CONDITIONS
HAGLUND’S DEFORMITY (RETROCALCANEAL PAIN)
What is Haglund’s deformity?
Haglund’s deformity is characterized by a bony growth located on the back of the heel. The deformity can occur on either one or both feet, and can be caused by the following:
- High-arches
- Tight Achilles tendon
- Consistent improper foot placement while walking
- Consistent use of shoes with rigid backs (heels, dress shoes, ice skates, etc.)
What are the symptoms?
- A bony growth or enlargement on the heel
- Painful bursitis, an inflammation of the area between the tendon and bone
- Uncomfortable swelling in the area
- Redness near the inflamed tissue
How is a diagnosis made?
Patients should consult a medical professional to evaluate their symptoms. Dr Amir’s approach is to examine the foot and order X-rays to evaluate the heel bone structure.
What are the treatment options?
The primary focus of treatment is to reduce the swelling and inflammation of the bursa. It is important to note that the following non-surgical treatment options cannot remove the bony protrusion, but they can alleviate pain:
- Medication (ibuprofen) – to reduce pain and inflammation
- Ice – to reduce swelling when applied in intervals
- Stretching exercises – to release tension from the Achilles tendon, loosen the tight heel
- Heel lift inserts and pads – to alleviate pressure and irritation on the heel for those with high arches
- Shoe selection – choosing shoes with a softer back to decrease irritation
- Physical therapy – to help reduce inflammation and encourage strength
- Orthotic devices – to support the foot and ankle in everyday motions
- Casts – to create immobilization for severe healing necessities
When is surgery needed?
Surgery may be needed if the above treatment options do not provide adequate pain relief. Dr Amir will evaluate on a case-by-case basis which procedure is best suited for each patient.
