Haglund’s Deformity is a bony enlargement on the back of the heel that often leads to painful bursitis, which is inflammation of the fluid-filled sac (bursa) between the tendon and bone. In Haglund’s deformity, the soft tissue near the Achilles tendon becomes irritated when the bony enlargement rubs against shoes. The deformity is most common in young women who wear pumps – it is often called the “pump bump” because the rigid backs of pump-style shoes can create pressure that aggravates the enlargement when walking.
To some extent, heredity can play a role in Haglund’s deformity. In a person with high arches, the heel bone is tilted backward into the Achilles tendon causing the uppermost portion of the back of the heel bone to rub against the tendon. Having a tight Achilles tendon can also be a contributing factor – pain can be caused by compression of the tender and inflamed bursa. Another possible contributor to Haglund’s deformity is a tendency to walk on the outside of the heel resulting in a grinding of the heel bone against the tendon.
Anti-inflammatories, icing, heel lifts, heel pads, and immobilization may be used to alleviate the pain – and surgery as a last resort. After evaluating the structure of your heel bone through x-rays and examination, Dr. Mendoza will develop the best treatment plan for you. Click here or call our office at 615-452-8899 to schedule your appointment today!