Pump Bump

The following describes the symptoms, diagnosis and treatment of pump bump. For specific information regarding your health and treatment options, please contact your Hurley physician or medical professional.

What is pump bump?

Pump bump is a deformity in which a bony enlargement develops on the back of the heel. The medical term for this condition is Haglund's Deformity, but it is frequently referred to as pump bump since it is common in women who wear high heels.

What causes pump bump?

Pump bump is caused by repeated friction on the heel from a rigid or tight-fitting shoe, such as high heels or men’s dress shoes. People with high arches, a tight Achilles tendon, and/or a tendency to walk on the outside of their heels are more prone to developing pump bump than others.

What are the symptoms of pump bump?

Common symptoms of pump bump include:

  • A bump on the back of the heel
  • Swelling and redness on the back of the heel
  • Pain in the area where the Achilles tendon connects to the heel

How is pump bump diagnosed?

Your Hurley physician will conduct a physical exam and order x-rays to evaluate the bone structure of the heel.

How is pump bump treated?

Mild cases of pump bump may improve with rest, ice, compression, and stretching of the Achilles tendon. Nonsteroidal anti-inflammatory drugs (NSAIDs) may be taken for pain and to help reduce swelling. It is also important to avoid high-heeled shoes or any shoe that rubs against your heel; if necessary, heel pads can be used to help reduce the amount of irritation caused by your shoes. Your physician may also recommend other non-surgical treatment options such as orthotic shoe inserts, physical therapy, ultrasound therapy, or immobilization of the affected foot in a cast or brace.

In very severe cases, pump bump may require surgery to correct. There are several different surgical options, and your doctor can make a recommendation on the best course of treatment for you.