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What is Haglund’s Deformity?

AHaglund’s deformity, also known as “pump bump,” is a condition characterized by a bony enlargement on the back of the heel. This deformity often leads to pain and discomfort in the affected area. While the exact cause of Haglund’s deformity is not fully understood, it is believed to result from a combination of genetic factors, biomechanical issues, and repetitive trauma.

The primary feature of Haglund’s deformity is the bony prominence that develops on the back of the heel. This prominence can rub against the back of shoes, particularly those with rigid backs or high heels, leading to irritation and inflammation of the surrounding soft tissues. Over time, this can result in the formation of a painful bursa, a fluid-filled sac that acts as a cushion between the bone and the shoe.

Indications of Haglund’s Deformity

Individuals with Haglund’s deformity often experience symptoms such as pain, swelling, redness, and tenderness in the affected area. The discomfort is typically exacerbated by wearing shoes that put pressure on the bony enlargement. In some cases, the condition may also cause Achilles tendonitis, inflammation of the Achilles tendon that connects the calf muscles to the heel bone. This can further contribute to pain and limited mobility. Diagnosis of Haglund’s deformity is typically made through a physical examination of the affected foot and reviewing the individual’s medical history. X-rays may also be ordered to assess the bony prominence and rule out other underlying conditions, such as fractures or tumors.

Treatment for Haglund’s Deformity

Treatment for Haglund’s deformity focuses on relieving symptoms and reducing pressure on the bony enlargement. Conservative approaches include wearing shoes with open backs or soft heel counters, using heel pads or lifts to cushion the area, and utilizing ice packs and nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation. Physical therapy may be recommended to stretch and strengthen the calf muscles and Achilles tendon. If conservative measures fail to provide sufficient relief, or if the deformity is severe and causing significant pain and functional impairment, surgical intervention may be considered. The specific surgical procedure will depend on the individual’s condition but typically involves removing the bony prominence, repairing any damaged soft tissues, and addressing any associated Achilles tendon issues.

Postoperative Care:

Post-surgery, a period of rest and rehabilitation is necessary to allow for proper healing and recovery. Physical therapy will play a crucial role in restoring strength, flexibility, and function to the foot and ankle. It’s important to note that the outlook for individuals with Haglund’s deformity is generally favorable, especially with appropriate treatment. By addressing the underlying causes and managing symptoms, most people can find relief from pain and resume their normal activities


In conclusion, Haglund’s deformity is a condition characterized by a bony enlargement on the back of the heel. While it can cause pain and discomfort, there are various treatment options available. Conservative measures, such as footwear modifications and physical therapy, are often effective. In more severe cases, surgery may be necessary. With proper care, individuals with Haglund’s deformity can experience significant improvement in their symptoms and quality of life.

If you would like to speak to a Precision Orthopedic Specialist in the North Texas Area, give us a call at 817-697-4038, or contact us over the web. Telemedicine appointments are also available.