Causes of Haglund’s deformity
Haglund’s deformity is caused by traction of the Achilles tendon where it inserts into the back of the heel bone (calcaneus). This causes extra bony activity, leading to an enlarged bony bump on the back of the heel bone. If there is friction or rubbing over the bump then it can cause a bursa and bursitis.
Haglund’s deformity symptoms are often exacerbated by the following:
- Tight calf muscles and high arched feet.
- Poor foot mechanics leading to excess movement of the heel.
- Poorly fitting footwear.
- Footwear with a hard rigid heel counter.
Haglund’s deformity diagnosis
Haglund’s deformity is usually easily diagnosed clinically by our Melbourne podiatrists, who are experts in identifying heel pain conditions of the foot. In some chronic cases referral for an x-ray may be sort to view the underlying bone structure.
Podiatry treatment for Haglund’s deformity
Treatment for Haglund’s deformity by our Melbourne podiatrists is initially aimed at reducing symptoms. This is achieved by reducing Achilles strain and associated bursitis. Once symptoms have settled our podiatrists will then identify and treat any factors that may be causing or exacerbating symptoms.
A gait analysis can often be helpful in identifying any biomechanical factors, such as Achilles strain and heel movement, that may be exacerbating symptoms. This often leads to a more effective and complete Haglund’s deformity treatment strategy.
Podiatry treatment options include:
In most cases Haglund’s deformity can be successfully managed with proper podiatry treatment. Surgery is often only required in extreme cases that don’t respond to conservative treatment.