Achilles Tendon Haglund’s Deformity

A Haglund's deformity, also known as a "pump bump," is a bony enlargement at the back of the heel bone (calcaneus) near the Achilles tendon. It is often irritated by the rubbing of the heel against the back of a shoe, which can cause a bursa (a fluid-filled sac that acts as a cushion between bones and tendons or muscles) in this area and can lead to inflammation and pain. Haglund's deformity can also be caused by certain medical conditions, such as inflammatory arthritis.
Certain movements of the foot in excess can cause increased traction of the Achilles tendon on the heel bone forming the initial enlargement referred to as an exostosis or when calcified a heel spur. Identifying excessive movements like too much supination and addressing it is key to successful treatment. Left unattended to the Haglund's deformity increases in size and discomfort. Identifying it early leads to successful treatment.
Transcript:
[Introduction music]
This is your calf muscle it needs a structure to allow it to attach into the bone down here and so the calf attaches into a structure known as the Achilles tendon that's this thin portion you see over here which comes down and then flares out and goes into the heel bone as it enters the heel bone it flares out with multiple fibers that used to actually as a developing fetus be part of a structure that is down at the bottom on your foot but as we get older and develop these two structures separate yet their function is still very very closely linked to each other whenever we need to raise our foot up into this position while walking the Achilles tendon is the structure that pulls you up into this position and it's sister structure the plantar fascia tenses up and the foot then is able to push you forward there are a couple of things that can go wrong in the function of the Achilles tendon which leads its to pathology and leads to painful conditions of the foot one of them as you can see here is known as a haglin's deformity or it is a thickening that occurs where the Achilles tendon enters the calcaneus or the heel bone this thickening that sits over here can sometimes rub up against the shoe causing irritation when wearing clothes back shoes a very very common complaint among people wearing leather shoes [Music] because when the foot as it raises up goes into a position we call supination which is where you load the outer part of your foot too much loading the foot on the outer side too much then overloads this particular structure causing this deformity to occur in this particular area to avoid this from happening it is important to stop the supernation movement which is loading on the outer side and to tilt the foot into a position where it can straighten out like this that can be achieved by good shoes or wearing custom-made Orthotics inside your shoes to realign the foot to take strain off of this area.
[Music]

[@susannehouse3857]

I had a Haglunds bone spur and intersectional Achilles tendinitis……pain like I’ve never experienced before…..eventually had surgery on the NHS in the Uk….bone spur removed and Achilles repaired, best thing I ever did…..95% pain free now. The rehab is pretty grim but definitely worth it.

[@miqotelover]

How bad was the rehab, and sleeping on your back with the cast? I have the same thing, and my haglunds is huge. Going in for an mri on my foot to find out how bad the damage is for it, and I'll need surgery as well.

[@susannehouse3857]

I won’t lie the rehab was long and slow…… I sleep on my side so had my foot on pillows during the night which wasn’t too bad. The first two weeks were the worst, totally non weight bearing with foot higher than your heart and only moving to get food or go to the bathroom. Once the stitches were out and I transitioned into a boot it was easier. The I had a further 8 weeks in the boot. Key for me was then plenty of physio. Good luck with your journey.

[@shekelberggoldstein1387]

@@susannehouse3857 Good Lord that's horrible! I had this about 10 years ago and it got better.. It came back this past year and the Dr. says I have tears & recommends surgery but I've been holding out hoping for a miracle.. Very painful.

[@Mario-xr3jo]

Good video, thank you. I have had Haglund's deformity on both heels for years now and developed a heel bursitis on the right one two months ago. The waiting time to see an NHS podiatrist in the UK is about 4 months and in private healthcare - about the same time. So you're practically left to your own devices... The only remedy that's left is surfing the internet for any information.

[@rajbau-ee5co]

Very excellent information.

[@ML-iz9cc]

Great information. Thank you.

