Quick Facts on Foot and Ankle Care in Our Podiatry FAQ

How can you tell if there is a bone spur in your heel? When should patients consider surgery for torn ligaments? Our FAQ page explores a variety of foot and ankle questions to help patients get the care they need. Search through our FAQ to get answers on your condition.

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  • What is Haglund's deformity?

    If you have a bony growth on the back of your heel and the spot is swollen, painful, or callused, you may have Haglund's deformity. This podiatric conditions occurs when a bony bump forms on the back of the heel bone, irritating the surrounding soft tissue and causing pain. Although this common foot problem can be very uncomfortable, it's also quite treatable. If you have Haglund’s deformity, it’s important to know the causes, risk factors, treatment options, and how the skilled podiatrists at Massapequa Podiatry Associates can help your feet feel better. Treating Haglund's deformity


    Sustained pressure on the back of the heel—such as from wearing shoes with rigid backs—can cause Haglund's deformity. As the bony lump develops on the rear of the heel bone, it can aggravate the nearby bursa. These tiny, fluid-filled sacs provide cushioning and reduce friction between bones and soft tissue. These heel lumps can also aggravate the Achilles tendon, causing painful swelling and inflammation. Additionally, blisters can form on your skin as the bony growth rubs against the inside of your shoes, making your feet even more miserable.

    Risk Factors

    Your choice of footwear can play a big role in the development of Haglund's deformity. The condition is particularly common in women who frequently wear high heels and are sometimes called “pump bumps.” However, high heels aren't the only shoes that can increase your risk for Haglund's deformity; any type of shoe with firm, rigid backs can cause this condition, including men's dress shoes and ice skates.

    Genetics and the shape of your feet can also contribute to the development of this uncomfortable and unsightly podiatric condition. For example, people who have high arches, tight Achilles tendons, or who tend to walk on the outside of their feet are more likely to suffer from Haglund's deformity than people without those characteristics.

    Diagnosis and Treatment Options

    Often, a discussion of your symptoms and a thorough examination of your feet are all it takes to diagnose Haglund's deformity. In some cases, X-rays, MRIs, or ultrasounds may be used to gain more information on the severity of the condition and the structure of your feet.

    When Haglund's deformity causes only mild discomfort, it can often be successfully treated at home with rest, ice, and over-the-counter medications; by adding heel pads to shoes with stiff backs; or opting for shoes with soft backs or no backs (avoid open-heeled shoes if you have bunions, tendinitis, or other podiatric problems).

    However, if pain persists or the growth gets bigger, it's a good idea to see a skilled podiatrist for assessment and treatment. Although care plans vary depending on factors that include the severity of the deformity and your symptoms, our recommendations may include:

    • Topical or oral medications to reduce swelling and inflammation
    • Boots or casts to immobilize the foot
    • Rehabilitative exercises to relieve tension in the Achilles tendon
    • Custom orthotics to alleviate pressure on the back of the heel and provide precise support and cushioning

    While Haglund's deformity often responds well to conservative therapies, in cases where the pain is severe or the growth is sizable, surgery may be required to correct the deformity or reshape the affected heel bone.

    Treat Your Feet to Fantastic Care

    If pain and swelling in your heel are making daily tasks difficult and preventing you from doing the things you love, you may be suffering from Haglund's deformity. Don’t let podiatric problems stop you from living your best life. At Massapequa Podiatry Associates, our knowledgeable, experienced, and compassionate podiatrists can evaluate your condition and come up with a custom treatment plan that provides relief and results. We're committed to helping you get back on your feet as quickly, as safely, and as painlessly as possible. If you’re ready to find out what we can do for you, complete our contact form, or call us to schedule an appointment with one of our podiatrists.


  • What is Amniovo?

    Amniovo is an advanced treatment for various soft tissue injuries and conditions that can result in faster, better healing processes. On a technical level, it is a composite amniotic tissue membrane. Amniotic tissue comes from the innermost layer of the placenta, which means it is a naturally-occurring material. This tissue is rich in growth factors and cytokines (substances secreted by cells in the immune system that can affect other cells).

