Haglund’s deformity is a bony growth on the heel that is also known as the pump bump because it tends to occur as a response to the rubbing and pressure that is caused by tight-fitting shoes. People with untreated overpronation (flatfoot) are also more susceptible. A small bump on the heel may not cause unbearable problems and doesn’t have to be treated right away. As the bump increases in size, the rubbing can cause painful blisters, making it impossible to wear your regular shoes.

Treatments for Haglund’s deformity include the following:

• Different footwear or custom orthotic inserts

Wearing backless shoes or sandals can prevent the rubbing that causes many of the other issues created by this deformity. For less severe bumps, orthotic inserts can be used inside your shoes to isolate the heel area and prevent pressure.

• Medicine for pain and swelling

OTC pain relievers can be used topically and orally to combat pain.

• Rest and immobilization

Resting the foot regularly and using a foot immobilizing boot may be necessary to prevent continued irritation and foster the healing response.

• Surgery

If the deformity continues to grow, causing problems wearing shoes and severe discomfort, surgery will be needed to debride the bone to a more manageable level.

If you have a painful bump growing on your heel, see your foot doctor for the proper care. At Your Next Step, our team of board-certified podiatrists has access to advanced technologies, along with years of experience, to help diagnose and treat a variety of foot and ankle problems, including sports injuries, joint pain, toe deformities, nail fungus, chronic tendon pain, and skin problems. Dr. Eric Ricefield, Dr. Mark Yagodich and Dr. Aliza V. Eisen provide high-quality foot and ankle care to patients in the greater Philadelphia area at our offices conveniently located in Ardmore, Paoli, and Downingtown. Please contact us for more information or to schedule an appointment.