Haglund's Deformity
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- Posterior Tibial Tendon Dysfunction (PTTD)
- Accessory Navicular Syndrome
- Common Disorders of the Achilles Tendon
- Achilles Tendon Rupture
- Diabetic Complications and Amputation Prevention
- Ankle Arthritis
- Ankle Fractures
- Chronic Ankle Instability
- Ankle Pain
- Ankle Sprain
- Arch Pain
- Arch Supports
- Athlete's Foot
- Baseball Injuries to the Foot and Ankle
- Basketball Injuries to the Foot and Ankle
- Soft Tissue Biopsy
- Black Toenails
- Bone Healing
- Bone Infection
- Bone Tumors in the Foot
- Brachymetararsia
- Bunions (Hallux Abducto Valgus)
- Bursitis
- Calcaneal Apophysitis (Sever's Disease)
- Fractures of the Calcaneus (Heel Bone Fractures)
- Calf Pain
- Callus
- Capsulitis of the Second Toe
- Cavus Foot (High-Arched Foot)
- Charcot Foot
- Clubfoot
- Cold Feet
- Compartment Syndrome
- Contact Dermatitis
- Corns
- Cracked Heels
- Crutch Use
- Custom Orthotic Devices
- Cyst-Ganglion
- Deep Vein Thrombosis (DVT)
- Dermatitis
- Diabetic Complications and Amputation Prevention
- Diabetic Foot Care Guidelines
- Diabetic Peripheral Neuropathy
- Diabetic Shoes
- Drop Foot
- Dry Heels
- DVT (Deep Vein Thrombosis)
- Eczema of the Foot
- Equinus
- Extra Bones
- Fallen Arches
- Field Hockey Injuries to the Foot and Ankle
- Fifth Metatarsal Fracture
- Flatfoot-Adult Acquired
- Flatfoot-Flexible
- Flatfoot-Pediatric
- Flexible Flatfoot
- Foot Arthritis
- Foot Bumps
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- Foot Lumps
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- Football Injuries to the Foot and Ankle
- Fracture-Ankle
- Fracture-Foot
- Fractures of the Calcaneus (Heel Bone Fractures)
- Fractures of the Fifth Metatarsal
- Fracture-Toe
- Frostbite
- Fungal Nails
- Ganglion Cyst
- Gangrene
- Golf Injuries to the Foot and Ankle
- Gout
- Haglund's Deformity
- Hallux Rigidus
- Hammertoes
- Heel Bone Fractures
- Heel Cracks
- Heel Fissures
- Heel Pain (Plantar Fasciitis)
- High-Arched Foot
- Inflammation: Actue
- Ingrown Toenails
- Instructions for Using Crutches
- Intermetatarsal Neuroma
- Intoeing
- Joint Pain in the Foot
- Joint Swelling in the Foot
- Jones Fracture
- Lacrosse Injuries to the Foot and Ankle
- Lisfranc Injuries
- Lumps
- Malignant Melanoma of the Foot
- MRSA Infection of the Foot
- Orthotics
- Os Trigonum Syndrome
- Osteoporosis
- Osteoarthritis of the Foot and Ankle
- Osteomyelitis (Bone Infection)
- Osteopenia
- P.A.D. (Peripheral Arterial Disease)
- Pediatric Flatfoot
- Peripheral Arterial Disease (P.A.D.)
