Haglundin

Haglundin is a term used to describe a painful bony enlargement on the back of the heel bone, medically known as Haglund's deformity. It is characterized by a prominent bump on the posterior aspect of the calcaneus, which can cause friction and irritation when wearing shoes. This condition commonly affects individuals who wear rigid, backless shoes, such as certain types of women's pumps, or those who are active in sports that involve a lot of heel striking.

The exact cause of Haglundin is not fully understood, but it is believed to be a combination of genetic predisposition, foot structure, and repetitive stress. Factors such as a high-arched foot, a tight Achilles tendon, and an outward-pointing heel can contribute to its development. The constant rubbing of the shoe against the enlarged bone can lead to inflammation of the bursa, a fluid-filled sac that cushions the heel bone, resulting in bursitis.

Symptoms of Haglundin typically include pain and tenderness at the back of the heel, swelling, and a visible bony bump. The pain can be exacerbated by activity and wearing certain types of footwear. Conservative treatments are usually the first line of approach and may involve modifying footwear to reduce pressure, using heel pads, stretching exercises for the Achilles tendon, and anti-inflammatory medications. In more severe or persistent cases, surgical intervention may be considered to remove the bony enlargement and address any associated issues.