Haglund’s Deformity
Haglund’s deformity is a bony bump that forms at the back of the heel, right where the Achilles tendon attaches to the bone. Left untreated, it can cause ongoing pain and irritation every time you wear shoes.
Request an AppointmentHaglund’s deformity develops when a bony protrusion forms at the back of the heel bone. As this bump rubs against the back of your shoe, it can irritate the surrounding soft tissue and lead to Achilles tendonitis or bursitis, a painful inflammation of the fluid-filled sac that cushions the tendon.
What Causes Haglund’s Deformity?
This condition is often linked to repeated pressure on the back of the heel, commonly from tight or rigid footwear such as skates, dress shoes, or steel-toed work boots. Heredity plays a role as well; a high-arched foot, a tight Achilles tendon, or a tendency to walk on the outside of the heel can all increase your risk.
Symptoms to Watch For
Haglund’s deformity can affect one or both feet, and symptoms can range from mild to severe. Common signs include:
- A noticeable bony bump on the back of the heel
- Pain where the Achilles tendon meets the heel
- Swelling in the back of the heel
- Redness over the irritated area
How We Diagnose It
Because Haglund’s deformity can resemble other conditions such as Achilles tendonitis, our podiatrist will examine your foot and heel in person and may order an X-ray or MRI to evaluate the bone structure and confirm a diagnosis.
Non-Surgical Treatment Options
Most patients find relief without surgery. Conservative treatments are aimed at reducing pain and pressure on the heel and may include:
- Anti-inflammatory medication such as ibuprofen
- Icing the heel for 20–40 minutes a day
- Stretching exercises for a tight Achilles tendon
- Heel lifts or heel pads to reduce pressure and friction
- Backless or soft-backed shoes
- Physical therapy, including ultrasound therapy and soft tissue massage
- Custom orthotics to help control foot motion
- Temporary immobilization in a cast or boot in some cases
When Surgery Is Needed
If conservative care doesn’t provide enough relief, surgery may be recommended to remove the excess bone and smooth the heel, relieving pressure and repairing any tendon damage. Recovery can take several months, and you may need a cast, boot, or walking aid while your heel heals. We’ll schedule regular follow-up visits throughout your recovery to make sure everything is healing as expected.
Preventing Haglund’s Deformity
Wearing properly fitted shoes, using supportive pads or orthotic devices, and stretching your Achilles tendon before and after exercise can all help lower your risk. If you’re already noticing heel pain, don’t wait for it to worsen.
Haglund’s deformity is just one of many heel and ankle conditions we treat, alongside issues like plantar fasciitis, ankle pain, and arthritis. If you’re dealing with persistent heel pain, our related services for tendonitis and stress fractures may also be worth a look. New to our practice? Visit our new patients page or meet the doctor before scheduling your visit.
Frequently Asked Questions
Is Haglund’s deformity the same as a heel spur?
No. Haglund’s deformity forms at the back of the heel near the Achilles tendon, while heel spurs typically form underneath the heel and are often linked to plantar fasciitis.
Can Haglund’s deformity go away on its own?
The bony bump itself doesn’t shrink without surgery, but symptoms can often be managed successfully with conservative treatment and shoe changes.
What shoes should I avoid?
Rigid, tight-backed shoes such as dress shoes, skates, and steel-toed boots tend to aggravate Haglund’s deformity and should be avoided or padded.
How long does recovery take after surgery?
Recovery time varies, but it can take several months to fully heal, often with a cast, boot, or walking aid during part of that time.
Will I need custom orthotics?
Some patients benefit from custom orthotics to reduce pressure on the heel, especially those with high arches.
When should I see a podiatrist for heel pain?
If you notice a bump, ongoing pain, swelling, or redness at the back of your heel, it’s a good idea to be evaluated before the condition worsens.
Do you treat Haglund’s deformity at both office locations?
Yes, our team treats Haglund’s deformity at both our Lexington and Danville offices.
