Haglund’s Deformity is a bony enlargement that forms on the back of the heel, where the Achilles tendon attaches. This protrusion can cause irritation and inflammation when it rubs against the inside of shoes, especially those with stiff backs. The pressure can inflame the bursa, a small fluid-filled sac that cushions the tendon, and may also lead to irritation of the surrounding soft tissue. Due to its frequent appearance in women who wear high-heeled shoes, the condition is often nicknamed the “pump bump.”

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Causes of Haglund’s Deformity

The deformity itself results from an abnormal bone growth on the heel, but the discomfort arises from constant friction or pressure on this area—often from ill-fitting shoes. Individuals with certain foot structures are more prone to developing this condition, especially those who:

  • Have high arches, which tilt the heel back into the tendon
  • Walk with an altered gait that increases pressure on the heel
  • Frequently wear rigid, closed-back shoes or pumps

Symptoms of Haglund’s Deformity

Common signs and symptoms include:

  • A noticeable bump on the back of the heel
  • Redness and swelling near the Achilles tendon
  • Pain or tenderness at the back of the heel, especially after wearing tight or high-backed shoes
  • Irritation or blistering in the affected area

Symptoms tend to worsen after walking, running, or wearing shoes that place pressure on the heel.

Treatment Options for Haglund’s Deformity

While non-surgical methods are often successful in relieving symptoms, surgery may be necessary for more severe cases.

Non-Surgical Treatment

Initial treatment aims to reduce inflammation and prevent further irritation. Common approaches include:

  • Anti-inflammatory medications (oral or topical) to reduce swelling
  • Ice packs applied to the heel to alleviate inflammation
  • Heel pads or backless shoes to prevent rubbing against the bump
  • Orthotic arch supports to correct foot alignment and reduce heel pressure
  • Stretching exercises to relieve tension in the Achilles tendon
  • In more advanced cases, a walking boot or cast may be used to immobilize the foot and allow healing

Surgical Treatment

Non-surgical options can manage symptoms, but they won’t remove the bony growth causing the irritation. Surgery may be recommended when:

  • Pain persists despite conservative treatment
  • The bump grows larger or becomes increasingly painful
  • There is chronic inflammation that interferes with daily activity

Surgical intervention typically involves removing the bony prominence and addressing any damage to the surrounding tissues.

If you suspect you have Haglund’s deformity or are experiencing heel pain that worsens with certain footwear, consult your doctor. Early diagnosis and treatment can help prevent further complications and improve your comfort and mobility.