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Haglunds heel also known as Haglunds deformity, known medically as posterior calcaneal exotosis, is a bony growth surrounded by tender tissue on the back of the heel bone. It develops when the back of the shoe repeatedly rubs against the back of the heel, aggravating the tissue and the underlying bone. It is commonly called pump bump because it frequently occurs with high heels, it can also develop in runners.
Treatment for haglunds deformity consists of applying ice followed by moist heat will help ease discomfort from a pump bump. Non steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen will also reduce pain. Podiatrists may also recommend an orthotic device to control heel motion. Often as a result of extreme rear foot pronation the heel rubs against the shoe even more. By correcting the pronation we can often reduce toe rubbing so minimize the pain in the heel. Corticosteroid injections are not recommended because they can weaken the Achilles tendon.
In severe cases, surgery may be necessary to remove or reduce the bony growth. This involves firstly removing the achillies tendon then removing the underlying bony bump with an osteotome which is similar to a chisel then placing a small anchor in the bone and reattaching the achillies tendon. According to one study, however, surgery was not effective for all patients and, in fact, many experienced a worse condition afterward. Full recovery required six months to two years, as it takes a long time for the achillies to reattach to the underlying bone. Experts advise patients to try all conservative measures before choosing surgery. If you suffer from this condition it is well worth while visiting a Podiatrist.
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Page last updated 14 October, 2007