This term refers to a specific type of bone spur on the back of the heel bone which then digs into the Achilles Tendon. Patient will notice warmth, swelling to the area as well as a palpable bone spur or prominence. This causes severe pain when wearing shoes, especially narrow, boots. Because of this, Haglund’s disease is commonly referred to as “pump bump”. Patients with this condition will relate severe pain when wearing shoes and pain with physical activity. An X-ray will confirm this diagnosis. The most effective treatment for this condition is most often surgical. However, Dr. Pasquale Cancelliere will always exhaust all non-surgical treatment options first such as anti-inflammatory therapy, physical therapy and shoe modification.