Pain at the Back of the Heel: Haglund's Deformity Explained

Pain at the back of the heel is often caused by a small bony bump that rubs against your shoe until the area becomes swollen and inflamed. This is known as Haglund's deformity, and Dr. Amr Elyamany describes how to recognise it.
Three signs you may have it
- Persistent pain behind the heel, a chronic ache at the back of the heel, especially after wearing shoes or after a short run.
- A hard lump or small swelling at the back of the heel, where a little bone sticks out. Over time it can grow into a large, visible lump that hurts more.
- Redness and friction in the same place; the area is often red and any shoe makes it very painful.
Why it should not be left
If the pain is left alone, the bump and the inflammation can get worse and the problem grows. Seeing an orthopedic doctor early makes treatment easier: it usually starts with simple measures such as changing footwear, softer heel backs, heel lifts and physiotherapy, while surgery is kept for cases that do not settle.
Key takeaway: Prevention is better than cure: do not ignore a painful heel bump, and choose shoes that do not rub the back of your heel.
When to see a doctor
- Chronic pain behind the heel that worsens with shoes
- A visible, growing bump on the back of the heel
- Redness or swelling that does not settle when you change footwear
Need advice about your own case? Book a consultation with Dr. Amr Elyamany in Dubai.
This article is for general education and does not replace an in-person medical examination. If you have symptoms, please consult a qualified doctor.