What is Haglund's Syndrome?
Haglund's Syndrome is when Achilles tendonitis and retrocalcaneal or superficial calcaneal bursitis occur together in the same foot.
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- Achilles tendonitis
What is Haglund's Deformity?
Haglund's deformity is a bony enlargement on the back of the heel. The soft tissue around the Achilles tendon becomes sensitive and painful when the bony enlargement rubs against shoes. This results in painful bursitis, which is an inflammation of the bursa (a fluid filled sac between the tendon and bone).
The major cause of Haglund's deformity is rubbing and pressure on the back of the heel from shoes with a rigid heel counter. People can inherit a foot type or structure that gives them a natural tendency to develop Haglund's deformity. High arches, a tight Achilles tendon and walking on the outside of the foot are the main foot types and problems that contribute to Haglund's deformity.
Signs and Symptoms:
- A bump at the back of the heel
- Pain at the back of the heel
- Callus over the bump at the back of the heel
- Redness, swelling over and around the bump
- Blistering at the back of the heel
- Orthoses to improve the function and alignment of the foot. The orthotics prescribed and designed by the podiatrists at the Heel and Arch pain Clinic (affiliated with Beyond Podiatry) are made to align the foot in the correct posture.
- Ice to reduce swelling
- Stretching exercises for the calf muscle, which will decrease tension on the Achilles tendon
- Heel lifts will decrease tension at the back of the heel
- Footwear Advice
- A bootmaker can adjust and modify the back of the shoes to prevent rubbing at the back of the heel. Backless or shoes with a soft heel counter can minimize irritation on the heel
- Anti-inflammatory medications: only if this does not have adverse results with the patient's current medication.
Cortisone injections in the back of the heel are not recommended, as this would weaken tissue and can result in tearing of the Achilles tendon
- Surgery is indicated in severe cases when conservative treatment has not resolved the problem