Disease Haglund of Since: surgery, conservative treatment methods
What causes Haglund’s deformity. and how to cure it
When walking the main burden falls on the feet, so any painful symptoms they are acutely noticeable.
Their complex structure compared to other parts of the body makes the foot a potential victim for a large number of ailments, including those associated with various injuries, sprains and bruises.
On the foot is connected a bundle of muscles and tendons. There is a large number of small bones. All this together makes it more susceptible to various external factors. Even minor injuries lead to severe pain.
As a result of unfavourable combination of circumstances can occur inflammatory processes, deformities in the form of growths, bending, interfering with walking and posing with her discomfort, and pain.
Mainly it is the symptoms of certain diseases, but can meet and the effects of trauma.
The essence of the disease
According to the medical reference Haglund’s deformity. is serving the upper part of the posterior calcaneus. People compare it with the Rhino horn because of their similarity in structure and appearance.
The name of the disease derives from the name of the orthopedic surgeon, who first described it as a separate disease. Originally used and terms such as disease or Haglund’s syndrome.
But now the official medicine uses the term «deformation», it most accurately describes the situation.
If you encounter such a defect of the foot at a location just above the attachment to the calcaneus of the Achilles tendon occurs bone growth, often called Achilles «spur» or the exostosis (which is not entirely true, because these names have the corresponding disease).
The more build-up, or at least it looks shot, the stronger it affects the Achilles tendon and a bag in the area of attachment to the heel bone.
In the end there is inflammation, and can meet it on both parts of the body and individually, all depends on the degree of neglect and the presence of precipitating factors like low temperature, high humidity, etc.
Inflammatory processes are often accompanied by edema, and the emergence of a bubble at the heel (in places where it is adjacent to the heel of the Shoe).
It turns out that Haglund’s deformity. consists of two parts:
- bone growth;
- soft tissues passing them by inflammation (tendon and bag).
Depending on the extent of their lesion the heel can be soft, which is typical of deterioration in the area of the tendon and/or bags, or solid, it indicates the absence of inflammatory processes.
It should be noted that inflammation of the tendon or bag without the appearance of the outgrowth is called otherwise, this is a completely different disease and treated it differently.
Causes of pathology
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Despite the fact that Haglund’s disease can appear in any human, the most vulnerable women at the age of 20 years.
Triggered by the disease can be shoes with an uncomfortable heel, its deformation due to wear, then he too puts pressure on the heel.
Over time due to excessive load strand tendons can become inflamed and lead to manifestation of the disease under consideration.
To some extent the cause of occurrence of deformation of the heel is hereditary, the defect can occur not only in adults but also in children.
It is known that in case of flat feet, especially accompanied by the lowering of the foot inward (call it a defect – hyperproduce), Haglund’s defect appears more often. But only if there are predisposing factors, for example, uncomfortable shoes.
With increasing build-up it gradually begins to noticeably pressure on the bag and the tendon, and this will inevitably lead to the beginning of inflammatory processes, it is very difficult kupiruemaya, which leads to constant nagging pain, claudication, etc.
Another characteristic feature is that almost always, the disease manifests itself in both feet.
Why do we need diagnostics?
Different diseases of the foot accompanied by pain, discomfort, limitations in walking, there are a lot.
Therefore, for accurate diagnosis used x-ray or magnetic resonance imaging (MRI). The photographs are usually clearly seen the condition of the bone and soft tissues, according to their appearance and concludes with the appointment of treatment.
In the simplest case, the diagnosis is made during a routine examination of the feet, but with obvious visual change in the bone tissue of the heel.
To help the doctor can the patient’s medical history, description of symptoms at the time of admission and at the time of the previous appeals on similar complaints.
Signs clearly indicating the presence of defect are:
- pain when walking, especially at the moment of touching the ground with the heel when it is the maximum load;
- pronounced heel the hill, hard or soft to the touch, with natural or flushed appearance;
- signs of inflammation of the tendon and bags as edema;
- visible changes on x-ray image or the printout from the MRI.
If diagnosed Haglund’s deformity., you should immediately consult a doctor to start treatment.
The uncontrolled and continuous process of deformation of the heel may be the situation with damage to the Achilles tendon, until its breakup.
In this case, the disability is provided and no prophylactic and therapeutic treatments do not help to fully rectify the situation.
Therefore, when the first symptoms namely pain while walking, jumping or running, should immediately consult a doctor to conduct the study.
Whatever the diagnosis, all diseases of the joints and extremities are best treated in the first stage, when there are no serious deformities and changes in bone structure.
If you go too late, it will only try to stabilize the current condition and prevent further development of the process.
Is it possible to cure the disease?
With timely detection of symptoms of Haglund deformity and the diagnosis can be treatment of this disease.
Here there are two directions.
How to treat the disease without surgery?
The set of conservative methods, including:
- The nonsteroidal anti-inflammatory drugs, in the absence of effect can be applied by injection, which reduces inflammation and pain. This property has, for example, ibuprofen.
- Selection of orthopedic shoes with comfortable heels or even without it (it all depends on the stage of disease and the degree of development of the bumps).
- The use of special adhesives and silicone pads to reduce or completely avoid injury of the skin on the heel area.
All procedures are aimed at excluding the main culprit of the appearance of strain – inflammation. Good impact of applying pieces of ice in a thin towel for a short time (up to 20 minutes).
In the absence of the desired effect, namely stopping the growth of the modified heel bone, eliminate pain in motion, may appoint a surgical (operative) intervention.
It includes complete or partial removal of the growth with the return of the foot of the initial appearance.
There are several methods of surgical intervention, one of them is assigned depending on the individual characteristics of the patient, extent of disease development and other factors.
For example, isolated open and endoscopic methods of removing growths. Each of them has advantages and disadvantages, used their doctors based on not only testimony, but also personal preferences, experience in their implementation.
How to avoid this disease
Joint disease is unpleasant in its consequences. Pain when walking and limitation of movements, it makes one think about the prevention of diseases of the limbs and especially the feet.
As preventive measures are the following rules:
- It is necessary to wear comfortable shoes with a soft heel. It should be changed regularly, as wear. Particular attention is on the shoes to draw those who have special or uniform shoes. If it does not fit, you should consult with your doctor and try to modify it for a more comfortable fit.
- If the arch is too high, should wear shoes with heels.
- If you have flat feet with the manifestation of overpronators, need footwear where is the instep or need to use custom-made insoles.
- The fascination Jogging exercises you should avoid so-called heel of running, especially when training on a solid, hard surface.
The need to carefully monitor the condition of the feet those whose close relatives are unable to avoid Haglund’s syndrome, and, therefore, there is a risk of hereditary transmission of the tendency to disease.
If the deformation is still there, you can try to stop at an early stage.
In the case of minor visual changes that have not yet led to the emergence of pain and do not require immediate medical intervention, including operational.