What is Pump Bump?

Understanding the Heel Bump Condition

Pump bump, medically known as Haglund’s deformity, is a bony enlargement on the back of the heel. This condition occurs when the soft tissue near the Achilles tendon becomes irritated due to repetitive friction or pressure, often caused by rigid or tight footwear. The term “pump bump” originates from its association with women’s pump-style high heels, which frequently aggravate the condition.

At Gotham Footcare, we understand the discomfort and challenges associated with pump bump and offer expert care to alleviate pain and restore mobility.

Causes of Pump Bump: Why Does It Develop?

Footwear Friction

Wearing shoes with a rigid back, such as pumps, high heels, or stiff sneakers, can irritate the area where the heel rubs against the shoe.

Foot Structure

Certain foot shapes or biomechanics, like high arches or a tight Achilles tendon, can increase pressure on the back of the heel, making some individuals more prone to pump bump.

Repetitive Stress

Engaging in activities that place repetitive stress on the Achilles tendon or back of the heel, such as running, walking, or prolonged standing, can contribute to the development of Haglund’s deformity.

Hereditary Factors

Genetics can play a role, as the shape and structure of the foot are often inherited. If a family member has pump bump, you may be more likely to develop it as well.

Symptoms of Pump Bump: How to Recognize It

Noticeable Bony Bump

The most visible sign of pump bump is a bony protrusion on the back of the heel, which may become red and swollen.

Heel Pain

Pain is typically localized around the back of the heel and can worsen with tight or rigid footwear.

Swelling and Inflammation

The soft tissue near the Achilles tendon may become swollen or inflamed due to constant irritation.

Blisters or Calluses

Repetitive friction can lead to blisters or calluses forming over the bump.

Tenderness Around the Achilles Tendon

The area around the Achilles tendon may feel tender, especially after physical activity or prolonged shoe wear.

Diagnosing Pump Bump

How Gotham Footcare Can Help

Comprehensive Physical Examination

Our podiatrists will evaluate your heel for signs of swelling, redness, or the characteristic bony bump.

Imaging Tests

X-rays may be recommended to confirm the diagnosis and assess the severity of the bone growth. In some cases, an MRI or ultrasound may be used to evaluate soft tissue inflammation or damage.

Footwear and Activity Analysis

We’ll review your footwear choices and daily activities to identify contributing factors and recommend appropriate adjustments.

Treatment Options for Pump Bump at Gotham Footcare

Conservative and Advanced Care for Effective Relief

Non-Surgical Treatments

Footwear Modifications

Switching to shoes with a soft back or open-heeled design can reduce friction and pressure on the bump. Properly fitted footwear with cushioning is essential to alleviate symptoms.

Heel Pads and Orthotics

Custom orthotics or heel pads can provide additional cushioning, redistribute pressure, and reduce irritation on the back of the heel.

Anti-Inflammatory Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

Ice Therapy

Applying ice packs to the affected area can alleviate swelling and numb pain after physical activity or prolonged shoe wear.

Physical Therapy

Stretching and strengthening exercises targeting the Achilles tendon and calf muscles can help improve flexibility, reduce tension, and prevent recurrence.

Advanced Treatments

Platelet-Rich Plasma (PRP) Injections

In severe cases, PRP injections may be administered to promote tendon healing, reduce inflammation, and provide long-term relief for Achilles tendon issues.

Shockwave Therapy

This non-invasive treatment uses sound waves to stimulate healing, reduce inflammation, and alleviate pain.

Surgical Treatments

If conservative measures fail to provide relief, surgical intervention may be necessary. Options include:

Excision of the Bony Enlargement

This procedure removes the bony growth on the back of the heel, relieving pressure and irritation.

Soft Tissue Repair

If the Achilles tendon or surrounding soft tissues are damaged, minimally invasive surgical repair may be required to restore function and mobility.

Endoscopic Surgery

Minimally invasive techniques can be used to address Haglund’s deformity with reduced recovery times.

Duration of Treatment

How Long Does It Take to Recover from Pump Bump?

Timeline for Non-Surgical Treatments

Patients who follow a conservative treatment plan, including footwear modifications and physical therapy, typically see improvement within weeks to a few months.

Recovery After Surgery

Recovery from surgical treatment may take several weeks to months, depending on the procedure and individual healing rates. Physical therapy is often recommended post-surgery to restore strength and flexibility.

Preventing Pump Bump

Tips to Keep Your Heels Healthy

Choose the Right Footwear
Avoid shoes with rigid backs or poor arch support. Opt for footwear with a cushioned heel and adequate arch support to reduce stress on the Achilles tendon.

Incorporate Stretching
Regularly stretch your calf muscles and Achilles tendon to maintain flexibility and prevent tension on the back of the heel.

Alternate Footwear
Avoid wearing high heels or tight shoes daily. Alternate with more supportive, comfortable options to give your heels a break.

Use Orthotics or Heel Pads
Custom orthotics or heel pads can provide extra cushioning and reduce friction on the back of the heel.

Frequently Asked Questions About Pump Bump

What Causes Pump Bump?

Pump bump is primarily caused by repetitive friction or pressure on the back of the heel, often due to footwear with rigid backs or poor fit.

Can Pump Bump Go Away on Its Own?

While some cases may improve with conservative measures like footwear changes and physical therapy, severe cases often require medical intervention to achieve lasting relief.

Is Surgery Necessary for Pump Bump?

Surgery is only recommended when non-surgical treatments fail to provide relief or when the condition significantly impacts mobility and quality of life.

How Can I Prevent Pump Bump?

Wearing properly fitted shoes with a soft back, incorporating stretching exercises, and using custom orthotics can help prevent pump bump.

Does Pump Bump Affect Both Heels?

Pump bump can affect one or both heels, depending on the individual’s foot structure, activity levels, and footwear habits.

Your First Step to Getting Better

At Gotham Footcare in NYC, we strive at recognizing your individual needs and desired outcomes while formulating an effective and personalized treatment plan with the highest quality care available.

What sets Gotham Footcare apart from other podiatry offices is our dedication to providing you with the education you need to make well-informed decisions regarding your care. Regardless of what your foot and ankle trouble may be, at Gotham Footcare our team will work tirelessly to help you feel better. At Gotham Footcare, we help you put your best foot forward.

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