Cortese Foot & Ankle Clinic
 
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What is Haglund's Deformity?



 
Haglund's Deformity, also called a “Pump Bump” is an ailment that is caused by an excess build-up of bone that forms on the back of the heel. It is called a “pump bump” because it is usually caused by wearing pump-style shoes. The hard backs of the shoes put pressure on the heel so it becomes irritated.
 

Symptoms of Haglund's Deformity

The first symptom is a large bump seen on the back of the heel, the bump is usually very uncomfortable and hurts. Tight shoes add to the condition. It may become swollen and red, may also form a fluid filled sack called a bursa, and may even become inflamed. The most common causes are:
  • Improper Shoes
  • Weight
  • Injuries
If you feel pain in the back of your heel you should call us at Cortese Foot and Ankle Clinic right away.
 
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Treatment

If you have Haglund's Deformity there is a good chance you will also have Achilles tendonitis. This is when you feel tightness in the heel while walking or running. If you are experiencing tightness in the tendon, stretching exercises are recommended.

Even if you do not have this problem now, prevention is the best medicine. There are Achilles tendon exercises that will stop the deformity. Also, it is wise to avoid running or walking on hard surfaces, wear good shoes with arch support and good inserts, massage and ice. You should also not wear high heeled shoes.
There are four ways to help Haglund's Deformity:
  1. The Price Plan
 
  • Protection
  • Rest
 
  • Ice
  • Compression
 
  • Elevation
 
  1. Good Shoes
  • In almost all cases of the deformity, the shoes are to blame. Constant pressure and rubbing cause the ailment. Get shoes with arch support and good inserts. Make sure they are not too tight. Custom made orthotics are a good choice here also.
  1. Take it Easy
  • Runners tend to overuse and overstretch the tendons. Try wearing orthotics and heel pads.
  1. Injections and Surgery
  • When nothing else works, surgery is required. When you have surgery your foot will be immobilized for some time.
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