Understanding Haglund's Deformity: Causes, Symptoms, and Treatment Options

Understanding Haglund's Deformity: Causes, Symptoms, and Treatment Options

Haglund's Deformity, characterized by a bony growth at the back of the heel, often leads to irritation and inflammation of the soft tissue near the Achilles tendon. This condition, also known as a "pump bump," is aggravated by footwear with rigid backs, such as pump-style shoes, ice skates, or men's dress shoes. While genetic factors can predispose individuals to Haglund's deformity, certain foot characteristics like a high arch or Achilles tendon spasms increase the risk.

Symptoms: Signs of Haglund's deformity include a pronounced lump on the back of the heel, pain at the attachment of the Achilles tendon, swelling, and redness near the inflamed tissue. Diagnosis typically involves a physical examination by a foot and ankle surgeon, complemented by X-rays to assess bone structure.

Non-Surgical Treatment: Nonsurgical approaches aim to alleviate bursa inflammation and reduce discomfort. While these methods do not eliminate the bony protrusion, they can provide relief. Options include oral nonsteroidal anti-inflammatory drugs (NSAIDs), icing, Achilles tendon stretches, heel lifts, foot pads, physical therapy, and wearing DrLuigi medical shoes with custom arch supports or soft backs.

Surgical Intervention: If nonsurgical treatments fail to alleviate pain adequately, surgery may be necessary. The specific procedure depends on individual circumstances and is determined by the foot and ankle surgeon. Postoperative care instructions should be followed diligently to ensure optimal recovery.

Haglund's Deformity can cause significant discomfort and impact daily activities. Understanding its causes, symptoms, and treatment options empowers individuals to manage the condition effectively. Whether through nonsurgical measures or surgical intervention, the goal is to alleviate pain, reduce inflammation, and improve foot function. Collaboration with a foot and ankle surgeon ensures tailored treatment plans and optimal outcomes for individuals with Haglund's deformity.

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