Haglund’s Deformity, also known as ‘pump bump’ or retrocalcaneal bursitis, is a common condition where a bony protrusion forms at the back of the heel. It is commonly accompanied by a bursa which develops to protect the bone from friction and rubbing.

It can cause pain, however sometimes it is present without symptoms.


This condition may cause pain and the symptoms can range in severity depending on the amount of irritation to the bone and whether bursitis develops.

Common symptoms include:

  • Bony bump on the back of the heel
  • Pain at the Achilles tendon in the back of your heel
  • A callus
  • A clicking sensation when pressed
  • Bursitis at the bone
  • Swelling
  • Redness, inflammation and pain over the bump
  • Symptoms get worse when wearing high heels
  • Tight calf muscles
  • Constant sharp foot pain
  • Pain after long periods of inactivity
  • Restricted ankle mobility

Causes of Haglund’s Deformity

Haglund’s Deformity in kids can be a result of many factors, but in a lot of cases the cause is unknown. However, there are some issues that can be linked to the condition and they include;

  • A tight Achilles tendon
  • Tight or poorly fitting shoes
  • Altered biomechanics of foot joints
  • Family history 
  • High foot arch


Haglund’s Deformity cannot be cured without surgery, that is why treatment is aimed at reducing symptoms rather than treating the condition. Treatment options include:

  • Heel lifts
  • Stretching exercises
  • Orthotics
  • Footwear advice
  • Shockwave Therapy
  • Laser therapy to reduce inflammation

Surgery is only suggested in extreme cases where symptoms don’t respond to treatment.

Moreland Podiatry – Haglund’s Deformity in Kids

If you suspect Haglund’s Deformity in your child, feel free to contact the friendly staff at Moreland Podiatry for more information or call us today on (03) 9383 6633 to book an appointment.