What is Haglund’s Deformity?

Haglund's deformity

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Haglund’s Deformity


Haglund’s deformity, also known as “pump bump” or “retrocalcaneal bursitis,” is a bony enlargement on the back of the heel bone (calcaneus).  It typically occurs where the Achilles tendon attaches to the heel.  This condition can result in pain, swelling and inflammation in the affected area.

Causes of Haglund’s Deformity

Haglund’s deformity is often called “pump bump” because the rigid backs of pump-style shoes can create pressure that aggravates the enlargement when walking.  In fact, any shoes with a rigid back, such as ice skates, men’s dress shoes or women’s pumps, can cause this irritation.

To some extent, heredity plays a role in Haglund’s deformity. Inherited foot structures that can make one prone to developing this condition include:

  • A high-arched foot
  • A tight Achilles tendon
  • A tendency to walk on the outside of the heel.

What are Haglund’s deformity symptoms?

Symptoms include:

  • Heel pain.
  • A bump on the back of your heel that you can see and feel.
  • Swelling.
  • Skin discoloration around the bump.

Haglund’s deformity risk factors

It can affect anyone, but certain groups of people are more likely to develop it:

  • People who wear tight, narrow shoes.
  • Women and people assigned female at birth.
  • People with a direct family member who’s experienced Haglund’s deformity.

Haglund’s deformity almost always develops on both feet (bilaterally).  Diagnosis is typically based on a physical examination of the heel, assessment of symptoms and also medical history.  Imaging tests such as X-rays or MRI may be used to confirm the diagnosis and evaluate the extent of the deformity and any associated soft tissue damage.

Are you suffering from any foot condition?  At The Chelsea Clinic, we can help.  One of our podiatrist can assist and then recommend what treatments are best to get you back on track. Podiatrist South Kensington
Schedule an appointment here or you may call us at +44 (0) 207 101 4000


We hope you have a feetastic day!

-The Chelsea Clinic and Team



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