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Pump Bump

You know the feeling when you come home from a long day at work, kick of your high heeled shoes and realize that your feet, specifically your heels, have been in serious pain all day? Does the pain go away when the heels come off? Well, you may have what’s known as “pump bump” or Haglund’s deformity.

Females of all ages can suffer from this, and it’s caused by an enlargement in the bone of your heel next to the insertion of the Achilles tendon.

The name “pump bump” refers to the increase in pain when wearing heels or pumps with stiff heel backs. And, although the problem is often caused from wearing such shoes, there is also a hereditary component. Certain foot types as well as high or low arched feet can be a contributing factor.

So, here’s what’s happening to your heels: there is a bursa between the Achilles tendon and bone in your heel that becomes compressed and inflamed.  The irritated bursa and Achilles tendon are the culprits of the pain which is why your pain should be relieved when barefoot. Reach back and feel of your heel. You may be able to feel the bump with your hand. You may even see that a callus has formed over the bump due to friction from shoes.

If there is pain when walking around your home with shoes off, then the bursa is either very inflamed or there may be another issue.

If you suspect you might have a case of “pump bump,” come see us. A quick clinical exam and an X-ray or two can easily show the extent of the deformity. And, if treatment is needed, here’s what you can expect: Nonsurgical treatment consists of icing, pain relievers with anti-inflammatories, cushions and padding. Simple things such as wearing softer or open back shoes can make a big difference. Heel lift inserts help some patients. Also, rehabilitation has shown to help and can range from stretching and massage to ultrasound and iontophoresis.

If surgery is needed, the bump is removed or a wedge of the bone is taken out depending on the extent of the deformity.

So, if you are having pain, don’t just sit there. Come see us at Lexington Podiatry!

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