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March 31, 2024

What is Haglund’s Deformity?

Back of Heel Bump

Sometimes called a “Pump Bump,” Haglund’s Deformity refers to a bone prominence in the back of the heel bone that rubs on the inside of the shoe. This bump on back of heel is usually located to the outer, upper side of the heel.

These bony enlargements on the back of the heel most often leads to painful bursitis, which is an inflammation of the bursa (a fluid-filled sac between the tendon and bone). The pain is characterized as dull to sharp depending on the types of shoes worn, and can also flare up in the evening after increased activities.

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How We Treat Back of Heel Pain and Haglund’s Deformity

Patients who have heel spurs may find that they negatively impact their everyday life by adding unnecessary pain in back of heel when walking or wearing certain shoes.

Although we highly recommend lifestyle readjustments and conservative healing methods, sometimes surgical intervention is the best method to treat heel spurs.

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Conservative Haglund's Deformity Treatment Options

Patients may opt for conservative methods or lifestyle adjustments to treat their back of heel pain, including the following solutions:

Wear Different Shoes

Wearing the wrong shoes can increase the pain and discomfort associated with heel spurs, especially if the shoes are too small or tight heel cord. One conservative treatment practice is to wear larger, softer, and more supportive shoes.

Take Medication

In order to relieve some of the pain and discomfort that heel spurs can cause, patients can take anti-inflammatory medication for a short-term solution.

Add Padding

Patients who opt for conservative treatment rather than surgical treatment may choose to add padding to the posterior heel area to relieve pressure from the Haglund’s Deformity.

Surgical Treatment for Back of Heel Pain and Haglund’s Deformity

Haglund’s Deformity can be removed without significant disruption of the Achilles tendon. The surgical incision for this treatment is minimal (2 to 3 centimeters) and happens at the outside of the heel.

Patients undergoing heel spur surgery are put under sedation at an outpatient facility, and the sutures are removed after two weeks. Partial weight bearing is allowed after 2 to 3 weeks of non-weight bearing. Full weight bearing with shoes at 4 to 6 weeks.

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Insurance Coverage for Back of Heel Bump Surgery

When considering treatment options for treat Haglund's Deformity, also known as the Pump Bump, understanding your insurance coverage is essential. At Modern Foot & Ankle, we recognize the importance of this step and are committed to assisting our patients through the insurance process.

We advise all patients to consult with their insurance company to comprehend the specifics of their coverage, including deductibles and co-pays.

Our dedicated staff is available to help explain your benefits and any anticipated out-of-pocket expenses. For more detailed information, please visit our insurance page at Modern Foot & Ankle.

Why Choose Us

At Modern Foot & Ankle, we provide specialized care for conditions like Haglund’s Deformity, blending expert knowledge with a patient-first approach. Here’s why you should consider us for your foot and ankle health needs:

Expert Team of Foot and Ankle Surgeons

Our board-certified surgeons specialize in the latest treatments for Haglund's Deformity and are skilled in both conservative management and surgical interventions.

Customized Treatment Plans

We understand that each case of heel pain and Achilles tendonitis is unique, and we tailor our approach to fit your specific needs.

Advanced Diagnostic Tools

Utilizing state-of-the-art technology, we accurately diagnose issues related to the Achilles tendon and heel bone, ensuring targeted treatment.

Comprehensive Care

From physical therapy to Haglund's deformity surgery, we offer a full spectrum of services to address foot pain and improve your quality of life.

Patient Education and Support

We believe informed patients make better health decisions. Our team provides resources and guidance to help you understand your condition and treatment options.

In Summary

  1. Haglund's Deformity, often referred to as Pump Bump, is a common condition characterized by a prominent heel bone and pain in the back of the heel. This issue arises where the Achilles tendon attaches to the heel and is exacerbated by factors like a tight Achilles tendon, heel spurs, and Achilles tendonitis.
  2. Effective management strategies range from conservative approaches, such as heel lifts, heel pads, and physical therapy, to Haglund's deformity surgery for more persistent cases. At Modern Foot & Ankle, we offer a comprehensive treatment approach, including diagnosis, customized care plans, and surgical options performed by experienced foot and ankle surgeons.
  3. We support our patients every step of the way, from initial consultation through recovery, emphasizing education, and personalized care. If you're struggling with heel pain or suspect you have Haglund's Deformity, our team is here to help provide relief and restore your mobility.

The information on our website is intended for general informational and educational purposes only and should not be used as a substitute for professional medical advice. For any health-related concerns, we strongly recommend consulting with a healthcare professional. Please note that any reliance on the information found on our site is solely at your own risk. For more details, please see our Medical Disclaimer.


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What is the treatment for Haglund's Deformity?

Conservative treatment for Haglund’s Deformity includes wearing looser or backless shoes, the additional of padding, treating the area with ice on calf muscle, and taking anti-inflammatory medication. Surgical removal of Haglund’s Deformity or “Pump Bump” is an outpatient procedure — considered minor if the Achilles tendon attachment is not involved, and with significantly more risk if the tendon is involved.

Can Haglund's Deformity be cured without surgery?

There is no real cure for Haglund’s Deformity without surgery. The haglund's deformity symptoms can be reduced or subside completely with conservative care and lifestyle adjustments, however, the prominent heel bone, or bump on the back of the heel, does not shrink or go away without surgery.

Is Haglund's Deformity serious?

Haglund’s Deformity is not considered a serious condition. It is simply a prominent area of bone on the posterior calcaneus that can rub on shoes and become irritated or painful over time.

How long is recovery from Haglund's Deformity surgery?

Recovery from Haglund’s Deformity depends on the type of surgery. Removing just the prominent bone takes two to three weeks to heal before the patient can return to wearing soft or backless shoes, and four to six weeks before being able to wear more restrictive shoes.

Should I have surgery for Haglund's Deformity?

Deciding whether or not to opt for Haglund’s Deformity surgery is a patient’s personal preference. The prominent bone is not particularly harmful, nor are there long-term problems without surgery surrounding soft tissue. Those who choose surgery most commonly suffer from constant pain in dress or work shoes, and a negatively impacted lifestyle because of the prominent bone.

Is Haglund's Deformity a bone spur?

Haglund’s Deformity is not a bone spur. A true Haglund’s Deformity is a prominent posterior, superior, lateral portion of the calcaneus (back, upper, outside part of the heel bone) associated with a slight varus (inverted) angle.

Can Haglund’s Deformity come back after surgery?

If enough bone is removed in the correct place, the Haglund’s Deformity or prominent bone will not come back after surgery.

What happens after Haglund's Deformity surgery?

After Haglund’s Deformity surgery patients should only minimally bear weight (or not at all) in a surgical boot until the sutures are removed in two weeks. Restrictive shoes or dress shoes can be worn after three to four weeks, but it does depend on each patient’s healing capacity and sensitivity.

Is Haglund's Deformity common?

Haglund’s Deformity is very common and not dangerous or associated with long-term problems. It is a prominent area of bone at the back of the heel (calcaneus bone) due to both the position and inverted angle.

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