Haglund’s deformity, often referred to as a “pump bump,” is a bony enlargement on the back of the heel where the Achilles tendon attaches to the calcaneus (heel bone). This condition typically arises from repetitive irritation or pressure, especially in individuals who frequently wear rigid-backed shoes such as pumps, cleats, or dress shoes. The result is inflammation of surrounding soft tissues, including the retrocalcaneal bursa, which sits between the tendon and the bone. Over time, the continual stress can lead to both pain and visible swelling at the posterior heel.
The primary symptoms of Haglund’s deformity include heel pain, redness, swelling, and a noticeable bump at the back of the heel. This discomfort often worsens with walking or wearing certain types of footwear. The condition is sometimes mistaken for Achilles tendinitis, but the two can coexist. Contributing factors include foot structure (especially a high arch), tight Achilles tendons, or walking gait abnormalities that increase pressure on the heel. Diagnosis is generally based on clinical presentation and confirmed through imaging such as X-rays, which reveal the extent of bony enlargement.
Treatment for Haglund’s deformity can be conservative or surgical, depending on severity and response to initial interventions. Non-surgical approaches typically include switching to softer-backed shoes, using heel lifts or orthotics to reduce pressure, physical therapy to stretch the Achilles tendon, and applying ice or anti-inflammatory medications. If conservative methods fail and pain persists, surgical options involve removing the excess bone and repairing any damaged soft tissue. Recovery from surgery can take several months, but it often provides significant relief, especially in chronic or severe cases.
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- Haglunds Deformity
Haglunds in an elite marathon runner
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Haglunds, tags
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Haglund’s Deformity https://footproblemo.com/2023/11/15/how-to-treat-haglunds-deformity/
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H is for Haglunds Deformity
https://podiatrytube.org/index.php/2023/11/15/treatment-for-haglunds-deformity/
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276 Sleeps to go
https://croydonfoot.com/painful-bump-at-the-back-of-the-heel-bone/
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The Haglunds deformity or ‘Pump Bump’
https://thelatestmedical.com/haglunds-deformity/
https://agonydefeet.com/surgery-for-haglunds-deformity/
The Pump Bump
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Haglund’s Deformity