Haglunds

Haglunds is a colloquial term used to describe a bony enlargement on the back of the heel bone, medically known as Haglund's deformity. This condition typically develops over time due to repetitive pressure and friction in that area. It is often associated with wearing rigid shoes, such as pumps or dress shoes with stiff heel counters, that rub against the back of the heel. The bony prominence, also referred to as a "pump bump," can lead to inflammation of the bursa located between the Achilles tendon and the heel bone, causing pain and swelling.

The exact cause of Haglunds is not fully understood, but several factors are believed to contribute. These include high-arched feet, a tendency to walk on the outside of the feet (supination), and inherited traits. The pain associated with Haglunds can range from mild discomfort to severe pain, particularly when wearing shoes or during physical activity. In addition to the bony bump and bursitis, the Achilles tendon can also become inflamed due to the irritation, leading to Achilles tendinitis.

Treatment for Haglunds typically begins with conservative measures. This often involves modifying footwear to reduce pressure and friction on the heel. Wearing shoes with softer heel counters or open backs is recommended. Arch supports or orthotic devices may also be used to help correct foot mechanics. Anti-inflammatory medications can help manage pain and swelling. Physical therapy, including stretching exercises for the Achilles tendon and calf muscles, is often beneficial. In persistent or severe cases, surgical intervention may be considered to remove the bony enlargement and address any associated issues with the Achilles tendon or bursa.