can contribute to the condition, especially when performed in poorly fitting footwear.
Visible Bump
A noticeable bony lump on the back of the heel is the hallmark sign of Haglund’s deformity.
Pain and Swelling
Pain is typically localized to the back of the heel, and the area may become swollen and tender.
Redness and Inflammation
The skin over the bony prominence may appear red and irritated, especially after wearing tight or rigid shoes.
Difficulty Wearing Shoes
Many individuals with Haglund’s deformity find it challenging to wear closed-back shoes without experiencing discomfort.
Blisters or Calluses
Prolonged friction can lead to the formation of blisters or calluses over the bony bump.
How Gotham Footcare Can Help
Thorough Physical Examination
Our podiatrists will carefully examine your heel for signs of swelling, redness, and the characteristic bony enlargement.
Medical History and Activity Assessment
We will review your medical history and daily activities to identify potential contributing factors, such as footwear choices or repetitive movements.
Imaging Tests
X-rays are often used to confirm the presence of a bony protrusion and evaluate its severity. In some cases, additional imaging like an MRI may be recommended to assess soft tissue damage or inflammation.
Comprehensive and Personalized Care
Non-Surgical Treatments
Advanced Treatments
Surgical Treatments
If conservative treatments are unsuccessful, surgery may be necessary. Surgical options include:
How Long Does It Take to Recover from Haglund’s Deformity?
Timeline for Non-Surgical Treatments
Most patients experience relief within a few weeks to months when following a conservative treatment plan, including footwear modifications and physical therapy.
Recovery After Surgery
Surgical recovery times vary depending on the procedure. On average, patients can expect to resume normal activities within six to twelve weeks, with physical therapy aiding the rehabilitation process.
Tips for Healthy Heels
Choose Supportive FootwearOpt for shoes with soft backs, good arch support, and a proper fit. Avoid high heels and rigid shoes that can increase pressure on the back of the heel.
Stretch RegularlyIncorporate stretching exercises into your daily routine to keep the Achilles tendon and calf muscles flexible and reduce tension on the heel.
Use Heel Pads or OrthoticsCushioned heel pads or custom orthotics can help protect the back of the heel and prevent friction.
Alternate FootwearAvoid wearing the same type of shoes every day, especially those with rigid backs. Rotate between supportive, comfortable footwear options.
Haglund’s deformity is caused by repeated friction or pressure on the back of the heel, often from ill-fitting or rigid footwear, combined with certain foot structures like high arches or a tight Achilles tendon.
In many cases, non-surgical treatments such as footwear modifications, orthotics, and physical therapy can provide significant relief. Surgery is only necessary for severe cases that do not respond to conservative care.
Preventing Haglund’s deformity involves wearing properly fitted shoes, incorporating regular stretching exercises, and using heel pads or orthotics to reduce friction.
While the bony enlargement itself does not go away without surgical intervention, symptoms can often be managed effectively with conservative treatments.
Haglund’s deformity can occur in one or both heels, depending on individual foot structure, activity levels, and footwear habits.
At Gotham Footcare in NYC, we strive at recognizing your individual needs and desired outcomes while formulating an effective and personalized treatment plan with the highest quality care available.
What sets Gotham Footcare apart from other podiatry offices is our dedication to providing you with the education you need to make well-informed decisions regarding your care. Regardless of what your foot and ankle trouble may be, at Gotham Footcare our team will work tirelessly to help you feel better. At Gotham Footcare, we help you put your best foot forward.
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