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Haglund's deformity is a bone and soft tissue malformation in the foot, caused by an expansion of the bony part of the heel (where the Achilles tendon is implanted). The soft tissue around the back of the heel can get inflamed when the huge, bony lump rubs against stiff shoes, causing Bursitis.
Haglund's deformity develops when the backs of your heels are repeatedly pressed, possibly caused by wearing ill-fitted or rigid heels. It is commonly referred to as "pump bump" since it occurs frequently in women who wear pump-style high heels.
If you have a high foot arch, a tight Achilles tendon, or walk on the outside of your heel, you may be more susceptible to Haglund's deformity.
Haglund's deformity can affect either one or both of your feet. Among the signs and symptoms are:
Haglund's deformity can be difficult to diagnose since the symptoms are similar to those of other foot problems such as Achilles tendinitis.
The doctor may be able to diagnose the problem based on the appearance of your heel, with the help of an X-ray of the heel bone to determine the disease's characteristic protruding heel bone.
To treat heel discomfort, the doctor may use an X-ray to construct orthotics, which are custom-made shoe inserts that assist keep your feet stable.
Haglund's deformity is usually treated by alleviating discomfort and relieving pressure on the heel bone. Among the non-surgical options are:
If less intrusive treatments fail, surgery may be performed to address Haglund's deformity, by removing the excess heel bone. The bone can also be filed down and smoothed, relieving stress from the bursa and soft tissue. Surgery can be done through arthroscopy, which is a keyhole technique.
If the Achilles tendon is damaged and needs to be repaired, a general anaesthetic is commonly used.
It may take up to eight weeks for complete recovery. To protect the foot, a boot or cast might be recommended. However, one might also need to wear crutches for a few days or weeks.
By taking care of your feet, the chances of having Haglund's deformity can be reduced:
(The article is contributed by Dr Raghu Nagaraj, Senior Consultant, Orthopedics and Bone & Joint Surgery, Fortis Hospital, Cunningham Road, Bangalore)
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