Image via WikipediaHaglund’s deformity, sometimes referred to as the “pump bump” is a bony protrusion in the heel area, which is thought to be caused primarily by pressure from shoes, although there may be other factors involved. Between the bone and the Achilles tendon is a small sac of lubricating fluid which allows for easier movement. A prominent heel bump can squeeze the soft tissue between the bone and the shoe. This can cause inflammation and a build-up of tissue that creates even more pressure.The most notable symptom of Haglund’s deformity is pain in the back of the heel. The tissue that thickens in this area and forms a callus type buildup doesn’t usually impede function or interfere with walking, but the bursitis, which causes swelling and inflammation, can create a great deal of pain when shoes are worn.
Diagnosis of Haglund’s deformity can usually be made visually, but our office will probably want to get x-rays to have a better picture of how the heel bone is shaped, and rule out other possibilities that might cause your heel pain.
Treatment can be either non-surgical or surgical. However, much of that depends upon your diagnosis. Below are some non-surgical options, which include, but not limited to:
• Taking over-the-counter medications - such as Ibuprofen to reduce swelling and discomfort.
• Icing the area – you can use a towel between ice and skin, and apply it to the inflamed area for 20 minutes, then wait at least 40 minutes before applying again.
• Exercising – this will help relieve tension in the Achilles tendon.
• Heel lifts or heel pads – these may help relieve pressure and lessen irritation.
• Changing your shoes – wearing a backless shoe will help to avoid irritation.
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If non-surgical treatments fail to provide relief, surgery may be required. Dr. Blaakman will determine what course of treatment best suits you.
If you have swelling and pain in one or both heels, call our office at (877) 941-FEET (3338).
This is so true! Heels can deform your feet!
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