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Pump Bump Haglund

Pump Bump or Haglund Deformity

Haglund deformity is commonly known as a “pump bump” or retrocalcaneal bursitis. It presents as a painful enlargement of the back of the heel bone that becomes irritated by shoe gear.

The Haglund deformity presents as a red, painful, and swollen area in the back of the heel bone (calcaneus). Patients may also develop pain upon motion of the ankle joint and after activity, due to irritation of the Achilles Tendon. The syndrome usually occurs in females in the 2nd to 3rd decade, due to the irritation of the rigid heel counter of the shoe rubbing up and down on the back of the heel bone.

Haglund Deformity is identified by physical examination and x-rays. The examination will identify the area of pain and redness and your doctor will then correlate these findings with X-ray studies, Bone Scans, and Magnetic Resonance Imaging, if deemed necessary.

The cause of Haglund Deformity is multifaceted. The underlying bony deformity can be present at birth, or acquired by injury over the patient’s lifetime. A heel bone that has a bump on it’s back surface is particularly vulnerable to injury by the hard back of a shoe. Shoe gear is the primary reason for the injury hand in hand with abnormal motion of the heel bone. The enlarged back of the heel rubs against the back of the shoe over and over again, causing the development of first, skin irritation and later, a bursitis, or inflamed fluid filled sac. That bursitis becomes the focus of pain and disability, making it impossible to wear shoes with backs.

In mild cases of Haglund Deformity, controlling abnormal biomechanical motion and changing the type of shoes can stop the injury and the consequent redness and swelling from developing. Soaking the foot may soothe the area and anti-inflammatories, Tylenol or Aspirin may diminish some of the pain. The pain can also be alleviated by placing a heel lift inside the shoe, to lift the Haglund Bump above the part of the heel counter of the shoe that rubs it.

Your chiropodist will attempt one of a few simple therapies. In the mild cases, padding of the area may be indicated. Your chiropodist may recommend alternative shoe styles, including open back shoes. Oral anti-inflammatory medications and cortisone injections may also help to diminish the acute inflammation of the heel. Orthotics or arch supports may also be fabricated to prevent recurring symptoms. If conservative therapy fails, surgery will be utilized to correct this painful condition. Surgery consists of removal of the excess bone.

Altering your shoe style may be the only way to prevent the symptoms of Haglund Deformity from recurring. It is most important to avoid shoes with hard backs. If there is a large bony growth on the back of the heel, either shoe gear must be limited to only those with soft conforming backs, or the bump must be removed.

If you have more questions. Discuss them with our chiropodist Kiran Dave through an appointment or through our contact us section.

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Foot Specialist

Quiz from the Chiropodist

Quiz from our Mississauga Chiropodist

1. People with flat feet sometimes become clumsy after prolonged walking or running? True or False

2. Which foot condition mainly affects women? Bunions, plantar warts, or ingrown toenails?

3. Which population has the highest percentage of flat feet? Elderly, Teenagers, Men, or Babies?

4. What do all of the questions have in common?



1- True – Flat-footed people are sometimes clumsy and fatigued from prolonged walking or running. Shoes with well made prescription orthotics supports from a Chiropodist can help with these problems and prevent falls and tireness, as well as prevent other problems such as ankle, leg, knee, hip and back problems.

2- Bunions – Common in ballet dancers, a bunion is a painful lump at the base of the big toe, which may cause the toe to bend unnaturally. It forms when the tissue or bone at the base joint gets displaced. This may happen after years of abnormal pressure and movement. Pointy-toed shoes are a commone factor, which explains the prevalence o bunions among women. Pain relievers, pads to cushion the bunion may help with a pain temporarily.  Custom foot orthotics combined with better footwear is the most common and successful option to prevent it getting worse. To avoid bunions, it is best to wear roomy shoes and avoid high heels.

3- Babies – All babies have flat feet. This is because their arches are not yet formed and because baby feet tend to be plump. Flat feet may persist into adulthood, though an arch may form as the child grows. Our chiropodist (foot specialist) suggest allowing nature to take its course until age 4 or 5. If there is a family history of flat looking feet, than the indications and likelihood of early treatment are strong to prevent further damage.

4- Feet and orthotics – Our Chiropodist Kiran has all the answers regarding orthotics.  If you have any questions regarding orthotics and their proper use, don’t hesitate to connect with the office.