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Ankle Sprain
 
 

A pump bump is a painful enlargement of the back of the heel bone that becomes irritated by shoe gear. It is also called Haglund's deformity or retrocalcaneal bursitis.

 

 
 
  • Red, painful, and swollen area in the back of the heel bone

  • Pain upon motion of the ankle joint and after activity, due to irritation of the Achilles Tendon.

  • Occurs in females in the 2nd to 3rd decade, due to the irritation of the rigid heel counter of the shoe rubbing up and down on the back of the heel bone.
 
 
  • Underlying bony deformity can be present at birth

  • Injury over the patient's lifetime

  • Improper shoe gear

The enlarged back of the heel rubs against the back of the shoe over and over again, causing the development of first, skin irritation and later, a bursitis, or inflamed fluid filled sac. That bursitis becomes the focus of pain and disability, making it impossible to wear shoes with backs.

   
 
 

Altering your shoe style may be the only way to prevent the symptoms of Haglund Deformity from recurring. It is most important to avoid shoes with hard backs. If there is a large bony growth on the back of the heel, either shoe gear must be limited to only those with soft conforming backs, or the bump must be removed.

   
 
 

In mild cases of Haglund Deformity, changing the type of shoes can stop the injury and the consequent redness and swelling from developing. Soaking the foot may soothe the area. Providing padding between the heel and footwear, can also aid in alleviating excessive pressure and friction.

   
 
 

Warning:

We hope these suggestions improve your health and make you more comfortable. However, if you have any concerns about our advice, if any symptom persists for an unreasonable amount of time or if your condition worsens after self-treatment, we encourage you to consult a medical professional for further assistance.

Please note, people with diabetes and poor circulation should always consult a medical professional before performing any self-treatment.