What is a Pump Bump?

July 12, 2017 Posted by Lindsay Lopez

A pump bump also known as a Haglund’s deformity is another source of heel pain. Opposed to plantar fasciitis where the pain is on the bottom of the heel, a Haglund’s deformity is a type of spur on the back of the heel, which results in pain. This pain can also be associated with some Achilles tendonitis and bursitis as well. While the exact cause is not confirmed, some thoughts on how a Haglund’s deformity is formed is through differences in people’s anatomy and biomechanical causes. It is also thought that those with higher arches may be more prone to them. Haglund’s deformities can occur in all ages, but are more common in the younger and middle-aged population. So why is a Haglund’s deformity also known as a pump bump? This is because one of the major sources of pain is from the spur rubbing on the back of your shoe and the spurs are located right where the back of high heel shoes would rub, hence the name pump bump.

Haglund’s deformities can be seen on x-ray. In addition, most people can generally feel the bump on the back of their heel. Conservative treatment is generally rest with anti-inflammatories. If the patient is able to wear backless shoes, this can also help decrease the irritation of the heel. For those who have associated Achilles tendonitis and/or bursitis physical therapy can be a good option. If conservative options fail over a few months, then surgical options to remove the spur can be discussed.

–Dr. Colleen Law

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