Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
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Heel Bump / Haglund’s Deformity

 

Haglund’s deformity or “pump bump” is defined as a bony enlargement of the posterior aspect of the calcaneus (back of the heel). It is caused by constant irritation of the back of the heel from shoes with rigid heel counters such as men’s dress shoes, women’s pumps and ice skates.

Other contributing mechanical factors include a high arched (supinated) foot type, calf tightness, as well as the tendency to walk on the outside of your feet.

Symptoms:

  • Haglund’s deformity can affect one or both feet
  • Redness/tenderness on the back of the heel where the Achilles tendon attaches.
  • A hard bump on the back of the heel
  • Pain on the back of the heel

Treatment

Conservative treatments aim at reducing the irritation on the back of the heel. This may include change in footwear or using paddings to reduce the pressure to the area.

Reducing the tension/tightness in the calf muscles is also important in treating Haglund’s deformity. This include using devices such as heel lifts, orthotics as well as stretching exercises, such as calf and hamstrings stretches.

For best management of any Haglund’s bump symptoms please visit Foot focus Podiatry in Perth by calling 9258 4152 or booking online.

  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.