Retrocalcaneal Pain – Haglund’s Deformity

Retrocalcaneal Pain – Haglund’s Deformity

What Is Haglund’s Deformity?

Haglund’s deformity is a bony enlargement on the back of the heel. The soft tissue near the Achilles tendon becomes irritated when the bony enlargement rubs against shoes. This often leads to painful bursitis, which is an inflammation of the bursa (a fluid-filled sac between the tendon and bone).

Causes

Haglund’s deformity is often called “pump bump” because the rigid backs of pump-style shoes can create pressure that aggravates the enlargement when walking. In fact, any shoes with a rigid back, such as ice skates, men’s dress shoes, or women’s pumps, can cause this irritation. To some extent, heredity plays a role in Haglund’s deformity. Inherited foot structures that can make one prone to developing this condition include:

• A high-arched foot
• A tight Achilles tendon
• A tendency to walk on the outside of the heel.

Symptoms

• Haglund’s deformity can occur in one or both feet. The symptoms include:
• A noticeable bump on the back of the heel
• Pain in the area where the Achilles tendon attaches to the heel
• Swelling in the back of the heel
• Redness near the inflamed tissue

Diagnosis

After evaluating the patient’s symptoms, the foot will be examined by one of our Podiatrists. In addition, x-rays will be ordered.

Conservative Treatment

Conservative treatment of Haglund’s deformity is aimed at reducing the inflammation of the bursa. While these approaches can resolve the pain and inflammation, they will not shrink the bony protrusion. A treatment plan will be tailored by one of our highly qualified Podiatrists to ensure favourable outcomes are achieved.

When Is Surgery Needed?

If non-surgical treatment fails to provide adequate pain relief, surgery may be needed. A referral to our Podiatric Surgeon, Ozan Amir may be required. After discussing the case with you, Ozan will determine which procedure is best suited to your case.