Haglund’s deformity, often referred to as “pump bump,” is a bony enlargement on the back of the heel bone. This condition can lead to irritation, inflammation, and significant discomfort—especially when wearing certain types of shoes.
If you’ve noticed a painful bump on the back of your heel that worsens with activity or footwear, you may be dealing with Haglund’s deformity.
What Is Haglund’s Deformity?
Haglund’s deformity occurs when there is a prominent bony growth on the posterior (back) part of the heel bone (calcaneus). This enlargement can rub against rigid shoes, causing irritation of the surrounding soft tissues.
Over time, this friction may lead to:
- Retrocalcaneal bursitis (inflammation of the bursa)
- Achilles tendon irritation
- Swelling and redness
- Persistent heel pain
What Causes Haglund’s Deformity?
Several factors can contribute to the development of this condition:
- Wearing tight, stiff-backed shoes (high heels, dress shoes, hockey skates)
- High arches
- Tight Achilles tendon
- Genetic foot structure
- Biomechanical abnormalities
- Repetitive activity (running, jumping)
Symptoms of Haglund’s Deformity
Common symptoms include:
- A noticeable bump on the back of the heel
- Pain at the back of the heel, especially with shoes
- Redness or swelling
- Heel tenderness
- Pain after physical activity
- Thickened skin or callus over the area
Symptoms often worsen with prolonged walking, running, or wearing closed-back shoes.
How Is Haglund’s Deformity Diagnosed?
Diagnosis typically involves:
- Physical examination
- Review of symptoms
- X-rays to confirm the bony enlargement
- MRI may be needed to evaluate integrity of the Achilles tendon
Early evaluation helps prevent worsening inflammation or tendon damage.
Treatment Options for Haglund’s Deformity
Treatment depends on the severity of symptoms and the level of irritation.
Conservative (Non-Surgical) Treatment
Most patients respond well to non-invasive treatments, including:
- Switching to open-backed or soft-backed shoes
- Heel lifts or orthotics
- Padding to reduce friction
- Anti-inflammatory medications
- Icing the affected area
- Physical therapy
- Achilles tendon stretching exercises
Custom orthotics may also help improve foot mechanics and reduce pressure on the heel.
Advanced or Surgical Treatment
If conservative treatments fail and pain persists, surgical correction may be recommended. Surgery typically involves removing the bony prominence and addressing any associated tendon damage.
Recovery time varies depending on the procedure performed.
Preventing Haglund’s Deformity
While not always preventable, you can reduce your risk by:
- Wearing properly fitted shoes
- Avoiding rigid heel backs
- Stretching your calves and Achilles tendon daily
- Using supportive footwear during exercise
- Addressing heel pain early
Ignoring persistent heel pain can lead to chronic inflammation and more complex treatment.
When to See a Podiatrist
If you’re experiencing heel pain that doesn’t improve with shoe changes or rest, it’s time to seek professional evaluation. Early treatment can prevent progression and help you return to normal activity more comfortably.
A personalized treatment plan can make all the difference in relieving pain and preventing recurrence.
Comprehensive Care Under One Health Network
For patients who require vein or vascular evaluation, we work closely with Gauld Vein & Vascular to ensure comprehensive care. Both Gauld Foot & Ankle and Gauld Vein & Vascular operate under Gauld Health, providing coordinated, multispecialty treatment designed around your overall wellness.
This integrated approach allows us to address both musculoskeletal and vascular concerns, ensuring you receive complete, streamlined care.
Call us today (678) 215-1882 or request an appointment online
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