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 Subject: RE: Haglund's Deformity
 
Author: Foot Doc
Date:   4/23/2007 7:23 am PDT
DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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Haglund's deformity, sometime called, "pump bumps" is a bony prominence of the posterior aspect of the heel just slightly to the lateral (outside) side of the area near where the Achilles tendon inserts. Your statement is incorrect in that the shoe does not cause the deformity, although without the counter of the shoe rubbing on it, it would not be painful from the irritation. But you do not mention pain at all in your post, and I would hardly recommend the surgical procedure required to resolve a Hanglund's deformity if you were not experiencing pain when wearing shoes. The nature of the deformity is one in which the posterior surface of the heel bone, which normally slopes at an angle toward the toes either slopes at less than the normal angle or does not slope at all or even slopes the other way. There is sometimes also a "beaking at the posterior superior aspect of the bone. I viewed your second post photo and could not discern a bump, though it may be difficult to see on a photo, depending on the angle from which the picture is taken. I would not rely on any opinion such as this which is not predicated on an examination, so, if you have concerns, see a podiatrist for a definitive opinion. But whether or not you have a Haglund's deformity, that IS how your feet were made.
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