Haglund's Disease

  • Introduction

  • Conservative Treatment

  • Surgical Treatment

The Achilles tendon is in the back of the leg and holds the calf muscles to the foot. The Achilles tendon along with the heel, which is the largest bone in the foot, work together to keep the rest of the body stable, absorb shock from walking or running, and most of all allow the flexibility of motion altogether. When a large lump develops on the back of the heel, underneath the tendon, it is called Haglund’s syndrome (deformity). The bump is created from friction caused when shoes rub against the tendon. It can also be the result of degeneration of the tendon from pressure. It is important to know though, that the lump is simply an inflammation around the tendon. 

Symptoms that define this syndrome are usually a noticeable lump on the back of the heel as well as pain in the area of the Achilles tendon accompanied by redness or sensitivity in that area. 

 

Nonsurgical measures to help heal the afflicted area are medications include oral medications such as anti-inflammatories (ibuprofen) to reduce swelling and inflammation. In addition, certain exercises can strengthen the tendon, heel lift or pads to give provide support and stability. Also recommended is wearing a brace or cast to keep the tendon immobilized, thus preventing unnecessary movement so the area can heal.

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If conservative measures fail to relieve pain, surgery may be considered. The goal of surgery would be to lessen the deformity of the heel bone and if the Achilles tendon is degenerated, surgery will be applied to the tendon as well. The prominent bone is removed, and the tendon is often replaced with a healthier tendon from another area of the body such as the big toe.

Our Physicians whom specialize in conditions of the foot and ankle

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