Introduction
Haglund’s deformity is a bony enlargement on the back of the heel, which can cause significant discomfort, especially when wearing shoes. Also known as "pump bump" due to its common association with high-heeled footwear, this condition often leads to irritation of the soft tissue near the Achilles tendon. For remedial massage therapists, recognising Haglund’s deformity and offering supportive treatments can provide relief to clients and prevent further complications.
What is Haglund’s Deformity?
Haglund’s deformity is characterised by the abnormal growth of bone on the back of the heel, where the Achilles tendon attaches. This bony prominence can irritate the surrounding soft tissues, particularly the bursa, leading to painful inflammation (bursitis). The condition is often aggravated by the pressure and friction caused by tight or rigid footwear, which leads to a noticeable bump on the heel.
Causes of Haglund’s Deformity
Several factors contribute to the development of Haglund’s deformity, including:
Foot Structure: A high-arched foot or a tendency to walk on the outside of the heel increases the risk of developing the condition, as this places additional pressure on the back of the heel.
Tight Footwear: Wearing shoes with stiff backs, such as pumps or heels, can irritate the bony growth, leading to inflammation.
Repetitive Stress: Activities that involve repetitive motion, such as running, can increase the stress on the Achilles tendon and heel, contributing to the deformity.
Genetics: Some individuals are predisposed to Haglund’s deformity due to inherited foot structures.
For remedial massage therapists, understanding these causes helps in identifying contributing factors that exacerbate symptoms and guiding clients toward suitable footwear and activity modifications.
Symptoms of Haglund’s Deformity
Clients with Haglund’s deformity typically experience symptoms that range from mild discomfort to severe pain. Common signs include:
Heel Pain: Pain is often felt at the back of the heel, particularly where the bony enlargement is located. This pain is usually exacerbated by wearing shoes with stiff backs.
Swelling: Inflammation of the bursa (bursitis) near the Achilles tendon can lead to swelling and tenderness.
Redness and Irritation: The skin over the bony growth may become red and irritated due to the constant friction from footwear.
Bump on the Heel: A visible bump is often present on the back of the heel, which can be felt through the skin.
Treatment Strategies for Haglund’s Deformity
While surgery is sometimes necessary for severe cases, there are several non-surgical approaches that remedial massage therapists can use to help manage the condition:
Soft Tissue Massage: Massage techniques targeting the Achilles tendon and surrounding muscles can help alleviate tension and reduce the stress on the heel.
Stretching Exercises: Stretching the Achilles tendon and calf muscles can help improve flexibility and reduce strain on the heel.
Footwear Modifications: Encouraging clients to wear open-backed or soft-heeled shoes can reduce pressure and friction on the deformity, providing immediate relief.
Cold Therapy: Applying cold packs to the inflamed area can reduce swelling and pain associated with bursitis.
Conclusion
Haglund’s deformity can significantly impact a client’s comfort and mobility. As a remedial massage therapist, recognising the symptoms and offering supportive treatments can help alleviate pain and prevent the condition from worsening. By guiding clients toward proper footwear and self-care strategies, therapists play a key role in managing this painful condition.
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