Is the painful bump on the back of my heel due to a bone spur?

Haglund's Deformity and pump bump in HoustonSome people develop a bump on the back of the heel. Because of the pressure from the back of a shoe, it can become inflamed and painful. It is called a Haglund's deformity, but is commonly known as a pump bump. Women are generally affected by a pump bump more than men are because of the shoes that they wear are more likely to irritate the back of the heel.

A pump bump is caused by a bone spur that forms on the back of the heel. It forms for one of two reasons. The first is due to excessive pulling of the Achilles tendon on the heel bone. This occurs due to a tight or shortened Achilles tendon. The other reason is due to the rocking motion of the heel bone during walking. This causes shear forces on the back of the heel and a buildup of bone in response to the pressure.

If you catch a bone spur forming before it becomes painful, it is usually effectively treated with a custom orthotic device. The orthotic helps to stabilize the foot function and limit the pressure and pulling on the heel bone. In more severe cases, foot surgery may be necessary to provide complete relief. Don't wait for pain to start. Call your Houston podiatrist before a problem starts.

Dr. Andrew Schneider
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A podiatrist and foot surgeon in Houston, TX.