Haglund’s deformity is a bony growth on the back of the heel. This happens when the shoes persistently rub against the soft tissues near the Achilles tendon. The soft tissue gets irritated, the bony growth enlarges. This will also lead to bursitis to the foot when the bursa (bag of fluid between the tendon and the bone) gets inflame by consistent rubbing.
Causes of Haglund’s Deformity
Haglund’s deformity is often called the “pump bump”. This is because shoes with pump-style creates pressure to the bony growth when walking. Shoes with hard back like in-line sktes, ice skates or women’s pumps can aggravate the symptoms.
In some people, they tend to have a higher tendency to get Haglund’s deformity due to heredity. Inherited foot structures like:
- Foot with high arches
- Tight or short Achilles tendon
- Habit of walking outside the heel
- Safety boots
- Hiking boots
Symptoms of Haglund’s Deformity
Haglund’s deformity can affect one or both feet. The symptoms of haglund’s deformity are:
- Bump at the back of the heel
- Pain at the back of the heel
- Swelling at the back of the heel
- Redness at the back of the heel
Diagnose Haglund’s Deformity
Physical examination would be required by our specialist. X-ray investigation usually is needed to see the structure of the foot.
Non-surgical Treatment for Haglund’s Deformity
Non-surgical treatment for Haglund’s deformity is usually to target to reduce the inflammation. Non-surgical treatment for Haglund’s deformity treatments include:
- Anti-inflammatory medicine
- Anti-inflammatory injection
- Shockwave Therapy
When is Surgery Needed for Haglund’s Deformity?
If you have tried conservative treatment and it does not work, surgery may be needed. Our sports and orthopaedic specialist will discuss in detail regarding the surgery and post operative care.
How to Prevent Haglund’s Deformity?
There are a few tips that can prevent you from having Haglund’s deformity.
- Wearing appropriate shoes
- Stretching exercises to stretch your Achilles tendon
- Avoid running uphill