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What's this bump on the back of my heel?

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Many patients can develop a condition called haglunds deformity. This deformity occurs when a person develops a large bony protuberance at the heel. This eminence is developed around the insertion of the achilles tendon. Many patients with Haglund's deformity experience an inflamed bursa in between the tendon and the enlarged bone which can cause severe pain.

Causes:

  • High Arches
  • Tight Achilles tendon
  • Walking on the outside of your feet
  • Pressure from shoes on the posterior heel

 

Symptoms:

  • Pain to the posterior heel
  • Swelling and redness to the posterior heel
  • Large bump at the posterior heel
  • Pain at the insertion of the Achilles tendon

 

Treatment:

  • Shoe modification: open back shoes to relieve any pressure
  • Oral anti-inflammatory medication
  • Topical anti-inflammatory medication
  • Ice
  • Stretching
  • Heel lifts
  • Padding
  • Physical therapy
  • Orthotics
  • Immobilization
  • Surgical treatment

 

 

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