Haglund's Deformity
Haglund's deformity is a bony enlargement on the back of the heel that irritates the soft tissue near the Achilles tendon. This deformity often leads to bursitis, the inflammation of a fluid-filled sac between the tendon and bone.
Haglund's deformity is most common in young women who wear pumps, because the backs of high-heeled shoes tend to aggravate the area the most. However, Haglund's deformity is also hereditary, as certain types of foot structure make a person more or less prone to developing the condition. High arches generally contribute to Haglund's, as does the tendency to walk on the outside of the heel, which causes the heel to rotate inward, rubbing the heel bone against the tendon.
Symptoms of Haglund's deformity can occur in one or both feet and include pain around the Achilles tendon and heel and redness and swelling along the back of the heel.
Treatment of Haglund's deformity is the standard treatment for most other heel injuries, including anti-inflammatory medication, icing, exercise and stretching, use of heel pads in shoes, orthotics and immobilization. However, for suffers of Haglund's deformity it is also advisable to wear backless shoes to avoid irritation.
In order to avoid the reoccurrence of Haglund's deformity, sufferers should avoid wearing pumps or high-heels, use arch supports, perform exercises that prevent the Achilles tendon from tightening and avoid running uphill or on hard surfaces.