Haglund's Deformity

Haglund's Deformity, also known as 'pump bump', happens when a bump develops on the back of the heel bone. The condition can then be aggravated by the wearing of tight shoes. The pressure from the back of the shoe causes the bump to rub and irritate the soft tissue between the bump and the shoe leading to inflammation and pain.

What causes Haglund's Deformity?

Haglund's Deformity occurs when a bump on the back of the heel bone rubs against the soft tissue surrounding the Achilles tendon and causes irritation leading to calluses and swelling (Bursitis).

  • High arches
  • Tight Achilles tendon
  • Wearing high heels
  • Supination

How do I know if I have Haglund's Deformity?

What are the symptoms of Haglund's Deformity?

  • Bump on the back of the heel
  • Pain in the back of the heel
  • Thick, inflamed callus on the back of the heel

How is Haglund's Deformity diagnosed?

  • Physical examination by a physician
  • X-rays

What can I do from home for Haglund's Deformity?

What can I do to prevent Haglund's Deformity?

Avoid wearing shoes with tight or stiff backs, especially high-heeled shoes

What treatments can I do from home for Haglund's Deformity?

  • Ice. This will help with pain and swelling
  • Wear shoes without stiff backs (flip flops, clogs etc.)
  • Wear cushioning pads between the heel and shoe to alleviate pain
  • Anti-inflammatory medications
  • Stretching of the Achilles tendon

When should I see a doctor for Haglund's Deformity?

When should I see a doctor for Haglund's Deformity?

You should a doctor for Haglund's Deformity if it becomes painful to walk or the pain is distracting.

Treatments your doctor may recommend for Haglund's Deformity

Non-Surgical:

  • Anti-inflammatory medications
  • Stretches of the Achilles tendon and Physical Therapy
  • Heel lifts or heel pads

Surgical:

The surgeon will make a small incision in the back of the heel, temporarily move the Achilles tendon aside, remove the bump that is causing the irritation. A second option is removing a wedge from your Calcaneus bone. This shortens the bone and helps to relieve pressure from the tendon.