Haglund’s deformity is a bone enlargement at the back of the heel bone, in the area where the achilles tendon attaches to the bone. This bone enlargement will look like bulge and may be tender, swollen, and sore. The most common cause of this type of deformity is wearing shoes that do not fit properly, poor posture or an overuse of the foot during activities such as jumping, dancing and running.

Haglund’s deformity is also called “pump bump” and “retroocular bursitis”.


Haglund’s deformity is usually caused by bursitis or pressure against the shoe. It can be aggravated by the height or stitching of a heel counter of a particular shoe.


Common symptoms are:

  • red area at the back of heel
  • swollen area at the back of heel

Can Haglund’s Deformity be treated?

Yes. Treatment depends on the severity and cause. In mild cases, this inflammation and projection of bone at the back of the heel can be relieved with ice, compression, change of shoe gear, Achilles Heel pads, heel grip pads and tortoise.

If the bone is enlarged, surgery may be needed. Cortisone injections can also help relieve the pain. However, a long-term complication cortisone injections is a rupture of the Achilles tendon.

Other treatments include immobilization and anti-inflammatory medications.

Questions to ask your doctor

  • What is the best treatment option?
  • How long does the treatment take?
  • What are the risks associated with treatment?
  • What are the side effects of this type of treatment?
  • Should I wear different shoes?
  • When will my foot be fully healed?