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Heel, Achilles & Arch Pain

Haglund's Deformity

Causes, symptoms, and treatment for Haglund's deformity, with care at 15 clinics across Middle Tennessee.

Part of Heel, Achilles & Arch Pain

Understanding Haglund's deformity and your options.

Haglund's deformity is a bony bump on the back of the heel, where the Achilles tendon attaches. It is often called a pump bump because stiff dress shoes and pumps tend to rub against it. The bump can irritate the skin, the tendon, and the small cushion nearby.

It is seen in teens and adults, and it can run in families with certain heel shapes. Early changes in footwear can stop the rubbing before it becomes a constant problem.

Also called: Pump Bump

Request an appointmentCall 615-220-8788
Haglund's Deformity care

Symptoms

Signs of Haglund's deformity.

If you notice these signs, an exam can give you clear answers.

  • 01

    A hard bump on the back of the heel

  • 02

    Redness or a blister where the shoe rubs

  • 03

    Pain or swelling at the back of the heel when walking

  • 04

    Soreness that is worse in closed-back shoes

Why it happens

What can cause Haglund's deformity.

  • 01

    A heel bone shape that sticks out at the back

  • 02

    Stiff shoe backs that press on the bump

  • 03

    A high arch that tilts the heel outward

  • 04

    Tight Achilles tendon that adds pressure

Care groupHeel, Achilles & Arch Pain

Diagnosis and care

How we treat Haglund's deformity.

Step 1 · Diagnosis

We look at the back of the heel, feel the bump, and check the Achilles tendon for irritation. A side-view X-ray shows the shape of the heel bone. Ultrasound or MRI may be added to see if the tendon or bursa is inflamed.

Step 2 · Treatment

Changing shoes is often the biggest help. Open-back or soft-heeled shoes, heel pads with a cut-out, and heel lifts reduce rubbing. Stretching, physical therapy, and orthotics can lower strain on the tendon. Ice and short-term anti-inflammatory care can calm a flare.

If pain stays despite good non-surgical care, surgery can trim the bump and treat any tendon damage. The plan depends on how much of the tendon is involved.

Recovery

What to expect over time.

Symptoms can settle in weeks to a few months with better shoes and care. After surgery, recovery is longer and often takes several months.

When to book

Do not wait it out.

Come in if the bump keeps hurting, blistering, or swelling. Do not wait if you see open skin, spreading redness, or fever.

Call 615-220-8788

Related care

More in Heel, Achilles & Arch Pain.

FAQ

Your questions answered.

Will the bump go away with treatment?

The bone bump usually stays, but the pain and swelling can improve a lot. Surgery is the only way to remove the bone.

Do I have to stop wearing my work shoes?

Not always. Small changes like heel pads or a softer back can make many shoes more comfortable.

Get help with Haglund's deformity.

Request an appointmentCall 615-220-8788

Where we treat it

Haglund's Deformity care at 15 clinics.

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