By Dr. Ken Lefkowitz

Ever heard of “pump bump”? As the name suggests, it is a condition which often occurs in women who wear high heeled shoes. The medical name is Haglund’s Deformity, and the identifying symptom is a bony enlargement of the back of the heel bone.

The firm, rigid backs of high heeled shoes have been known to cause Haglund’s Deformity, but even if you avoid pumps, you may still develop the condition. A tight Achilles tendon, high arches, and tendency to walk on the outside of your feet can also contribute to the development of “pump bump.”

The only symptoms that go along with the enlarged heel bone associated with Haglund’s Deformity are heel pain and blisters (caused by shoes rubbing against the bone outcropping). If you suffer from this condition, place heel pads in the back of your shoes to relieve and distribute some of the pressure on your heels. Apply ice to your heels after removing your shoes, and wear open heeled shoes when possible (however, if you have tendonitis, bunions, or a structural foot deformity, ALWAYS avoid open-heeled shoes).

It may be time to visit a podiatrist if your pain persists despite the aforementioned home remedies. Your podiatrist will first examine your feet and take a thorough medical history, and may order an x-ray. Treatment depends on the severity of the condition, and may include custom orthotics, topical anti-inflammatory medication, a soft cast or walking boot to keep the foot immobile for a certain period of time, or, in extreme cases, surgery to correct the deformity.

If you suffer from Haglund’s Deformity or believe you may be, call Quality Foot Care at 215-230-9707 to make a diagnostic appointment at our Doylestown office.