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Haglundís Deformity or "Pump Bump"
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sroehlk


Jun 18, 2003, 9:34 AM
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Registered: Oct 15, 2002
Posts: 484

Haglundís Deformity or "Pump Bump"
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Hey girls! Can you help me out?

Has anyone heard of or had a pump bump? If you have/had one, what did you do? I just recently started noticing bumps on the back of my feet by the heels, but they don't hurt. I just thought they were callus-type things. I've worn high heels for work the past three years, but started wearing flats more once my PT friend told me the bums are pump bumps and a result of poor shoe choices and improper fit. Well, my sister pointed the bumps out over the weekend when I wore flip flops and now I'm all self conscious. So I looked it up on the internet and here's what I found at http://www.whymyfoothurts.com/...glundsdeformity.html

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Haglundís deformity is a painful bump on the back of the heel. This has been referred to as a "pump bump", as high heel shoes irritate this bump causing much pain. This may also medically be referred to as a retrocalcaneal exostosis. Retro means behind and calcaneal refers to the bone it involves, the calcaneous (heel bone).

Symptoms of Haglundís deformity begin with a noticably enlarged bone prominence on the back of the heel. This may be more on one side or directly in the back. This is more commonly seen at the area where the Achilles tendon attaches to your heel. The bump may be painful especially when tight shoes are worn against the area. It may be red and swollen, or form a bursa which can become inflammed to become a bursitis.

Causes of a Haglundís deformity are usually structural in origin. Foot structure is due to hereditary for the most part, meaning it was the way you were born. Other factors such as increase in weight, injury, improper shoes, or different activities may change the way your foot functions as well. Tight shoes or wearing shoes with a low heel counter will not cause the bump, but may cause symptoms to occur. With constant friction a bursitis may occur.

Diagnosis for a Haglundís deformity is a very common reason for having heel pain in the back of the heel. Heel pain may be due to other types of conditions such as tendonitis, Stress Fracture, Tarsal Tunnel Syndrome, or low back problems. A more common condition in children is Severís Disease. The diagnosis is usually made with a combination of x-ray examination and symptoms.

Prevention of Haglundís deformity may be best by finding a good supportive shoe. Wearing shoes or padding to reduce the friction in the area of the bump may decrease symptoms. Ice may work well at the times of severe pain. For a chronic pain, or longer lasting heat therapy and massage may improve the condition.


the_pirate


Jun 19, 2003, 1:53 PM
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Re: Haglundís Deformity or "Pump Bump" [In reply to]
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Why do you assume that only a girl can help you with this?

The problem is caused only in part by your shoe choice. I discarded several pairs of shoes that I thought were the cause of the heel bump before I found out the truth. Mostly it is caused by the construction of your foot. Here's how I know this (cause I needed to have a girl explain it to me :D ).

My sister is a physical therapist and one day when I was visiting her last summer and she was poking fun at how I walk, she pointed out the heel bumps. I told her that they had only formed over the previous 2 or 3 years. She was not suprised by this and said that if I didn't treat the problem they would only get worse and I would also end up developing bunions and other foot problems.

So I went to her office to see the other therapist she works with who is an orthodics specialist (also a woman, btw). After having measurements and foot molds taken I was told that I had low arches which caused my foot to roll inward slightly as I walked, hence the bumps on the outside of my heels.

I had several sets of corrective orthodics made up and swapped them for the removable footbeds in my hiking boots, sneakers, and dress shoes. After a few months, not only had the bumps gone away, but my feet didn't get as sore after a day of hiking, my knees felt better, and the lower back pain went away.

Who knew that such a simple thing could solve so many problems.


sroehlk


Jun 19, 2003, 2:26 PM
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Re: Haglundís Deformity or "Pump Bump" [In reply to]
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I just didn't want to post it in the injuries and accidents forum, so I thought the Ladies Room would work. Plus there are always guys such as you wandering through. :wink:

Thanks for the information. I made an appointment to see a podiatrist Monday. Hopefully it's not horrible. I should take a pair of my shoes in that are pretty worn at the heels. The websites I found made it sound pretty horrible, but it looks like you're doing well.


meg_s


Aug 18, 2003, 5:02 AM
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Re: Haglundís Deformity or "Pump Bump" [In reply to]
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Hi there, I have Haglund's as well - have been putting off the operation for a few years. Right now I have no probs with how they look in sandals etc, but I find they interfere with sports. For example, I'm pretyt new to climbing, would like to get into it more seriously but every time I wear a pair of climbing shoes the bumps get inflamed and I can't even wear normal shoes for a week or so.

So, if pain associated with them is really interfering with your life you can get them remopved but it is a MAJOR operation (detatch and reattatch achilles), it it's cosmetic... well you must be pretty cute if what you're worrying about is the bumps on your heels ;)


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