Haglund’s deformity is a bony enlargement at the upper back of the heel. The bump forms near the point where the Achilles tendon attaches to the heel bone. It can rub against the back of a shoe and cause pain, redness, and swelling behind the heel. The area may feel tender, and a bump can develop. Pain can be noticeable when wearing shoes with firm heel counters. Some patients also have discomfort when they begin walking after resting. The condition can affect one heel or both heels.
The cause of Haglund’s deformity is not always clear. A tight Achilles tendon, high arches, and an inherited heel shape can raise the risk. Pressure from wearing stiff or poorly fitting shoes can worsen irritation. The nearby fluid-filled sac, called a bursa, can become inflamed. This sac cushions the heel bone and Achilles tendon. When it becomes irritated, swelling and pain can increase. A podiatrist examines the heel, checks the patient’s foot structure, and asks when the pain occurs. X-rays can show the heel bone and the size of the bump. Other imaging can help assess the Achilles tendon or surrounding tissue when the cause remains unclear.
Treatment focuses on reducing pressure, easing inflammation, and protecting the back of the heel. The podiatrist can recommend shoes with a softer heel area or room around the bump. Custom orthotics or heel lifts can improve foot position and reduce strain on the Achilles tendon. Padding may limit shoe rubbing. A temporary walking boot can protect the area when pain is severe. The podiatrist can also monitor the tendon and adjust treatment based on the patient’s progress. When these measures do not provide enough relief, surgery may be considered to remove the excess bone and address damaged tissue. If you have symptoms of Haglund's deformity, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Many people suffer from bouts of heel pain. For more information, contact Brain Middleton, DPM of Medical Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
