Posterior Heel Spur (Pump Bump / Haglund’s Deformity)

A posterior heel spur, commonly referred to as a “pump bump” or Haglund’s deformity, is a bony enlargement that develops on the back of the heel where the Achilles tendon attaches to the calcaneus (heel bone). This condition often leads to irritation of the surrounding soft tissues, causing pain, redness, and swelling at the back of the heel.

The bump is frequently aggravated by shoes that rub against the heel—especially rigid dress shoes, high heels, and athletic footwear with a firm heel counter. Over time, repeated pressure can cause inflammation of the Achilles tendon insertion (insertional Achilles tendinitis) and surrounding bursae, leading to significant discomfort and difficulty with walking or exercise.

Symptoms of Posterior Heel Spur / Pump Bump

Patients commonly experience:

• A visible bump at the back of the heel

• Pain with shoe wear, especially closed-back shoes

• Redness, swelling, or irritation over the heel

• Tenderness at the Achilles tendon insertion

• Thickened or irritated skin over the heel

• Pain with running, walking, or climbing stairs

Causes and Risk Factors

This condition can develop from a combination of bone structure and mechanical stress, including:

• High arches (increased heel pressure)

• Tight or shortened Achilles tendon

• Repetitive shoe irritation (“pump” shoes or rigid backs)

• Biomechanical imbalance while walking

• Overuse from running or sports

• Genetic predisposition to bony prominence formation

Conservative Treatment Options

At Edge Podiatry, we focus first on conservative, non-surgical care whenever possible. Treatment options may include:

• Shoe modifications (heel padding, open-back shoes)

• Custom orthotics to reduce heel pressure and improve alignment

• Anti-inflammatory medications (NSAIDs)

• Stretching and physical therapy for the Achilles tendon

• Padding and offloading techniques

• Activity modification to reduce irritation

These treatments are often very effective in reducing inflammation and preventing progression.

Advanced Treatment Options – REMY Class IV Laser Therapy

For persistent or chronic heel pain, we also offer advanced REMY Class IV Laser Therapy, a modern, non-invasive treatment designed to accelerate healing and reduce inflammation.

Laser therapy works by delivering deep-penetrating light energy to:

• Reduce pain and inflammation

• Improve local circulation

• Stimulate soft tissue healing

• Promote recovery of irritated Achilles tendon tissue

At our office, we offer extremely affordable laser treatment rates compared to many other practices, making advanced care more accessible for patients seeking long-term relief without surgery or downtime.

When Surgery May Be Needed

In severe or long-standing cases where conservative care fails, surgical options may be considered. This may involve removal of the bony prominence and/or treatment of the Achilles tendon insertion to restore function and relieve pain.

Take the Next Step

If you are experiencing persistent heel pain, a visible bump on the back of your heel, or difficulty wearing shoes comfortably, you may be suffering from a posterior heel spur or pump bump.

At Edge Podiatry, we specialize in diagnosing and treating complex heel conditions with both conservative and advanced treatment options tailored to your needs. Early evaluation can prevent worsening pain and help you return to comfortable walking and activity sooner.