How to Choose Shoes for Haglund's Deformity

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Haglund's deformity is a bony enlargement on the back of the heel that is also called "bump pump". It is often associated with a bursa (a fluid filled sac between a tendon and bone) which can become inflamed (bursitis). The Achilles tendon can also become inflamed when the bony enlargement rubs against shoes. It is most commonly seen in women who wear high heeled, slip-on shoes. The symptoms may include a visible bump on the back of the heel, pain, swelling and redness at the back of the heel.

Skill level:
Moderately Challenging

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Instructions

  1. 1

    Take a look at the shoes that you currently own and see which ones are comfortable. This will give you an idea of the type of shoe that may be best for you.

  2. 2

    Look for shoes with a padded collar at the heel of the shoe. This will prevent the top edge of the heel from irritating your heel.

  3. 3

    Find a shoe with a lace or a strap. A lace or a strap also holds your foot in place so that it does not slip up and down in the shoe and irritate the back of your heel.

  4. 4

    Avoid shoes with prominent stitching, straps or seams that run across the prominent heel area. This will only add pressure to a susceptible area and can cause corns, calluses or blisters.

  5. 5

    Consider wearing backless shoes if you are unable to find shoes that do not irritate your foot. You should only keep these for occasions when you will not be on your feet too much as they provide limited support.

  6. 6

    Visit a specialist shoe store. The specialist or sales staff may be able to adjust your shoe to prevent the heel being irritated. For example, a small in-shoe heel lift may be enough prevent the back of the shoe rubbing on you heel.

  7. 7

    Take your new shoes to your podiatrist if you are unsure about the fit. They may be able to adjust them slightly by placing padding in the shoe or arrange for the shoes to be adjusted by a specialist. They may refer you to a shoemaker to have a pair of shoes made specifically to your measurements.

Tips and warnings

  • Wear the shoes around at home before wearing them outside so that you can return them to the store if they are not comfortable.
  • Never squeeze your foot into a shoe and hope that it will stretch and eventually become comfortable.
  • Shop for shoes at the end of the day when your feet are at their largest, most swollen state.
  • Always buy shoes to fit the larger foot and pad out the shoe for the smaller or narrower foot.
  • If you wear an orthotic, take it with you to make sure you achieve the perfect fit while wearing the orthotic. Otherwise, when you later place the orthotic in the shoe, the shoe will be too tight or your heel may not feel as comfortable.
  • If a shoe is not comfortable in the store, do not buy it.

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