At Heel pain treatment in vaishnodevi (Haglund’s deformity) which is also known as pump bump or retrocalcaneal exostosis. It is a degenerative process characterized by osteophyte formation and retrocalcaneal bursitis The anatomical location of the retrocalcaneal bursa is between posterior and superior aspects of the tuberosity of the calcaneus and the anterior aspect of the distal Achilles tendon. It is a common cause of posterior heel pain, characterized clinically by prominent bursal bony projection. Usually, the condition is idiopathic and bilateral but there are some common provoking factors which include age, increased repetitive loading, obesity, and systemic inflammatory disease (psoriatic arthritis, spondyloarthropathy, rheumatoid arthritis, and Reiter’s disease).
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