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Haglund Deformity

Haglund's deformity, also known as "pump bump," is a bony enlargement on the back of the heel that can cause inflammation in the area where the Achilles tendon attaches to the heel bone. It is often associated with irritation and bursitis.


The primary causes of Haglund's deformity include:

  • Genetics: An inherited foot structure that predisposes individuals to develop this deformity.
  • Foot Structure: High arches or a tight Achilles tendon can contribute to the development of Haglund's deformity.
  • Improper Footwear: Wearing shoes with a rigid back or a tight heel counter can increase the risk.
  • Repetitive Friction: Persistent friction between the heel bone and the shoe's back can lead to the development of the bony enlargement.


  • Bump on the Heel: A noticeable bony bump on the back of the heel.
  • Pain and Swelling: Pain, redness, and swelling in the area where the Achilles tendon attaches to the heel.
  • Tenderness: The affected area can be tender to the touch.
  • Limited Range of Motion: Stiffness and difficulty flexing the ankle.


  • Physical Examination: A healthcare provider will examine the foot, looking for the characteristic bump and assessing pain and range of motion.
  • Imaging Studies: X-rays may be used to visualize the bony prominence and assess the degree of deformity.


  • Footwear Modification: Wearing shoes with a soft or open-back can help reduce friction and pressure on the heel.
  • Orthotic Inserts: Custom orthotic devices can provide support and help alleviate pressure on the affected area.
  • Ice and Anti-Inflammatory Medications: These can be used to manage pain and inflammation.
  • Physical Therapy: Stretching and strengthening exercises may be prescribed to improve flexibility and reduce symptoms.
  • Heel Pads or Cushions: Placing pads or cushions in the shoes can help reduce pressure on the heel.


  • Chronic Pain: If left untreated, Haglund's deformity can lead to chronic pain and discomfort.
  • Bursitis: Inflammation of the bursa between the Achilles tendon and the heel bone can occur, leading to additional pain and swelling.
  • Achilles Tendon Issues: The deformity may contribute to irritation and inflammation of the Achilles tendon.

In severe cases or when conservative measures fail, surgical intervention may be considered to remove the bony prominence and address underlying issues. It's important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment based on individual circumstances.

To know more kindly contact the best orthopaedic surgeon Dr. Rahul Modi for further queries.
This surgery is frequently performed by the best orthopaedic surgeon Dr. Rahul Modi for treating Haglund Deformity.