You would think that only women suffer from the condition known as “pump bump”, but men and certain athletes can also have this problem. Dr. Rajnish Manohar at the Gentle Foot Care Clinic (has offices in Brandon and Zephyrhills Florida) can explain to you the condition and how you can treat the symptoms and prevent it from happening in the future.
What Exactly is Haglund’s Deformity?
Haglund’s deformity is a bony augmentation on the back of the heel. The soft tissue near the Achilles tendon becomes inflamed when the bony enhancement rubs versus shoes. This typically causes painful bursitis, which is a swelling of the bursa (a fluid-filled sac in between the tendon and bone).
Signs and symptoms of Haglund’s Deformity
Haglund’s defect can happen in one or both feet. The symptoms include:
- Redness near the swollen tissue
- A visible bump on the back of the heel
- Discomfort in the location where the Achilles tendon connects to the heel
- Swelling in the back of the heel
- Medical diagnosis
- After evaluating your symptoms, Dr. Manohar will certainly examine the foot. In addition, x-rays will be taken to be able to see the structure of the heel bone.
Causes of Haglund’s Deformity
Haglund’s defect is commonly called “pump bump” because the rigid backs of pump-style shoes can create pressure that exacerbates the augmentation when walking. In fact, any shoes with a stiff back, such as ice skates, some men’s shoes shoes, or women’s pumps, can trigger this irritation.
To some extent, heredity contributes in Haglund’s defect. Inherited foot structures that can make one prone to developing this condition consist of:
- A high-arched foot
- A tight Achilles tendon
- A tendency to walk on the outside of the heel.
Non-Surgical Treatment for Haglund’s Deformity
Non-surgical treatment of Haglund’s deformity is aimed at reducing the swelling of the bursa. While these strategies can deal with the discomfort and swelling, they will not diminish the bony protrusion. Non-surgical treatment can include one or more of the following:
- Change your shoes. Backless or soft backed shoes assist avoid or reduce irritation.
- Heel lifts. Clients with high arches might find that heel lifts put inside the shoe lower the pressure on the heel.
- Medication. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be suggested to reduce the discomfort and inflammation.
- Ice. To decrease swelling, apply an ice pack to the swollen location, positioning a thin towel in between the ice and the skin. Use ice for 20 minutes and after that wait at least 40 minutes before icing again.
- Exercises. Stretching workouts assist relieve tension from the Achilles tendon. These workouts are specifically important for the patient who has a tight heel cord.
- Heel pads. Pads put inside the shoe cushion the heel and may help reduce inflammation when walking.
- Physical treatment. Physical therapy methods, such as ultrasound, can assist to lower inflammation.
- Orthotic gadgets. Custom arch supports control the motion in the foot.
- Immobilization. In some extreme cases, casting might be required.
When Is Surgery Needed to correct Haglund’s Deformity?
If non-surgical treatment fails to supply sufficient pain relief, surgical treatment may be required. If Dr. Manohar believes that surgery is needed to correct the defect, he may refer you to a surgeon. After surgery, please remember to follow up with him at his office in Brandon or Zephyrhills to make sure that the surgery was completely successful in correcting your issue.
Prevention of Haglund’s Deformity
A recurrence of Haglund’s defect may be avoided by:
- Wearing appropriate shoes; prevent shoes with a rigid heel back
- Utilizing arch supports or orthotic devices
- Performing stretching workouts to prevent the Achilles tendon from tightening
- Avoiding running on hard surface areas and running uphill.
If you think you might have the condition known as “pump bump” and would like some relief from the pain of Haglund’s Deformity, call Dr. Rajnish Manohar at his Brandon office (813) 502-5904 or in Zephyrhills (813) 782-3233. Alternately, you can submit a request by clicking the button below to schedule an appointment.
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Dr. Manohar has been in private practice as a Podiatrist in Zephyrhills since 2001, treating Foot and Ankle Pain including Diabetic Foot Pain and Neuropathy, as well as, providing routine Diabetic Foot Care.
Dr. Manohar is board certified by the American Board of medical specialties in Podiatric Medicine. He is a member of the American Academy of Podiatric Sports Medicine. Dr. Manohar resides in Temple Terrace, Florida.
Dr. Manohar specializes in treating foot and ankle pain, Plantar Fasciitis and Heel spurs, Neuromas, Peripheral Neuropathy, Ingrown toenails, Non healing wounds, corns, calluses, Warts, Cysts, Toenail fungus.