The pain in the back of your foot was severe to the point you wisely decided to come in and see one of our podiatrists. We diagnosed the problem as being Haglund’s deformity, and then created a treatment plan centered on conservative options. The results were not as complete as expected, so at this point, it’s time to consider Haglund’s deformity surgery. We want to discuss what you should expect from the procedure to determine if you wish to pursue this treatment option.
We will begin by taking a quick look at the source of your heel pain.
Haglund’s deformity is a condition that develops when the back of your heel develops an abnormal, bony bump. This protrusion can be attributed to frequent pressure on the area. The pressure is often, but not always attributed to wearing shoes that are either too stiff or tight in the heel. Given that high-heeled shoes usually have these qualities, the condition is sometimes known as “pump bump.”
Now, the actual problem is that the bony bump in the back of the heel can irritate soft tissue, to the point that bursitis can develop. We can address the pain with options like medication, icing, soft tissue massage, custom orthotic devices, and even simply recommending different footwear choices.
There are many instances where conservative care works well, but sometimes we do need to recommend Haglund’s deformity surgery.
The goal of this kind of surgery is to reduce the prominence (bump) in the back of the heel bone. When the Achilles tendon has sustained degeneration from the deformity, we may need to address the damaged tissue.
With regard to the actual procedure, you will be given anesthesia, then we will make an incision and remove excess bone tissue. If there is Achilles tendon damage, we fix it at this time as well.
Typically, you go home the same day your Haglund’s deformity surgery was performed. We will provide specific postoperative instructions, but you can expect to avoid weight-bearing activities for a certain time period. You will have a follow-up appointment scheduled for suture removal.
For additional information on what you can expect from this procedure or any questions you might have about how we can solve your foot or ankle problem, simply give us a call at 407-339-7759 or 352-589-9550 (if calling from Lake County). You can also request an appointment with any of our five Florida offices—Altamonte Springs, Kissimmee, Lake Mary, Mt. Dora, and Orlando—online today.