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Haglund's Deformity (Retrocalcaneal Bursitis)

What is Haglund's Deformity?

Haglund’s Deformity Definition

Haglund's deformity is commonly known as a "pump bump" or retrocalcaneal bursitis. It presents as a painful enlargement of the back of the heel bone that becomes irritated by shoe gear.

Haglund’s Deformity Symptoms & Anatomy

Symptoms can present themselves a sore, red, and swollen area in the back of the heel bone (calcaneus). Pain may also develop pain upon motion of the ankle joint and after activity, due to irritation of the achilles tendon. The syndrome usually occurs in females in the 2nd to 3rd decade, due to the irritation of the rigid heel counter of the shoe rubbing up and down on the back of the heel bone.

Haglund’s Deformity Treatment

Treatment depends on the severity and cause. In mild cases, this inflammation and projection of bone at the back of the heel can be relieved with ice, compression, change of shoe gear, Achilles Heel pads, or orthotics.

If the bone is enlarged, surgery may be needed. Surgery involves the repair of the achilles tendinitis or tendinosis and the removal of the bony lump.

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