Haglund’s deformity is also known as the Bauer Bump, Pump Bump and Retrocalcaneal Bursitis.
Haglund’s deformity is a bony enlargement (bump) at the back of the heel bone. This bump can be present for years without causing any pain or issues. If the soft tissue near where the achilles tendon attaches into the heel becomes irritated, it can lead to a painful bursitis (inflammation of a fluid-filled cushion that sits between the achilles tendon and the heel bone to reduce friction).
Irritation can occur from trauma or even just shoes with a firm heel counter. Other factors that may contribute are having tight calf muscles or achilles tendons, a high arched foot, or a foot that rolls inward or outward too much.
The term ‘pump bump’ comes from the regular wear of pump-style shoes by women, which can lead to the development of this deformity.
Aside from the enlarged bony prominence at the back of the heel, other symptoms include:
To treat the deformity and manage the symptoms long-term, the cause must be identified and addressed. For example, this may be by stretching and strengthening a tight achilles tendon if that is a contributing cause. This means you need to get in to see your Podiatrist for a biomechanical consultation.
If you’re in pain, start with RICE (rest your foot, apply ice to the back of your heel, compress the area, and elevate your foot to draw blood away from the area). Next, examine your footwear and check if it is tight or rubbing against the back of your heel. Orthotics may be indicated if the cause of the problem is biomechanical and involves abnormalities in any bones or muscles.