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Haglund’s Deformity

Haglund’s deformity is a bone spur at the area where the Achilles tendon attaches into the upper back portion of the heel bone (calcaneus). This condition is progressive and can cause significant pain, swelling, and limitation of activity. Sometimes it’s called “pump bump” because the deformity often occurs in women who wears pumps.


      • Genetic predisposition
      • Heredity
      • High arches
      • Over-pronation
      • Tight calf muscles
      • High heels
      • Stiff shoes


      • Symptoms vary from minor to severe, depending upon the size of the bone spur and the activity of the patient.
      • Enlarged bony bump near the back of your heel bone
      • Blisters on your heels as a result of your shoes rubbing against the bump
      • Swelling
      • Pain with flat shoes; possible relief with wearing a small heel


Like many foot problems, Haglund’s deformity (or pump bump) is a progressive problem, meaning it will get worse with time and tend to not resolve on its own. If pain persists, podiatric medical attention should be sought. Treatment ranges from very conservative options to surgical procedures, depending on the severity.


Treatment will depend on the severity of the condition.


Custom-Molded Orthotics—These custom-made shoe inserts are useful in controlling foot function and may reduce symptoms and prevent worsening of the deformity.

Shoe modification—Over-the-counter heel pads, heel lifts, or arch supports, can be used change the position of your feet in your shoes to relieve pressure on the back of your foot. Transitioning from high heels to a flatter type shoe slowly will prevent progression of the deformity.

Stretching and Physical Therapy—Stretching the calf muscles can reduce the amount of pulling at the bone-tendon interface, decreasing pain at the spur.

Medication—Topical anti-inflammatory medication, applied directly to the heel, may provide pain relief. Oral anti-inflammatory medication (such as ibuprofen) can help as well.

Immobilization—If the area is extremely inflamed, a custom-made soft cast or walking boot may be used to immobilize the area and allow it to heal.


If none of the non-surgical methods provide adequate relief, your podiatrist may recommend surgery to correct the deformity and reshape the heel bone to prevent the spur from tearing the Achilles tendon.