Haglund’s Deformity

Explore How We Can Assist You in Alleviating Haglund’s Deformity.

Haglund’s deformity is characterized by a bony protrusion at the back of the heel, which often causes irritation to the soft tissue surrounding the Achilles tendon. This irritation can lead to bursitis, inflammation of the fluid-filled sac between bone and tendon, and subsequent accumulation of calcium in the heel, exacerbating the deformity and increasing pain.

Causes
Several factors contribute to the development of Haglund’s deformity. Inherited foot structure, such as high-arched feet or a tight Achilles tendon, predisposes individuals to this condition. Those who tend to walk on the outer edge of their heels are also more susceptible. Additionally, certain types of footwear, particularly pump-style shoes for women and shoes with rigid backs like men’s dress shoes or ice skates, can exacerbate friction and irritation.

Symptoms
Haglund’s deformity typically manifests as a noticeable bony bump behind the heel, accompanied by swelling and redness in the affected area. Pain, particularly where the Achilles tendon attaches to the heel, is a prominent symptom. Some individuals may also experience painful blisters on the heel due to friction from shoes rubbing against the deformity.

Diagnosis
Diagnosing Haglund’s deformity can be challenging due to its similarities with other foot conditions like Achilles tendonitis. Diagnosis may involve visual examination by a podiatrist or imaging tests such as X-rays, MRIs, or ultrasounds to assess foot structure accurately.

Non-Invasive Treatment
Non-surgical treatment options aim to reduce bursa swelling and alleviate pain. Modifications to footwear, such as heel lifts, cushioned heel pads, or shoes with no or soft backs, can help minimize irritation. Stretching exercises to relieve tension in the Achilles tendon, physical therapy, soft tissue massage, and icing inflamed areas can also provide relief. Oral anti-inflammatory medication may be prescribed to manage pain and inflammation.

Surgical Options
If non-surgical treatments are ineffective in providing relief or if the bony deformity is severe, surgery may be recommended. Surgical procedures involve removing the bony protrusion and, in some cases, repairing or replacing the damaged Achilles tendon.

Recovery
Recovery from surgery varies depending on the procedure performed. Patients may wear a splint or boot post-surgery and gradually transition to weight-bearing activities through physical therapy. Full recovery typically involves progressive rehabilitation and may require several weeks to months.

If you're experiencing symptoms of Haglund’s deformity, consult with a podiatrist to explore treatment options tailored to your specific needs and condition.