Do you have a painful bump on the back of your heel? It can happen to anyone although women get it frequently from wearing pump-style shoes. Other causes of “pump bump” are wearing shoes with rigid backs like ice skates, work boots and pumps. A tight Achilles tendon may cause Haglund’s deformity as well as high arches or the tendency to walk on the outside of the feet.
Haglund’s deformity is a bony enlargement that forms where the Achilles tendon attaches to the heel bone. This condition can make your heel area inflamed and swollen, and blisters may result from rubbing against the rigid shoe back. Some patients with this deformity develop bursitis from excess irritation.
Haglund’s Deformity Can Be Prevented
By taking care with the shoes that you wear, you can avoid the pain of Haglund’s deformity. Choose shoes without backs or those with backs that are not rigid. If you have a tight Achilles tendon or a high arch and have been fitted with custom orthotics, be sure to wear the orthotics consistently. Stretching the tendon each day can also prevent the development of this painful deformity.
Diagnosing and Treating Haglund’s Deformity
If you have heel pain with a protruding bump, try conservative treatments first. Heel pads at the back of shoes can reduce pressure. Select open-heeled shoes like clogs to limit friction and rubbing. When resting with your shoes off, ice the painful area.
If your heel pain persists despite home treatments, especially with a protruding “pump bump,” please visit Klein Foot and Ankle Specialists. We have the right expertise to diagnose and treat this deformity and will take x-rays in our office if necessary. If you have Haglund’s deformity, we will recommend:
- Pain-relieving oral or topical anti-inflammatory medications.
- Custom-fitted orthotics that will ease pressure by changing the position of your foot in your shoe. Over-the-counter arch supports or heel lifts will also successfully redistribute pressure.
- For severe inflammation, we can immobilize the foot in a soft cast or walking boot to promote healing.
In extreme cases where non-invasive treatments are not effective, we will discuss surgery with you to reshape the heel bone.
The Pain of Haglund’s Deformity Can Be Relieved
Pump bump is uncomfortable and will not go away on its own. Dr. Barry Klein and Dr. Debra Klein, board certified podiatrists will treat your Haglund’s deformity and relieve your pain. Please call our Pine Hill office at 856-783-3366 or our Florence office at 609-499-1181 to make an appointment, or contact us via email. It’s possible to eliminate the pain and disfigurement from this deformity – call us today.