What is Haglund's deformity?

Haglund's deformity, sometimes known as "pump bump," is a heel-related foot disease. It is distinguished by a bony growth on the back of the heel bone, which can cause discomfort, swelling, and redness in the afflicted area. This illness is named after Per A. Haglund, a Swedish physician who originally reported it in 1928.


The precise etiology of Haglund's malformation is unknown, however it is thought to be a mix of hereditary and environmental factors. Certain persons may be predisposed to the illness because of their foot anatomy, such as a high arch or a tight Achilles tendon. Others may get it through frequent damage or pressure on the back of the heel bone, such as by wearing ill-fitting shoes.


Symptoms of Haglund's deformity vary, but most commonly involve discomfort and swelling at the back of the heel, especially while wearing shoes or standing for extended periods of time. In addition, the afflicted region may be red and painful to the touch. A noticeable hump on the back of the heel bone may be seen in certain circumstances. The illness may also cause the Achilles tendon to become inflamed, making movement of the foot and ankle difficult.


A physical examination of the foot and heel, as well as imaging tests such as X-rays or MRI scans, are commonly used to diagnose Haglund's deformity. These examinations can assist evaluate the amount of the bone growth and any tissue damage.


Conservative treatment for Haglund's deformity often begins with rest, ice, and anti-inflammatory drugs to minimize discomfort and swelling. Physical treatment may be advised to stretch and strengthen the Achilles tendon and surrounding muscles. Orthotic devices, such as heel pads or shoe inserts, may be utilized in some circumstances to relieve pressure on the back of the heel bone.


Shoes with hard backs should be avoided. Using suitable shoe inserts might give biomechanical alleviation of extra strain if you have a high arch or a tight Achilles tendon. Stretching the Achilles tendon enough and appropriately will typically give the most help in avoiding the formation or progression of Haglund's Deformity.

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