Haglund’s Deformity—The Pump Bump

• Dr. Bruce Zappan
• August 03, 2017

Pump bump, as it is sometimes called, is a painful, bony protrusion that forms on the back of the heel especially in people who wear shoes with more rigid backs such as leather work boots and high heeled shoes, hence making women who wear high heels more susceptible to this painful and disfiguring condition. High arches and a rigid Achilles tendon can also exacerbate this deformity. Not only is there considerable pain and inflammation associated with Haglund’s deformity, but also blisters and bursitis may develop.

Home remedies tend to be limited to those that insulate and reduce friction. You can try adding heel pads to reduce pain. Shoes with open heels will also eliminate the source of friction and pain, and actually prevent this deformity from growing in the first place, if you had only known!

Some other remedies that may be suggested by your foot doctor include:

• Shoe inserts—The use of a custom formed orthotic shoe insert will change the positioning of your foot and ease the pressure on the heel. Arch supports and heel lifts will also help to alleviate and redistribute pressure and help prevent continued development.
• Topical and oral pain medications—Anti inflammatory drugs like ibuprofen can be taken orally or pain relieving ointments may be applied directly to the spur area.
• Immobilization—A soft cast or rigid walking boot may be recommended to completely immobilize the foot so optimum healing can take place.

If these non-invasive interventions do not provide relief it may be necessary to have your podiatrist surgically remove the bony growth and reshape the heel bone. Physical therapy after surgery may be recommended to increase strength and flexibility.

For any problems you may be experiencing with your feet and ankles it is important to see a foot specialist to receive the correct care. Bruce B. Zappan, D.P.M., P.C., of Medical Arts Podiatry Associates in Philadelphia, is an expert in proper evaluation and recommendations for treatment. Please feel free to contact us with any questions or make an appointment with our office at 215-563-2560.