- Peripheral Neuropathy: Diabetic
- Peroneal Tendon Injuries
- Pigeon-toes
- Plantar Fasciitis
- Plantar Fibroma
- Plantar Wart (Verruca Plantaris)
- Posterior Tibial Tendon Dysfunction (PTTD)
- Pump Bump (Hallux Rigidus)
- Puncture Wounds
- Rash
- Raynauds Phenomenon
- Restless Legs
- Rheumatoid Arthritis in the Foot and Ankle
- R.I.C.E Protocol
- Rugby Injuries to the Foot and Ankle
- Running and Track Injuries to the Foot and Ankle
- Running Injuries
- Sesamoid Injuries in the Foot
- Shin Splints
- Shoe Inserts
- Skin Cancer of the Foot and Ankle
- Smelly Feet
- Soccer Injuries to the Foot and Ankle
- Soft Tissue Biopsy
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- Sports Injuries to the Foot and Ankle
- Staph Infections of the Foot
- Stress Fracture in the Foot
- Sweaty Feet
- Swollen Ankles
- Swollen Feet
- Synovitis
- Tailor's Bunion
- Talar Dome Lesion
- Tarsal Coalition
- Tarsal Tunnel Syndrome
- Tennis Injuries to the Foot and Ankle
- Thick Toenails
- Tingly Feet
- Tired Feet
- Toe and Metatarsal Fractures (Broken Toes)
- Toe Walking
- Turf Toe
- Ulcers/Wounds
- Varicose Veins
- Volleyball Injuries to the Foot and Ankle
- Warts
- Weak Ankles
- Webbed Toes
- White Toenails
- Wounds/Ulcers
- Wounds-Puncture
- Yellow Toenails
What Is Haglund's Deformity?
Haglund’s deformity is a bony enlargement on the back of the heel. The soft tissue near the Achilles tendon becomes irritated when the bony enlargement rubs against shoes. This often leads to painful bursitis, which is an inflammation of the bursa (a fluid-filled sac between the tendon and bone).
Causes
Haglund’s deformity is often called “pump bump” because the rigid backs of pump-style shoes can create pressure that aggravates the enlargement when walking. In fact, any shoes with a rigid back, such as ice skates, men’s dress shoes, or women’s pumps, can cause this irritation.
To some extent, heredity plays a role in Haglund’s deformity. Inherited foot structures that can make one prone to developing this condition include:
- A high-arched foot
- A tight Achilles tendon
- A tendency to walk on the outside of the heel.
Symptoms
Haglund’s deformity can occur in one or both feet. The symptoms include:
- A noticeable bump on the back of the heel
- Pain in the area where the Achilles tendon attaches to the heel
- Swelling in the back of the heel
- Redness near the inflamed tissue
Diagnosis
After evaluating the patient’s symptoms, the foot and ankle surgeon will examine the foot. In addition, x-rays will be ordered to help the surgeon evaluate the structure of the heel bone.
Non-Surgical Treatment
Non-surgical treatment of Haglund’s deformity is aimed at reducing the inflammation of the bursa. While these approaches can resolve the pain and inflammation, they will not shrink the bony protrusion. Non-surgical treatment can include one or more of the following:
- Medication. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce the pain and inflammation.
- Ice. To reduce swelling, apply an ice pack to the inflamed area, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again.
- Exercises. Stretching exercises help relieve tension from the Achilles tendon. These exercises are especially important for the patient who has a tight heel cord.
- Heel lifts. Patients with high arches may find that heel lifts placed inside the shoe decrease the pressure on the heel.
- Heel pads. Pads placed inside the shoe cushion the heel and may help reduce irritation when walking.
- Shoe modification. Backless or soft backed shoes help avoid or minimize irritation.
- Physical therapy. Physical therapy modalities, such as ultrasound, can help to reduce inflammation.
- Orthotic devices. Custom arch supports control the motion in the foot.
- Immobilization. In some cases, casting may be necessary.
When Is Surgery Needed?
If non-surgical treatment fails to provide adequate pain relief, surgery may be needed. The foot and ankle surgeon will determine the procedure that is best suited to your case. It is important to follow the surgeon’s instructions for post-surgical care.
Prevention
A recurrence of Haglund’s deformity may be prevented by:
- Wearing appropriate shoes; avoid shoes with a rigid heel back
- Using arch supports or orthotic devices
- Performing stretching exercises to prevent the Achilles tendon from tightening
- Avoiding running on hard surfaces and running uphill.