What Is Haglund's Deformity?
Haglund's deformity, also called "pump bump" is name given to the presents of a painful bump on the back of the heel.

What Causes Haglund's Deformity?
Haglund's deformity is caused by a larger than normal protrusion or bump on the back of the heel bone. The pain from Haglund's deformity is due to inflammation of a fluid filled sack known as a bursa. This "bursitis" can be very painful as well as unsightly.

How Is Haglund's Deformity Treated?
Mild cases of Haglund's deformity are treated by wearing shoes that have a soft heel counter, such as canvas shoes, running or walking shoes, or sandals that have no heel counter. Anti-inflammatory medications, such as Motrin, Advil, Ecotrin, etc. can offer some relief for mild cases. This is one area of the foot that should not be treated with cortisone injections. Cortisone tends to weaken the Achilles tendon, which could result in a rupture of this very important tendon. More severe cases of Haglund's deformity require surgery to remove the bone bump on the back of the heel. This is the area where the Achilles tendon attaches to the foot, therefore, a removable cast must be worn for at least two weeks after the surgery. Patients should not participate in physical activity such as running, tennis, and foot intensive exercises and sports until the Achilles tendon has fully reattached into the heel bone after surgery.

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