Haglund’s Deformity

Have you noticed a large bony bump protruding from the back of your heel? If so, you may be living with a condition called Haglund’s deformity. The condition itself is idiopathic, meaning that there is no known medical cause for it. However, the bump may lead to heel pain. If that happens, it’s time to call Dr. Anant Joshi. He can help you find the relief that you deserve! 


Understanding Haglund’s Deformity


While there isn’t a definite cause for Haglund’s deformity, many podiatrists have noted it is more common in people who wear high heels. For this reason, the condition is also called a “pump bump.” Podiatrists believe that wearing correctly fitting shoes may reduce your risk of developing this condition. 


Haglund’s deformity is a bump in the back of the heel caused, in part, by the swelling of the fluid-filled sack called the bursa. Over time, the perpetual swelling can result in calcium buildups that are deposited on the bone. The bone in the heel then becomes enlarged, resulting in a visible bump. The issue is frequently noticed because of the pain in the immediate area or along the Achilles tendon. The spot can be red and very sensitive to the touch. 


Diagnosing Haglund’s Deformity


Haglund’s deformity can be challenging to diagnose because the symptoms are very similar to Achilles tendonitis. In more severe cases, the bump from Haglund’s deformity can help to differentiate it from tendonitis. An experienced podiatrist, like Dr. Anant Joshi, will order an x-ray to confirm his diagnosis. The x-ray can also be used to create custom orthotics as part of the treatment plan. 


The Treatment Approach


The severity of the condition will determine Dr. Anant Joshi’s treatment options. These may include: 


  • Wearing shoes without a back to reduce pressure on the injury

  • Creating custom orthotics or pads for appropriate fit 

  • Using ice treatments to reduce swelling

  • Taking anti-inflammatory medications

  • Conducting ultrasound treatments


If these approaches are not successful, Dr. Anant Joshi will likely suggest surgery to correct the issue. The surgery consists of making a small incision at the back of the foot and removing excess bone. The protruding bone may also need to be smoothed and filed to help reduce any future irritation. 


The initial recovery for this operation is around eight weeks. During this time, it is crucial to work with Dr. Anant Joshi and his team at Advanced Foot Care of NJ, LLC to complete your physical therapy. 


Looking Forward


Once your recovery is complete, it is critical to avoid aggravating that area again. While doctors do not expect patients to have recurring issues, restrictive shoes may put you at higher risk. Instead, work with Dr. Anant Joshi to identify the best orthotics to fit your everyday life. 


Schedule an Appointment 


If that pesky bony bump at the back of your heel is giving you trouble, then give us a call. Dr. Anant Joshi at Advanced Foot Care of NJ, LLC is dedicated to providing each patient with a customized treatment plan that gets them back on their feet. Contact us today to schedule an appointment!