Pain in the foot is very common, especially if you have been wearing the wrong type of shoes. Most of us know about the usual suspects that cause pain in the feet such as ingrown toenails, corns, calluses, and bunions. These types of problems tend to affect the forefoot. This area includes your toes. The calcaneus is your heel bone. The calcaneus is part of the rear foot – the back of the foot. This bone is very important in stabilizing your body and helping you walk. Like the forefoot, the rearfoot can be affected by painful conditions. One type of condition is called Haglund’s deformity “aka” the pump bump.
Haglund’s deformity is a bony bump on the back of the heel. It is known as the pump bump because it can be caused by pump-style shoes. However, any type of shoe with a rigid, stiff back can irritate the cause a Haglund’s deformity. People who have high-arched feet, a tight Achilles tendon, or walk on the outside of their heel have a higher risk of developing a Haglund’s deformity. The early sign of a Haglund’s deformity is a large, bony bump on the back of the heel. The bump is usually in the area where the Achilles tendon attaches to the heel. Wearing tight shoes causes pain and over time the bump will become swollen and red. Constant irritation of the bump can cause inflammation of the bursa (the fluid filled sac between the tendon and the bone). It is possible for a Haglund’s deformity to occur in both feet at the same time.
Scheduling an appointment at Affiliated Foot & Ankle Center is your first step to taking care of your Haglund’s deformity. With our locations at Howell, Edison, and Monroe, New Jersey, we are not too far away from you, so make the call! Your podiatrist will take an X-ray to confirm that you have a Haglund’s deformity. Once a diagnosis is made, there are several options to treating a pump bump. Surgery is an option, but many people may find relief from non-surgical treatment. The following types of conservative treatments that may reduce pain associated with a Haglund’s deformity
- Wearing backless or soft backed shoes
- NSAIDs such as Ibuprofen
- Stretching exercises to relieve a tight Achilles tendon
- Heel lifts to relieve pressure on the heel
- Heel pads to cushion the heel while walking
- Corticosteroid injections to reduce pain
A really bad Haglund’s deformity that interferes with walking will more than likely need surgery for proper relief. There are different types of techniques to remove the bony bump and your podiatrist will determine which type is best for you. If you are a candidate for surgery, remember to follow ALL post operation guidelines to avoid surgery complications. The name sounds funny, but painful pump bumps can have a negative effect on your lifestyle. Not being able to do what you want, when you want is no laughing matter. If you don’t have a Haglund’s deformity, keep your feet healthy by avoiding stiff back shoes, using orthotics properly, stretching before exercise, and scheduling regular appointments at Affiliated Foot & Ankle Center or your podiatrist.