Haglund’s Deformity

Haglund’s deformity, also known as “pump bump,” is a common foot condition characterized by the enlargement of the bony prominence at the back of the heel. This condition can cause discomfort and pain, often exacerbated by wearing shoes. Haglund’s deformity typically occurs due to the combination of anatomical factors and repetitive stress on the foot.

Causes of Haglund’s Deformity:
Haglund’s deformity is primarily caused by the rubbing of shoes against the bony prominence on the back of the heel. This friction can lead to the thickening of the soft tissues and the development of a bony enlargement. Individuals with a high arch or a tight Achilles tendon are more prone to developing Haglund’s deformity. The rigid structure of the foot can increase pressure on the heel, leading to the formation of a bony prominence. Footwear: Wearing shoes with a rigid back or a tight heel counter can irritate the area and contribute to the development of Haglund’s deformity. Shoes that do not provide proper cushioning or have poor fitting can exacerbate the condition. Some people may have a genetic predisposition to developing Haglund’s deformity. In such cases, the foot structure inherited from parents can increase the risk of developing this condition.

A particular type of Haglunds deformity occur in ice skating sports due to the hard materials in the skates. This has been named as a Bauer’s Bump by ice hockey payers after the most well known name of ice skates.

Symptoms of Haglund’s Deformity:
The most common symptom of Haglund’s deformity is pain and tenderness at the back of the heel. The discomfort is typically aggravated by pressure from shoes, particularly those with a rigid back or high heels. The soft tissues surrounding the bony prominence can become inflamed, resulting in swelling in the area. Irritation caused by shoe friction can lead to redness in the affected region. In some cases, the rubbing of shoes against the deformity can cause blisters to form.

Treatment of Haglund’s Deformity:
The treatment options for Haglund’s deformity depend on the severity of the condition and the individual’s symptoms.

Footwear Modifications: Switching to shoes with a softer back or open heel can help reduce friction and alleviate discomfort. Padding or heel lifts may also be recommended to relieve pressure on the bony prominence.

Protective padding: Donut or ‘U’ shaped type felt pads that are stuck on the foot or inside the heel counter of the shoe can protect the prominence and relieve the symptoms. A silicon gel sleeve can protect the area.

Surgical intervention: Surgery aims to remove the bony prominence, reshape the heel bone, and repair any damaged soft tissues. The specific surgical approach will depend on the individual’s condition and the surgeon’s expertise.

Forum Discussions on Haglunds Deformity:
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Haglunds in an elite marathon runner