Linh Nguyen, DPM
3334 Paper Mill Rd
Phoenix, MD 21131
(410) 666-FOOT (3668)
F: (410) 666-3669
Email: DrLinh@footreliever.com
Website: www.footreliever.com

Haglund’s Deformity

Understanding Haglund’s Deformity

Haglund’s deformity, also known as the “pump bump,” is a condition characterized by the enlargement or inflammation of the bony area at the back of the heel, where the Achilles tendon attaches. This deformity often arises from wearing shoes that exert excessive pressure on the rear of the heel, leading to inflammation.

Left untreated, Haglund’s deformity can progress to bursitis, wherein the fluid-filled sac separating the tendon from the bone becomes inflamed. Chronic inflammation may also cause calcification of the heel bone, resulting in a more prominent bump. Consequently, increased pain and compromised foot function may occur.

Causes of Haglund’s Deformity

The term “pump bump” hints at the association between Haglund’s deformity and rigid-backed “pump-style” shoes. These shoes exert pressure that exacerbates the growth during routine activities like walking. Additionally, factors such as having a high-arched foot, tight Achilles tendon, or poor walking mechanics can contribute to its development.

Symptoms of Haglund’s Deformity

Haglund’s deformity typically presents with significant pain, particularly in the region of the heel growth. Other common symptoms include:

  • Noticeable bump on the back of the heel
  • Severe heel pain
  • Swelling and redness in the affected area
  • Tenderness near the inflamed region

Diagnosis and Treatment Options

Diagnosing Haglund’s deformity can be challenging due to its symptom similarity to other foot conditions like arthritis. While physical examination may suffice for some cases, others may require further diagnostic tests such as imaging.

Treatment aims to alleviate pressure from the heel bone and varies based on symptom severity. For mild to moderate cases, non-surgical options include:

  • Changing footwear
  • Using NSAID pain-relievers
  • Soft-tissue massage
  • Custom orthotics
  • Heel pads or cushions
  • Anti-inflammatory injections

If non-surgical approaches prove ineffective, surgical intervention may be recommended. Procedures involve removing excess bone or smoothing existing bone to relieve pressure from the heel. These surgeries are highly effective in alleviating pressure and restoring comfort to the affected area.

Office Hours

Monday: 8:30am 5:00pm
Tuesday: 1:30pm 7:00pm
Wednesday: 10:30am 5:00pm
Thursday: Closed
Friday: 8:30am 5:00pm
Saturday: By Appointment

Office Location

Family Foot and Ankle Care

3334 Paper Mill Road
Phoenix, MD 21131-1419
O: 410-666- FOOT (3668)
F: 410-666-3669