This can really be under heel pain.
Haglund’s deformity or “pump bump” is a bony enlargement on the back of the heel. The soft tissue near the Achilles tendon becomes irritated when the bone rubs against the tendon in closed stiff shoes or while wearing high heels. This often leads to painful bursitis between the Achilles and calcaneus.
Conservative care ranges from stretching exercises, heel lifts, orthotics, anti-inflammatories, and sometimes immobilization. Amnionic stem cell/PRP injections have been a game changer in dealing with tendinitis and have saved patients from requiring surgery. Unfortunately, sometimes surgery is required for this condition. When a Haglunds deformity is present without a calcaneal heel spur then the Achilles tendon does not need to be removed from its insertion on the calcaneus and a section of bone will be removed. When a heel spur is present, the Achilles must be removed from its insertion to remove the spur. At the Foot, Ankle & Leg Vein Center we utilize new techniques to reattach the tendon (Speedbridge). This allows the patient to weight bear within 2-4 weeks after surgery in a cam walker and significantly reduces recovery time from traditional methods.