What is a Haglund’s Deformity?
Haglund's deformity, also known as "pump bump," is a condition characterized by a bony enlargement on the back of the heel. This prominence can cause discomfort and irritation, particularly when wearing shoes.
Causes of Haglund's Deformity:
Haglund's deformity typically develops due to a combination of factors, including:
Anatomy: Individuals with a prominent or enlarged bony bump on the back of the heel may be predisposed to developing Haglund's deformity. This prominence can create friction and pressure against the back of shoes, leading to irritation and inflammation.
Foot Mechanics: Abnormal foot mechanics, such as high arches, tight Achilles tendons or a tilted heel bone, can contribute to the development of Haglund's deformity. These factors can increase pressure on the back of the heel and exacerbate the formation of the bony enlargement.
Footwear: Wearing shoes with rigid backs or poorly fitting footwear, such as high heels or stiff boots, can exacerbate Haglund's deformity by continuously rubbing against the back of the heel and causing irritation.
Symptoms of Haglund's Deformity:
Common symptoms associated with Haglund's deformity may include:
Pain and Discomfort: Individuals with Haglund's deformity may experience pain and tenderness at the back of the heel, particularly when wearing shoes or during activities that involve repetitive motion, such as walking or running.
Swelling and Inflammation: The bony enlargement on the back of the heel can become inflamed and swollen, leading to discomfort and difficulty wearing shoes.
Bump or Enlargement: A visible bump or prominence on the back of the heel is a hallmark sign of Haglund's deformity. This bony enlargement may be tender to the touch and may increase in size over time.
Treatment Options for Haglund's Deformity:
While many individuals with Haglund's deformity may not experience symptoms beyond the noticeable bony protrusion, flare-ups or irritation can occur, prompting treatment aimed at alleviating pain and inflammation.
Footwear Modification: Wearing shoes with soft backs or open-backed shoes can help alleviate pressure and friction on the back of the heel, reducing symptoms associated with Haglund's deformity.
Orthotic Devices: Custom orthoses or heel lifts may be prescribed to help elevate the heel, redistribute pressure and provide support to the foot, reducing irritation and discomfort associated with Haglund's deformity.
Footwear Padding: Placing softs pads on either side of the Haglund’s at the back of the shoe can help reduce direct pressure and irritation on the area.
Physical Therapy: Stretching and strengthening exercises for the calf muscles and Achilles tendon can help improve flexibility and reduce tension on the back of the heel, alleviating symptoms of Haglund's deformity.
Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be recommended to reduce pain and inflammation associated with Haglund's deformity.
Surgical Intervention: In severe cases where conservative treatments fail to provide relief, surgical intervention may be considered to remove the bony prominence and alleviate pressure on the back of the heel.
Conclusion:
Haglund's deformity is a common condition characterized by a bony enlargement on the back of the heel, often resulting in pain and discomfort, particularly when wearing shoes. Understanding the causes, symptoms, and treatment options for Haglund's deformity is essential for managing symptoms effectively and preventing further complications. By implementing appropriate footwear modifications, orthotic devices, physical therapy exercises, and, if necessary, surgical intervention, individuals with Haglund's deformity can find relief and improve their overall foot health and quality of life