    There is slight manipulation performed to these natural tissues to protect their natural properties, which are capable of reducing inflammation and scarring, enhancing healing, and acting as a protective barrier. Additionally, it is prepared in various configurations for optimal use in several applications (surgery recovery, soft tissue repair, etc.).

    Amniovo is durable, safe, and will help you recover better, in a shorter amount of time. It can be particularly beneficial for patients who suffer from common sources of heel pain like Achilles tendinitis and plantar fasciitis.

    For more information on Amniovo treatment, and to see if it is right for the foot or ankle condition affecting you, simply give Massapequa Podiatry Associates a call at (516) 541-9000. If you’d prefer, take advantage of our online form to connect with our Nassau County office right now.

  • How can I prevent Achilles tendinitis?

    There are a wide variety of strategies that can be employed aid in the prevention of heel pain from Achilles tendinitis, minimizing daily and long-term stresses on the tendon.

    Achilles tendinitis often results from overuse—that is to say, the tendon has to deal with repeated heavy forces over a period of time, not getting sufficient time to rest and heel. Prevention methods seek to both reduce stresses and allow for more recuperation time. These might include:

    • Starting new activities (or increasing intensity of current activities) gradually, rather than all at once.
    • Investing in good footwear that provides proper support and cushioning.
    • Choosing running routes that are flatter and use softer terrain.
    • Have days dedicated to low-impact exercise (like going for a bike ride), rather than always choosing high-impact exercises (like running or basketball).
    • Visit Dr. Corey Fox in Massapequa, NY to see if additional treatments, such as physical therapy or custom orthotics, may be necessary to address underlying causes and stressors.

    On that last point, you can request an appointment easily right from this website by clicking on our contact form and filling out the relevant information. You can also schedule the old fashioned way with our front office by dialing 516-541-9000.

  • What is this bump on my heel?

    A number of conditions could produce a bump on the heel. The most common (particularly in young women, though it can happen to anyone) is Haglund’s deformity, also known as “pump bump.” In this condition, irritation and damage to the soft tissues at the back of the heel produces a bony enlargement over an extended period of time. This typically occurs from the constant pressure of wearing hard-backed heels, shoes, boots, or skates. The shape of your foot also plays a role—some people seem more prone to developing the deformity than others.

    Other possible bump-on-heel conditions could include:

    • Blisters
    • Cysts
    • Warts
    • Papules
    • Achilles tendinitis / tendon spurs

    Unexplained and/or painful bumps should always be checked out by a podiatrist. For most conditions, the earlier you seek help, the better off you’ll be in the long run. That’s true of Haglund’s deformity as well—this progressive problem will only get worse until you take action. To make an appointment with the Dr. Corey Fox, the heel pain expert at Massapequa Podiatry Associates, please fill out the contact form online or call us at 516-541-9000.

  • Why does my heel hurt in the morning?

    Heels that hurt in the morning are a classic symptom of plantar fasciitis, the most common heel pain condition. Your foot features a band of tissue called the plantar fascia, which stretches across the arch and connects your heel to your toes. Repeated stress can cause the tissue to strain, tear, and become swollen.

    Plantar fasciitis tends to hurt more in the morning because the damaged plantar fascia shortens during the night (or long periods of rest) as it tries to repair itself. Placing weight on it again may cause sharp, stabbing pains for the first 10-15 minutes of weight bearing, until the band loosens and lengthens again. Pain may also be particularly significant after long periods of activity or climbing stairs.

    Fortunately, plantar fasciitis is usually treatable without surgery. Dr. Corey Fox has been helping Long Island residents and others overcome heel pain for more than 20 years, and can help you, too. To schedule an appointment at our office is Massapequa, NY, give us a call at 516-541-9000. You can also book online.