Haglund Heel
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Haglund Heel

 

INTRODUCTION

A haglund deformity is also known as a retro-calcaneal bursitis and can be a very painful condition. The clinical presentation is that of an enlargement of the back of the heel bone which is usually irritated by a shoe. This condition commonly occurs in females in the 20’s and 30’s and is mainly due to inappropriate footwear.

 

APPEARANCE

  • Red, painful, swollen area at the back of the heel bone.
  • A large enlargement of the back of the heel bone.

 

SYMPTOMS

  • Pain at the back of the heel bone.
  • Patients may experience pain when the ankle is moved; this is due to the irritation of the Achilles Tendon.
  • The enlarged bone rubs against the shoe and can lead to a bursitis of the heel. This will cause extreme pain and make wearing shoes very difficult.

 

CAUSES

  • The main cause of an haglund deformity is poorly fitting or inappropriate footwear.
  • The underlying bone deformity may be present at birth; an abnormal shape heel is more susceptible to this condition.
  • Skin irritation caused from footwear can lead to a bursitis.
  • Mechanical problems with the feet such as "over pronation". Over pronation can be simply described as a condition, which causes your arches to flatten out when you stand up. This causes your ankles to roll in towards each other and disturbs your normal walking pattern. If a foot over pronates the structures of the foot are put under stress, which increases the likelihood of an Hagland Deformity occurring.

 

 WHAT YOU SHOULD NOT DO

  • Do not continue to wear tight footwear or shoes with a rigid counter.

 

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