Haglund’s deformity, or “pump bump,” is a hard, bony enlargement on the back of the heel. Haglund’s deformity causes pain when footwear rubs against the protruding bone growth, irritating and inflaming the surrounding soft tissue. Bursitis can develop as a result of Haglund’s deformity and irritation to the area. Rigid-backed footwear, including work boots, high-heeled shoes, dress shoes, and even ice skates can irritate the area, resulting in swelling, redness, and discomfort. Women are more prone to this deformity than men, thought to be due to the stiff contour of heels and dress shoes.
Treatment for Haglund’s deformity includes inserting heel pads or lifts into shoes to reduce rubbing and pressure to the area, wearing shoes with soft or no backs, icing the area to reduce swelling, and taking over-the-counter anti-inflammatory medications on a temporary basis to reduce pain, inflammation, and swelling (ask your doctor first). Painful Haglund’s Deformity often requires surgery.
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