Hagland’s Deformity

This article does not constitute as medical advice.
If you are experiencing symptoms of Haglund’s deformity, contact your doctor or make an appointment.

What is Haglund’s deformity?

Haglund’s deformity is the formation of a bump on the back of the heel where the Achilles tendon connects to the heel. It is also called a ‘pump bump’ or retrocalcaneal bursitis. This condition is more common in women and is usually caused by wearing rigid shoes against the heel. Medical treatment may be necessary if there is long-lasting pain.

Causes of Haglund’s deformity

This condition has a rap for forming due to wearing tight shoes or heels. This is why it is nicknamed the “pump bump.” However, there are other reasons why this deformity can occur, such as:  

  • The constant friction of the heel against shoes with a firm, rigid back
  • Individuals who have high arches or a heel bone that has an outer slope 
  • Supination: when patients walk on the outside of their feet 
  • Those who use ice skates or roller skates often tend to get this condition. These form-fitting shoes rub up against the heel. Tight winter or work boots have the same effects. 

Symptoms of Haglund’s deformity

Symptoms of this deformation can appear on either or both feet. The pain can also range from moderate to severe. Therefore, it is good to catch this condition early and contact your doctor for proper treatment. Here are some telltale signs of this deformity:

  • The appearance of a bony bump on the back of the heel
  • Pain while walking or running (typically felt along the back of the heel)
  • Pain when on tiptoes
  • Red, warm skin on the back of the heel
  • Swelling on the heel
  • Blisters on the heels from tight shoes

Treating Haglund’s deformity

  • Wear more comfortable and roomy shoes 
  • Avoid heels and tight boots during treatment 
  • Customized heel wedges that lift up the heel to avoid rubbing up against the shoes 
  • Use of an ice pack or cooling gel to reduce inflammation 
  • Avoid activities that aggravate the pain, such as running on hills and intensive training 
  • Stretches that support the Achilles tendon, such as the runner’s stretch or heel drop 
  • Use of nonsteroidal anti-inflammatory drugs
  • Ultrasound treatment to decrease the inflammation
  • Physical therapy or specialized treatment recommended by your podiatrist 
Haglunds Deformity with a description

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