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Uncovering the Causes and Solutions to Haglund’s Deformity (AKA the “Pump Bump”)

Haglund’s deformity, also known as a “pump bump” or retrocalcaneal bursitis is a common foot condition affecting the back of the heel. This condition is characterized by a bony enlargement on the back of the heel, which pushes against soft tissue and can cause pain and discomfort. This can be caused by improper footwear, such as shoes that are too tight or have high heels, which put extra pressure on this area. Haglund’s deformity can lead to several complications such as Achilles tendinitis, bursitis, and plantar fasciitis if left untreated.

Haglund’s Deformity fb


The symptoms of Haglund’s deformity include pain at the back of the heel that becomes worse when wearing certain types of shoes. The condition may also cause redness, swelling and tenderness in this area. Pain is usually worst when wearing closed-back shoes because they rub against the bony enlargement at the back of the heel. In more severe cases, there may be an increased risk of developing Achilles tendonitis due to irritation from shoes rubbing on this area.


One common cause of Haglund’s deformity is ill-fitting or poorly designed footwear. Shoes with hardbacks can push against this bony enlargement and cause it to become worse over time. Shoes that are too tight or those with high heels put extra pressure on this area and can make matters worse. Overuse or strenuous activities such as running or jumping can also contribute to its development. There are some genetic factors associated with Haglund’s deformity as well; for example, people with flat feet tend to be more prone to developing it than those with normal feet structure.


There are several treatments available for Haglund’s deformity depending upon its severity. The most important step is to avoid any activities which worsen the condition and relieve pressure from this area by switching to low-heeled or soft-backed shoes while walking or running. Additionally, orthotic inserts may help reduce pressure on this area by providing arch support and cushioning. Nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce inflammation in this area associated with Haglund’s deformity while corticosteroid injections may provide additional relief if needed. Physical therapy exercises may also be beneficial in alleviating symptoms associated with both conditions by strengthening muscles surrounding them for better stability and support for improved function overall

Surgical Intervention

Surgical intervention may be indicated in severe cases where conservative treatment fails to provide adequate relief from symptoms associated with Haglund’s Deformity. Multiple surgical procedures exist including gastrocnemius lengthening for tight calf musculature along with resection of any excess bone growth present at the back of the heel. It should be noted however that not all patients will require surgery; our podiatrist will determine whether this would be an appropriate course of action based on your individual case.

Ultimately, proper treatment for Haglund’s Deformity requires early diagnosis in order to prevent further complications from developing. If you experience any pain at the back of your heels, particularly when wearing closed-backed shoes, you should consult Premier Foot and Ankle immediately so we can diagnose your condition accurately and determine an appropriate treatment plan.