Haglunds Deformity Heel Pain

A Haglund’s Deformity is a condition of the foot which creates a bony enlargement on the back of the heel. When the bony enlargement rubs against the inside of the shoe, the soft tissue near the Achilles tendon becomes irritated. This irritation can lead to painful bursitis which is an inflammation of the fluid filled sac between the tendon and the bone called the bursa. A Haglund’s deformity is sometimes called a “pump bump” and although it can occur in anyone, it is very often seen in women who wear pumps. The symptoms associated with a Haglund’s deformity are very painful and include a noticeable bump on the back of the heel, severe pain in the area where the Achilles tendon attaches to the heel, and swelling and redness in the back of the heel. Treatment options will depend on the severity of the condition and include medication, shoe modification, immobilization, shockwave therapy, and possibly surgery.