Treatments for Haglund’s Syndrome, The Cause of Painful Back Heel

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Haglund’s syndrome is a characteristic cause of posterior heel pain, and consists of a constellation of soft tissue and bone abnormalities. This syndrome is characterised clinically by a painful soft tissue swelling, the so-called ‘pump bump’, at the level of the Achilles tendon insertion.

X-ray of Haglund's syndrome foot.
X-ray showing Haglund's syndrome foot.

Treatments for Haglund’s Syndrome

Treatments can be divided into two which are by surgery or without surgery. Majority of most cases at early stage can be treated without needs of any surgery.

However, surgery can not be avoided if symptoms continue and treatment without surgery did not show any positive reaction.

Non-Surgical Treatments

The main cause of pain is the way of wearing shoes and pressure at the back of the heels. The proper step that must be taken is not to wear shoes that have back heel cover such as sandals or slippers.

If wearing shoes like this, silicone pad can be stick at the back of shoe heels to give comfort at the feet heel areas and to avoid rubbing.

Other treatments focus on reducing irritation around the heels area and Achilles tissues.

This can be treated by using non steroidal anti inflammation drugs, wax and ultrasound therapy.

Transcutaneous Electro Nerve Stimulation (TENS) also can be applied to relieve pain.

If the symptoms of the disease did not lessen through these methods, and there are signs such as big bumps and formation of calcium inside the Achilles tendon, surgery needs to be done immediately.

Surgical Treatment

The main objective of the surgery is to reduce stress or pressure toward the back heel of feet by reducing the bump.

This can be done by removing Haglund’s deformity bump or by calcaneal wedge osteotomy method. In time, the tissues thickness at the feet back heel will shrink to its normal size.

Removing The Haglund’s Deformity Bump

The Haglund’s deformity bump can be removed by two methods of surgery which are openly (through incision) or endoscopy (small incision).

Small part of the bump will be removed and reformed to prevent overlapping at the Achilles tendon.

The Retrocalcaneal bursa and space around it will be cleaned out. Open incision surgical technique is more suitable for patients who have formation of calcium inside the Achilles tendon.

After surgery, the incision will be closed by stitches and the foot is wrapped. Plaster half cast will be used to avoid too much movement and to ease pain.

Haglund’s bump is the usual cause of foot heel pain in population. It is important that other causes were excluded so that perfect treatment can be given to relieve symptoms experience by patient.

This syndrome is a syndrome which can be fully treated to give comfort to patient who suffers it.

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