HAGLUND’S DEFORMITY

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What is Haglund’s Deformity?

AHaglund’s deformity, also known as “pump bump,” is a condition characterized by a bony enlargement on the back of the heel. This deformity often leads to pain and discomfort in the affected area. Experts believe that Haglund’s deformity arises from a combination of genetic factors, biomechanical issues, and repetitive trauma, although the precise cause remains unclear.

Haglund’s deformity exhibits a primary feature: the formation of a bony prominence on the back of the heel. This prominence may rub against the rear of shoes, notably those with rigid backs or high heels, resulting in irritation and inflammation of the surrounding soft tissues. Over time, this can result in the formation of a painful bursa, a fluid-filled sac that acts as a cushion between the bone and the shoe.

Indications of Haglund’s Deformity

Individuals affected by Haglund’s deformity frequently report symptoms including pain, swelling, redness, and tenderness in the affected area. Pressure from shoes exacerbates the discomfort, particularly those that press on the bony enlargement. Additionally, Haglund’s deformity can lead to Achilles tendonitis, an inflammation of the Achilles tendon connecting calf muscles to the heel bone, which intensifies pain and restricts mobility. Diagnosis typically involves a physical examination of the affected foot and a review of the individual’s medical history. X-rays may also be necessary to evaluate the bony prominence and exclude other potential conditions like fractures or tumors.

Treatment for Haglund’s Deformity

Treatment for Haglund’s deformity aims to alleviate symptoms and reduce pressure on the bony enlargement. Conservative approaches involve wearing shoes with open backs or soft heel counters, utilizing heel pads or lifts for cushioning, and applying ice packs and nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation relief. Physical therapy may be prescribed to stretch and strengthen the calf muscles and Achilles tendon. If conservative measures prove insufficient or if the deformity is severe and causes significant pain and functional limitations, surgical intervention may be considered. The specific surgical procedure will depend on the individual’s condition but typically involves removal of the bony prominence, repair of any damaged soft tissues, and addressing associated Achilles tendon issues.

Postoperative Care:

Following surgery, individuals require a period of rest and rehabilitation to facilitate proper healing and recovery. Physical therapy will be instrumental in reinstating strength, flexibility, and function to the foot and ankle. It’s crucial to highlight that the prognosis for individuals with Haglund’s deformity is typically positive, particularly with suitable treatment. By tackling the root causes and managing symptoms, most individuals can experience pain relief and resume their regular activities.

Conclusion:

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