Haglund’s syndrome is a bony enlargement of the upper/back portion of the heel. This enlarged bone rubs on the Achilles Tendon, just above its attachment to the heel, causing inflammation and pain.
It is also known as Pump Bump, Haglund’s heel, or Haglund’s deformity.
Friction from shoe heel counters can cause an inflamed bursa known as an Achilles Bursitis.
This is typically found in those who wear high-heeled shoes.
When the posterior-superior portion of the heel has an abnormally large bony prominent protrusion it is called a Haglund’s Deformity. In some instances it may rub against the Achilles Tendon. When this occurs, the bursa between the bone and the tendon, will become inflamed, swollen, and painful. This condition is called Retrocalcaneal Bursitis.
There are several conservative treatments for Haglund syndrome.
Wearing only shoes where the topline of the heel counter sits either above or below the bony prominence.
Choosing shoes with soft and padded heel counters, like a running style shoe, is advised.
Clogs or sandals may be the best choice for some cases.
Heel Lifts can also bring deformity above the heel counter of shoe.
In order to eliminate abnormal heel tilt, the foot must be rebalanced. This is best accomplished by correcting the foot to a neutral position with the use of an orthotic.