[@bilel9128]

Thanks so much

[@kronos0612]

I had it for years...and now i know what it is

[@TheCoppergoat]

I experiencing it now and it is so painful that i cant even walk. In the past, i’ve used a gaston tool and it helps loosen my calf muscle and smooths out the achilles tendon and heel attachment area

[@sharonsmith381]

I have Haglunds deformity on both and heel spurs on both heels thank god for the NHS soon to have surgery

[@miqotelover]

What's the NHS mean? I have the same issue, and I'll be needing some surgery too for both my feet :\

[@dch3137]

were can I found your clinic

[@MrAuldphart]

I have only just had a retrocalcaneal ostectomy done 3 weeks ago, I had a haglunds deformity on the inside of my right heel. The operation was successful and luckily, my surgeon did not have to cut my Achilles tendon which will reduce my recovery time significantly, .prior to this, I had experienced pain for well over 12 months . I am really looking forward to getting back to normal following my upcoming physio visits,

[@vickychannel1986]

What is medicina and treatment....it can be happen due to uric acid or.......

[@tayfur6245]

Merhaba topuk arkasında oluşan kemiği aldırmak için ameliyat olmamı tavsiye edermisiniz

[@ecliqxse9591]

Looks like this is the part that I injured in basketball, maybe bursitis or else….

[@Danijean85]

I have this so badly that it wears holes through my right shoe. It's not painful though. But very pronounced.

[@Grey_be]

I have a question is there any other reason why you might have a bump on your foot. I’m really hoping I don’t have this because it requires surgery.

[@ajaymanthati2978]

go for arka leaf treatment - fix it free

[@vickyleakz]

Hi sir am a engineer wearing safety shoe my leg bump heavily can i use Skechers arch fit support shoe when ever i give some support under the arch i did nt feel the pain kindly reply me😊

[@Familypodiatry]

The answer depends on your foot function. We recommend different shoe type for difference walking patterns.

[@marcioresende2071]

Boa tarde Poderia traduzir p o português

[@pamelalevescounte7867]

Where can I buy shoes, for this condition. Lot of pain.

[@pamelalevescounte7867]

U.k. only please.

[@benbauer7866]

That’s funny. When I went into a running store, they seemed to think I need stability shoes. But if anything, having haglund’s deformity suggests I supinate as opposed to pronate. Talk about mixed messages

[@Familypodiatry]

That is correct Ben. However, it’s not a hard and fast rule. Best to have a professional assess you properly 🦶🦶

[@Maria-qr7fn]

I have had this for years now on both heels, but the lumps are massive and have gone round sides that’s how big they are, they are so painful I can barely walk and cry with the pain I’m on morphine and other pain relief, the doctor won’t do surgery as my diabetes is as controlled as they would like I’ve never known pain like it does anyone know of anything that can help I’m desperate as pain relief doesn’t help much.😊

[@Familypodiatry]

Hi Maria. Consider shock wave therapy and having a podiatrist assess your gait.

[@shekelberggoldstein1387]

Where are you from?

[@Maria-qr7fn]

@@Familypodiatry hi I’ve had my gait assessed few years ago now they said it was off, they told me to wear trainers for support

[@Maria-qr7fn]

@@shekelberggoldstein1387 hi I’m from uk

[@kickboxervikram8698]

How can it be cured? Home treatment

[@Familypodiatry]

Stretching and icing are effective home treatments.

[@sunrae7680]

@@Familypodiatry Stretching works for me. I'll try ice also.

[@barbaradykier6295]

Use DMSO and Castroil Oil.

[@loughton57]

@@Familypodiatry some physiotherapists say NOT to stretch it, so confusing 🤔

[@ranjeetthakur8893]

Hidi.m....

[@Teacher2Polis2XtraRice]

I have a Haglunds deformity and retrocalcaneal heel spur on both ankle. I cant run and jump anymore. Foot and Ankle surgeon told me that it cost $20,000 for the surgery.

[@Teacher2Polis2XtraRice]

@@MrX-vk1jl Yes. I have Achilles tendinopathy on both ankle. I've done lots of stretches and massage, it helps a lot. But sad to say, my calcaneal heel spur keeps growing.

[@simakarmakar8303]

Pu