Hagland's Deformity

Synopsis & Treatment

Haglund's Deformity is a condition of pain and discomfort on the posterior (back) aspect of the heel at the area of the insertion of the Achilles tendon. The typical patient with Haglund's Deformity that is symptomatic is usually a female who wears high-heeled shoes. In mild cases, this inflammation and projection of bone at the back of the heel can be relieved with ice, compression, change of shoe gear, Achilles Heel pads, heel grip pads and orthotics. But in many cases where the bone is enlarged surgical excision is required. Cortisone injections in this area are not recommended because the chance of rupture of the Achilles tendon is high. Immobilization (such as with a cast walking boot) for acute symptoms is a much more effective measure, along with oral anti-inflammatory medications. Surgery, although successful, has a long post-operative recovery period, and needs cast immobilization.