Haglund's Deformity: Causes, Symptoms, and Treatments for Heel Pain
Haglund's deformity, a condition affecting the heel bone and soft tissues, is causing concern among sufferers and medical professionals alike. This foot ailment, triggered by an enlargement of the bony section of the heel, is characterized by a prominent bony bump and severe pain. It's most common in those who wear stiff, closed-heel shoes.
The condition begins with a new bony lump on the back of the heel, which can lead to bursitis, an inflammation of the fluid-filled sac between the tendon and the bone. This inflammation causes swelling, redness, and severe pain. The cause is often repetitive or excessive heel stress, exacerbated by rigid shoes rubbing against the back of the foot near the Achilles tendon.
Treatment focuses on relieving pain and taking pressure off the heel bone. Options include open-back shoes, non-steroidal anti-inflammatory drugs (NSAIDs), icing, ultrasound treatments, massage, orthotics, heel pads, and immobilization. If these methods fail, surgery may be required to remove new bone and smooth the bone to reduce pressure on the bursa and soft tissue.
Prevention is key for those at risk. Measures include avoiding excessive heel stress, using heel pads or lifts, wearing well-fitted shoes without rigid backs, performing regular calf and Achilles tendon stretching, and applying physical therapy techniques to reduce inflammation and strengthen the tendon area. Diagnosis involves examining the heel and may require an X-ray to confirm the prominent heel bone associated with the disease. Those experiencing symptoms such as a bony bump, severe pain, swelling, and redness should consult a healthcare professional.
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