During their lives people face tens of various diseases. Some of these illnesses are minor, others are severe. To which type should one refer Haglund’s deformity? It’s up to you to decide.

Haglund’s Deformity Symptoms And 4 Ways Of Treatment

Haglund’s Deformity / Bauer Bump / Pump Bump / Retrocalcaneal Bursitis

Haglund’s deformity, also known as pump bump or Bauer bump, is a condition where a bony enlargement on the back of the heel forms, and it leads to retrocalcaneal bursitis which can become quite painful and irritated if the area rubs up against any type of footwear. It is called “pump bump” as the condition often occurs because of the pump-style shoes that many women wear. The rigid backs of the shoes create the pressure that irritates that area of the heel, and women who wear pumps are the most common sufferers of this condition.

Haglund’s Deformity Symptoms

The first Haglund’s deformity symptoms begin with the enlargement of the bone prominence on the heel’s back. It is usually seen it that very area, where the Achilles tendon attaches the heel. As a rule, the bump is very painful, especially, when a person wears tight shoes. It becomes swollen or red, may form a bursa, that later becomes inflamed.
haglund's deformity

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There are absolutely various causes of Haglund’s deformity, but most of them a structural. Some people have problems, because they have inherited them, when they were born. Among other vital factors are the increase in weight, improper shoes, injuries, and various activities, which can change the foot functions.

When you feel pain in the heel’s back, you should address your doctor immediately, because it’s one of the Haglund’s deformity symptoms. But when you are reading this article having no such problems yet, you should take some preventive measures. Wear padding or shoes to reduce the area friction, use ice as it reduces pain. When you have chronic pain, use heat therapy and massages.

Understanding Haglund’s Deformity

People with Haglund’s deformity usually experience Achilles tendon irritation, they feel tightness and disorder while walking or running. In case one has a rather tight tendon, then various stretching exercises can play a great role in the deformity treatment.

When one is free of the problem now, that doesn’t mean he is protected. Prevention is the best cure, and some exercises can become helpful. In such cases many people use Achilles tendon exercises that stop deformation process. Other additional steps are avoiding running on hard surfaces, wearing comfortable shoes with arch supports, massages and ice therapies.

There are various ways and options to choose from, but many podiatrics choose a conservative care. To follow this program correctly, one should avoid high heel shoes. Usually flip-flops and clogs are rather helpful and reduce the amount of direct pressure. One more popular way out in case of pain is anti-inflammatory medicine. They cease pain – the primer cause of Haglund’s deformity.

4 Ways To Treat Haglund’s Deformity

We have already mentioned that preventive measures are desirable as they are rather effective, but what to do if you missed that step and faced deformation problems? There are four basic ways out.

1. PRICE Plan

P – rotection
R – est
I – ce
C – ompression
E – levation.

The illness starts with inflammation, and a person starts feeling pain and stiffness near the top of the heel bone. That happens more frequently in the morning. If you start treating inflammation on early stages, you will manage Haglund’s deformity easily. Try to stop performing those activities that cause pain and swelling. Put ice packs several times per day and keep them for 20 minutes.

2. Different Shoes

In 50% of cases shoes are the primer cause. Constant pressure and rubbing of the shoes cause irritation. This is the usual thing, especially for women. That is why one should be very careful with this. The tendon can also be affected, so try various shoes. They should not rub against the back of the heel.

3. Move Again

Runners are prone to tendinitis because of overstretching and overuse of the tendon. When you appear to be out of the inflammatory phase, you can try wearing a heel pad and various orthotic devices in running shoes for some time.

4. Surgery And Injections

When a person has Haglund’s deformity and basic treatments do not help, one needs surgical interference or injections. After the surgery, the foot will be immobilized for a definite period of time.

Many doctors advise their patients various injections to relieve the bursa inflammation. There exist various additional methodics, like ultrasound. Some people say that it results in fewer drawbacks.

They say that steroid injections must be avoided, because of various possible complications. However, steroids that are used in iontophoretic applications may be effective. In this case doctors use a 3 volt current that transduces the dexamethasone cationic structure to the inflamed tissue through the dermis. Besides, here the concentration is slow and low.

Podiatric care reduces bump pressure, which has been already formed. Good shoes won’t help you to get rod of the problem on the last stage. You may be advised to wear inserts for the shoes you have. These insets are not difficult to find, as they are available in any drug store.

Before you decide to use surgical interference, think twice. Not all cases are severe, and you can avoid an operation if you take medicine, make massages and use ice and heat therapies. Haglund’s deformity can be solved in many other ways, and surgery is not the only way out.

Read more on Haglund’s Deformity surgery