Insertional Achilles Tendinopathy & Haglund's Deformity
Pain where the Achilles tendon attaches to the heel — often with a bony prominence ("pump bump") — is called insertional Achilles tendinopathy. It can include calcification of the tendon and irritation of the retrocalcaneal bursa.
Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon
Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors
- Pain and tenderness at the back of the heel
- Visible bump at the back of the heel
- Pain that worsens in stiff-backed shoes
- Morning stiffness
- Tight Achilles and calf
- High-arched foot mechanics
- Friction from shoe heel counters
- Chronic tendon degeneration with calcification
- Heel lifts and open-back shoes
- Eccentric calf stretching
- Custom orthotics
- Anti-inflammatory medication
- Shockwave therapy in select cases
Surgery is offered for chronic cases with significant calcification or Haglund's deformity that fail 6+ months of conservative care.
Surgical procedures we perform
Haglund's Resection
Haglund's resection removes the prominent bone at the back of the heel and debrides the diseased portion of the Achilles tendon insertion.
Learn moreAchilles Tendon Repair
Achilles tendon repair restores the function of a torn or severely degenerated Achilles tendon. We perform open and minimally invasive repairs based on the injury pattern.
Learn moreMost surgical patients are in a boot for 4–6 weeks, then progress to regular shoes by 8–12 weeks. Full recovery 4–6 months.
Frequently asked questions
What is a pump bump?
A pump bump (Haglund's deformity) is a bony prominence at the back of the heel that gets irritated by stiff shoe backs. It often comes with Achilles tendinopathy.
Related conditions
Schedule a consultation
Tell us about your insertional achilles tendinopathy & haglund's deformity — our team will follow up to schedule.
Ready to Get Relief?
Call Foot Health Centers to schedule your visit in Hernando or Southaven.