A common condition that we see at Paul S. DeMarco, DPM is Haglund’s Deformity. This disorder occurs when a bony enlargement forms at the back of the heel. This bony protrusion becomes irritated when it rubs against the backs of shoes and can lead to bursitis: an inflammation of the bursa sac found between the tendon and bone.
In addition to the characteristic bump at the back of the heel, symptoms of Haglund’s Deformity include pain in the heel where the Achilles tendon attaches, swelling and redness at the back of the heel.
What’s Behind the Bump?
A fault in foot structure is usually to blame for Haglund’s Deformity. The following conditions increase your risk of developing this disorder: tight Achilles tendon, a high-arched foot or the habit of walking on the outside of the heel. Many of these foot mechanics issues may be genetic. Another name for this condition is “pump bump.” This is because the hard backs of pumps put pressure on the bony enlargement and irritate it. Any shoes with a rigid, high back, including men’s dress shoes, work boots or ice skates can increase aggravation to the Haglund’s Deformity.
Reducing Pain and Inflammation
Our podiatrist, Dr. Paul S. DeMarco will use x-rays along with a physical examination and medical history to determine a diagnosis of Haglund’s Deformity. There are several non-surgical options to bring long-term relief from this condition. These include:
· Exercise and physical therapy
· Heel lifts and pads
· Orthotic devices and other shoe modifications
· Nonsteroidal anti-inflammatory medications
If none of these are effective in bringing relief, the foot doctor may recommend surgery. If you are experiencing pain at the back of your heel, make an appointment at our Somers Point office.