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Haglund's Deformity

Haglund's Deformity is often referred to as "pump bump", so named because it's common in women who wear high-heeled shoes. This condition causes a painful enlargement at the back of the heel, especially when wearing shoes that press against the back of the heel.


Haglund's Deformity is a condition caused by a prominent bump on the posterior (back) aspect of the heel at the area of the Achilles tendon.

This "pump bump", so named because it's common in women who wear high-heeled shoes, can cause great pain and discomfort.

In mild cases, this inflammation and projection of bone at the back of the heel can be relieved with ice, compression, change of shoe gear, Achilles Heel pads and orthotics.

In many cases where the bone is enlarged surgical excision is required. Cortisone injections in this area are not recommended because the chance of rupture of the Achilles tendon is high. Immobilization (such as with a cast walking boot) for acute symptoms is a much more effective measure, along with oral anti-inflammatory medications. Surgery, although successful, does have a long post-operative recovery period, and needs cast immobilization.

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