Haglund’s deformity is a bony enlargement on the back of the heel. Because it rubs against the shoe, it can often lead to bursitis - a painful inflammation of the bursa (a fluid-filled sac between the tendon and bone).
- Haglund’s deformity can occur in either or both feet. The symptoms include:
- A noticeable bump on the back of the heel
- Swelling in the back of the heel
- Pain where the Achilles tendon attaches to the heel
Non-surgical treatment of Haglund’s deformity can relieve pain and inflammation, but it won’t reduce the bony lump. Non-surgical treatments can include one or more of the following:
- Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen
- Ice packs. Apply (wrapped in a towel) for 20 minutes or so, and repeat several times per day.
- Stretching exercises to help relieve tension from the Achilles tendon.
- Heel lifts. Heel lifts placed inside the shoe can decrease the pressure on the heel.
- Heel pads in the shoe. These cushion the heel and may help reduce irritation when walking.
- Shoe modification. Backless or soft-backed shoes help eliminate or reduce irritation.
- Orthotic devices to control the motion of the foot.
- Immobilisation. In some cases, casting may be necessary.
In severe cases, surgery may be needed.