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Haglund's deformity was first described by Patrick Haglund in 1927. It is also known as retrocalcaneal exostosis, Mulholland deformity, and ‘pump bump.' It is a very common clinical condition, but still poorly understood. Haglund's deformity is an abnormality of the bone and soft tissues in the foot.
Plantar calcaneal bursitis is a medical condition in which there is inflammation of the plantar calcaneal [1] bursa, a spongy fluid filled sac that cushions the fascia of the heel and the calcaneus (heel bone). It is characterized by swelling and tenderness of the central plantar heel area. It is sometimes called 'Policeman's heel'.
Retrocalcaneal bursitis is an inflammation of the bursa located between the calcaneus and the anterior surface of the Achilles tendon. [1] It commonly occurs in association with rheumatoid arthritis, spondyloarthropathies, gout, and trauma. [2] The pain is usually on the back of the heel and swelling appears on lateral or medial side of the tendon.
The considerations that affect plantar heel pain are the alignment of the foot with lower leg, foot and ankle mobility, strength and endurance of muscle. External influences on plantar heel pain are the amount of time spent on feet while exercising or standing, type of footwear used and type of floor surfaces. [6]
Any part of the foot can be affected by diseases, with symptoms ranging from mild aches to more serious pain hindering one's ability to walk or bear weight. Most minor cases of foot pain can be responded to by home care treatments. However, when severe pain is present, medical attention is required as it is a disabling condition.
Palliative treatments consist of stretching, analgesics, and padding (e.g. cushioned foot wear for plantar fasciitis), splints (e.g. tennis elbow strap), and other treatments. The concept that a calcified attachment can be removed surgically is highly debatable as these calcifications are a regular part of an enthesopathy.
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[22] [23] [24] Treatment typically involves rest, ice, non-steroidal antiinflammatory agents (NSAIDs), and physical therapy. [17] [18] A heel lift or orthotics may also be helpful. [17] [21] In those in whose symptoms last more than six months despite other treatments, surgery may be considered. [17] Achilles tendinitis is relatively common. [17]
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