WHAT IS THIS PAINFUL BUMP ON MY HEEL?
A Haglund’s Deformity or “Pump bump” refers to a bone spur in the back of the heel bone that rubs on the inside of the shoe. This bump is usually located to the outer, upper side of the heel. (also referred to as Mulhulland Deformity) is a bony enlargement on the back of the heel that most often leads to painful bursitis, which is an inflammation of the bursa (a fluid-filled sac between the tendon and bone).
This condition may have a hereditary character. Women aged 20 to 30 years are often affected due to the use of high heeled shoes. Also cold weather can increase the incidence due to the more frequent use of closed back shoes and boots. Other predisposing factors include cavus foot and a tight Achilles tendon.
COMMON SYMPTOMS
Will surgical correction of my PUMP BUMP improve the cosmetic appearance of my foot?
Surgical correction of a Pump bump, technically referred to as a Retrocalcaneal Exostosis is aimed both at reducing pain and restoring function, and restoring the natural look of the back of your heels.
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PROCEDURES
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CASE TESTIMONIAL
Permanent, surgical treatment of painful Pump Bumps
The Hagland’s deformity can be removed without significant disruption of the Achilles tendon. The incision is minimal (3cm – 5cm) at the outside of the heel and sutures are removed at 2 weeks.
The procedure is performed in an outpatient facility under sedation and partial weight bearing is allowed after 48 to 72 hours of non weight bearing exercise.
Surgical care focuses mainly on the resection of the posterosuperior aspect of the calcaneus and possibly the excision of the inflamed retrocalcaneal bursa. The Achilles tendon may be debrided of diseased tissue as well, and lengthening of the gastrocsoleus complex should be considered. The goal of these procedures is to reduce the prominence in the back of the heel and the tension on the Achilles tendon.
We are working on some standardized pricing ranges for this procedure. Because of the range of procedures and variation in requirements, we are unable to quote a cost range at this time. Please contact our offices for a diagnosis.
In procedures that involve the Achilles tendon the healing process usually requires 6 weeks. In severe cases of deformity a calcaneal closing wedge osteotomy (Keck and Kelly) may be considered.
Your Doctor, nurse and clinician will help monitor and mange your recovery.
Maintaining a healthy diet is a key step in prevention, with some of the key nutrients including:
Protein: consuming protein will greatly assist your body in healing, delivering the cells it needs for wound care.
Vitamin C: This nutrient is found in a number of fruits and vegetables and helps the body to create a protein that helps to make skin, as well as repair and heal wounds.
Zinc: Found in red meat, shellfish, spinach and nuts and seeds. Zinc helps the body structure the cell membranes that are pivotal in healing wounds.
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The Tayton Institute is a group of medical specialists who have joined together to build a practice focused on surgical excellence.
It is difficult for the premier independent doctors to be recognized these days. Anyone can buy a position in your search results, and much is also true of the many of the ratings sites. Tayton has exceptionally high standards for education, residencies, performance statistics and simply being nice.
We work together to define new technological advances and to pool our resources with the goal of ensuring the best possible outcome for each patient.
Many of our doctors are former athletes and active in a range of sports. We can help you to get back in shape and playing your best.
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What are the safest options for pain relief ?
As podiatrists and foot surgeons, we are committed to helping patients understand the surgery process. The type of anesthesia that we use for extremity foot surgery is very light. Patients are out and not conscious, which is what most people want to know. You are not going to wake up during the procedure.
Anesthetic is very light and very safe. The procedures are always around an hour to two hours max so there’s not as much time under sedation and henceforth, less complications and less difficulties waking up and feeling groggy or hungover.
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Costs, Insurance and Financial Concerns
Our office will work with you on costs. When patients come into the office, insurance coverage is discussed and verified. We check to see where their deductible is, what type of out of pocket expenses are required so you know where you are on that level.
Second of all, we look into the type of facility. For example, we have in-network and out of network facilities. I am an In-Network foot doctor and foot surgeon in Houston provider so they don’t have to worry about my coverage on their insurance.
Our office submits each procedure so you know about coverage.
We use surgical and non-surgical techniques to improve the appearance of our patient’s feet
Our physicians are the top practitioners in cosmetic foot surgery. We can correct deformities, improve comfort and appearance of feet and ankles.
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Cosmetic and Reconstructive Procedures Healing Pain and Correcting Deformities
Cosmetic
Reconstructive
Dermatalogical
Sports
The Tayton Insitute is a group of medical specialists who have joined together to build a practice focused on surgical excellence.
It is difficult for the premier independent doctors to be recognized these days. Anyone can buy a position in your search results, and much is also true of the many of the ratings sites. Tayton has exceptionally high standards for education, residencies, performance statistics and simply being nice.
We work together to define new technological advances and to pool our resources with the goal of ensuring the best possible outcome for each patient.
Medializing Calcaneal Osteotomy
A calcaneal osteotomy is a procedure where the heel bone (calcaneal) is cut and shifted inward or outward. This is used when the heel bone has shifted out from underneath the leg and hind foot alignment is offset. After the procedure, metal screws or a plate are used to hold the heel in place. With this procedure, recovery time is at least 6 weeks of non-weight bearing in a cast or boot. After 6 weeks the patient can start applying pressure as they are able and should be wearing shoes by 8-12 weeks. Full recovery generally takes up to a year or more. Potential complications include the possibility of nerve damage, and painful hardware that may need to be removed once the bone is healed.
In this procedure, the lateral column is lengthened by inserting a bone graft. Specifically, the front of the heel bone is cut and a bone graft wedge is placed in to lengthen it. The graft can come from a cadaver or the patient’s hip bone. This is often done alongside the calcaneal osteotomy. Recovery time generally includes non-weight bearing or limited weight bearing in the heel. A patient should be able to transition into a shoe after 10-16 weeks. Full recovery can take up to 18 months.
With a dorsal opening wedge osteotomy, a bone wedge is placed in the top portion of the medial cuneiform bone to push it downward. In a similar procedure, called the first tarsal metatarsal fusion, the bone is pushed down and the bones are fused into that position.
In these procedures, the posterior tibial tendon often requires removal if it is thickened or torn. The ligaments that support the arch may have been torn in the case of a flat foot. If significant damage has been done these structures may need to be repaired. In the case of a tightened Achilles tendon, there is a stretching procedure which lengthens the muscle fibers of the calf.
To surgically correct stiff and inflexible flatfoot complications with arthritis, a double or triple arthrodesis may be performed. This is basically a fusion of one or more joints. These types of fusions are generally avoided by surgeons, but in severe cases they are used for treatment as a last resort. They can help improve stability in walking and may reduce pain. Recovery time generally includes 6-8 weeks of no weight bearing, and up to 18 months to fully recover. Complications could include nerve injury, or a non-union (where the joint fails to fuse together properly). Non-unions happen in about 5% of cases and may require additional surgery.
Another procedure that has seen success, and is less invasive, is placement of a stent. In this treatment, a small titanium stent is placed in a natural opening between the ankle and the heel bone and helps to realign the foot and can relieve foot pain. Recovery time for this type of treatment is less than traditional surgeries. If you are looking at flat feet surgery as a treatment option, you may want to consider the less invasive stent placement.