Pump bump (Haglund's deformity)

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Pump bump (Haglund's deformity)

“Pump bump,” or Haglund's deformity, is a type of bursitis of the heel. Bursitis is an inflammation of the sacs (bursae) that contain small amounts of lubricating fluid to help joints move smoothly.

A shoe rubbing on the back of the heel may cause the bump to form. The friction stimulates growth of a bone spur that then irritates the bursa. This is most often seen in women who wear high heels.

Common symptoms may include:

A bump on the back and outside of the heel.
Tenderness.
A callus.
A clicking sensation when you press on the bump.

Treatment aims to relieve shoe pressure and friction over the bump. Measures to relieve pressure include using a thick heel pad or sponge insert or switching to sandals, clogs, or shoes with a soft heel counter and no obvious seams or stitching over the ridge. Home treatment, such as massaging the area with ice and taking nonprescription anti-inflammatory medications, may help further relieve symptoms. If home treatment is not successful, surgery may be needed.

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Author	Jeannette Curtis
Author	Caroline Rea, RN, BS, MS
Editor	Kathleen M. Ariss, MS
Editor	Susan Van Houten, RN, BSN, MBA
Associate Editor	Tracy Landauer
Associate Editor	Pat Truman, MATC
Primary Medical Reviewer	Patrice Burgess, MD - Family Medicine
Primary Medical Reviewer	Adam Husney, MD - Family Medicine
Primary Medical Reviewer	Kathleen Romito, MD - Family Medicine
Last Updated	May 25, 2007

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Last updated:	May 25, 2007
Author:	Caroline Rea, RN, BS, MS
Reviewed By:	Kathleen Romito, MD - Family Medicine
Editors:	Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC

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