What is Haglund’s Deformity? Symptoms, Causes, and Treatment

Haglund’s deformity is a bony enlargement on the back of the heel, right above where the Achilles tendon attaches. Commonly known as a "pump bump", it can cause pain, especially in individuals who wear stiff or tight shoes. The condition may significantly affect daily activities and walking comfort.

Symptoms

• Noticeable bump on the back of the heel
• Pain when wearing shoes
• Redness, swelling, and tenderness at the heel
• Aching near the Achilles tendon
• Increased discomfort after long standing or walking

Causes

• Genetic predisposition (high-arched feet)
• Wearing hard or tight shoes
• Tight Achilles tendon
• Improper walking or running pattern
• Repeated pressure on the back of the heel

Diagnosis

Diagnosis involves a physical examination and patient history. Imaging such as X-ray, MRI, or ultrasound can help evaluate the bone and surrounding soft tissue structures.

Treatment Options

1. Conservative (Non-Surgical) Treatment

• Wearing soft-backed or open-heeled shoes
• Stretching exercises for the calf and Achilles tendon
• Ice application and anti-inflammatory medications
• Heel cushions or orthotic inserts
• Physical therapy

2. Surgical Treatment

If conservative treatment is unsuccessful, surgery may be required to remove the bony prominence and clean up any surrounding calcified tissue. Post-surgical care typically involves rest, immobilization, and rehabilitation.

Precautions and Recommendations

• Avoid tight or high-heeled shoes
• Regular stretching exercises
• Consult a specialist if symptoms persist

Remember: Haglund’s deformity is treatable. With early diagnosis and the right treatment, you can regain comfort and mobility.