Haglund’s Deformity is a bony enlargement on the back of the heel. The soft tissue near the Achilles tendon becomes irritated when the bony enlargement rubs against shoes. This deformity is often called “pump bump” because the rigid backs of women’s pump-style shoes can create pressure that aggravates the enlargement when walking. In fact, any shoes with a rigid back, such as ice skates, men’s dress shoes, or women’s pumps, can cause this irritation. 
Stretching exercises help relieve tension from the Achilles tendon. Heel lifts placed inside the shoe decrease the pressure on the heel. Physical therapy modalities, such as ultrasound, electro-stimulation, and deep tissue massage can help to reduce inflammation. Surgery may be necessary if none of the treatments above are effective.
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