Haglund’s Deformity




Also known as the “pump bump”, Haglund’s deformity is a condition that causes the bone section of your heel (where the Achilles tendon is located) to become enlarged or inflamed. Wearing shoes that put too much pressure on the back of the heel can often cause Haglund’s deformity in Bethesda.

If left untreated, Haglund’s deformity can lead to bursitis, which is an inflammation of the fluid-filled sac that separates the tendon from the bone. When the heel becomes inflamed, it can calcify the heel bone. This then causes the bump to become more prominent, which results in more noticeable pain. It can also affect basic foot function.

Causes of Haglund’s Deformity in Greater Washington

As “pump bump” implies, the rigid backs of “pump-style” shoes usually cause Haglund’s deformity. These shoes create pressure that aggravates the growth during normal activities, like walking.
In addition to poor shoe choice, these factors can also contribute to the formation of Haglund’s deformity:

  • Having a high-arched foot
  • Having a tight Achilles tendon
  • Poor walking mechanics

If you suspect you might be suffering from Haglund’s deformity, contact Bethesda Foot & Ankle Center.

Symptoms of Haglund’s Deformity in Bethesda, MD

Most cases of Haglund’s deformity are very painful—especially in the area where the growth is located on the heel. Other common symptoms of Haglund’s deformity include:

  • Noticeable bump on the back of the heel
  • Severe pain in the heel
  • Swelling in the heel
  • Redness or tenderness near the inflamed area

If you notice any of these symptoms, you can contact us at Bethesda Foot & Ankle Center to learn more about Haglund’s deformity.

Bethesda Haglund’s Deformity Treatment

Because its symptoms are so similar to those of other common foot conditions—like arthritis—Haglund’s deformity can be difficult to diagnose. Dr. Duggirala or Dr. Deroy, our podiatrists serving Greater Washington and Bethesda, MD, may be able to diagnose this condition based on the appearance of your heel—although some cases require further diagnostic and imaging tests to confirm the diagnosis.

Treating Haglund’s deformity in Bethesda, MD involves relieving pressure from the heel bone. This can be accomplished surgically or nonsurgically—the treatment depends on the severity of your symptoms. For mild to moderate Haglund’s deformity, the following non-surgical treatments may be performed:

  • Shoe changes
  • NSAID pain relievers
  • Soft-tissue massage
  • Custom orthotics
  • Heel pads or cushions
  • Anti-inflammatory injections

If non-surgical options are ineffective, Dr. Duggirala or Dr. Deroy, our podiatrists in Bethesda, MD, may recommend a surgical procedure to relieve pressure from the heel bone. This can be done by removing excess bone from the heel or smoothing existing bone. These procedures are very effective in relieving pressure from the bone and surrounding soft tissues.

Contact us at Bethesda Foot & Ankle Center to learn more about how we can help treat Haglund’s deformity.