HAGLAND DEFORMITY

A hagland deformity is also known as a retro-calcaneal bursitis, can be a very painful condition. The clinical presentation is that of an enlargement of the back of the heel bone which is usually irritated by a shoe. This condition commonly occurs in females in the 20’s and 30’s and is mainly due to inappropriate footwear.

Pain at the back of the heel bone.
Patients may experience pain when the ankle is moved; this is due to the irritation of the Achilles Tendon.
The enlarged bone rubs against the shoe and can lead to a bursitis of the heel. This will cause extreme pain and make wearing shoes very difficult.

The main cause of an hagland deformity is poorly fitting or inappropriate footwear.
The underlying bone deformity may be present at birth; an abnormal shape heel is more susceptible to this condition.
Skin irritation caused from footwear can lead to a bursitis.
Mechanical problems with the feet such as "over pronation". Over pronation can be simply described as a condition, which causes your arches to flatten out when you stand up. This causes your ankles to roll in towards each other and disturbs your normal walking pattern. If a foot over pronates the structures of the foot are put under stress, which increases the likelihood of an Hagland Deformity occurring.

The chiropodist may request x-rays. This will reveal the amount of extra bony formation at the back of the heel.
Padding may be used to redistribute pressure away from the heel.
Insoles may be given to correct any mechanical abnormality present.
May recommend appropriate footwear or open back shoes.
In severe cases, surgery may be recommended. The surgical procedure will normally consist of removal of the excess bone.



		HAGLAND DEFORMITY INTRODUCTION A hagland deformity is also known as a retro-calcaneal bursitis, can be a very painful condition. The clinical presentation is that of an enlargement of the back of the heel bone which is usually irritated by a shoe. This condition commonly occurs in females in the 20’s and 30’s and is mainly due to inappropriate footwear. APPEARANCE Red, painful, swollen area at the back of the heel bone. A large enlargement of the back of the heel bone. SYMPTOMS Pain at the back of the heel bone. Patients may experience pain when the ankle is moved; this is due to the irritation of the Achilles Tendon. The enlarged bone rubs against the shoe and can lead to a bursitis of the heel. This will cause extreme pain and make wearing shoes very difficult. CAUSES The main cause of an hagland deformity is poorly fitting or inappropriate footwear. The underlying bone deformity may be present at birth; an abnormal shape heel is more susceptible to this condition. Skin irritation caused from footwear can lead to a bursitis. Mechanical problems with the feet such as "over pronation". Over pronation can be simply described as a condition, which causes your arches to flatten out when you stand up. This causes your ankles to roll in towards each other and disturbs your normal walking pattern. If a foot over pronates the structures of the foot are put under stress, which increases the likelihood of an Hagland Deformity occurring. WHAT YOU CAN DO FOR IT Change your footwear. Please refer to our shoes and health section. Seek advice from a State Registered Chiropodist. WHAT YOU SHOULD NOT DO Do not continue to wear tight footwear or shoes with a rigid counter. WHAT THE CHIROPODIST WILL DO The chiropodist may request x-rays. This will reveal the amount of extra bony formation at the back of the heel. Padding may be used to redistribute pressure away from the heel. Insoles may be given to correct any mechanical abnormality present. May recommend appropriate footwear or open back shoes. In severe cases, surgery may be recommended. The surgical procedure will normally consist of removal of the excess bone. CONDITIONS THAT RESEMBLE AN HAGLAND DEFORMITY A stress fracture of the heel AS ALWAYS SEEK ADVICE FROM A STATE REGISTERED CHIROPODIST.