Podiatrist (Foot and Ankle Specialist) Questions Podiatrist

Can Haglund's deformity be cured without surgery?

I am a 36 year old female. I want to know if Haglund's deformity can be cured without surgery?

10 Answers

Unfortunately, a Haglund's deformity is a bone problem that will not be cured without surgery. Fortunately, having a Haglund's deformity doesn't mean you need surgery. A lot of Achilles' pain can be successfully be treated conservatively with therapy and bracing.
Haglund's deformity is a condition that results from irritation of the Achilles tendon. If there is a bone spur that is not very large, this can be managed non surgically. I recommend you discuss with a foot and ankle surgeon (podiatrist) for specifics.
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The deformity itself cannot be cured with without surgery, but the pain associated with it can.
Haglund's deformity can not be 'cured' without surgery. It is a structural/boney problem, and will not go away on its own. However, there are things that can be done to alleviate pain from the problem, and if they work, you do not need surgical intervention to handle the pain from the problem. Wearing shoes that are backless (mule type shoes) or wearing shoes that do not press against the Achilles tendon and the posterior heel too tightly may alleviate the symptoms. Believe it or not, high heels (even 2" heels) will tilt the Calcaneus forward, alleviating pressure off the Achilles, which is usually the cause of the pain (the calcaneal bone pressing against the Achilles and the pressure from the shoes impinging the tendon against the heel bone). Also, there is something you can buy called a Silipos Achilles Tendon Sleeve, which is like an ACE ankle brace with a piece of silicone that alleviates pressure from the shoes against the Achilles tendon.
It will depend on underlying root causes. The doctor must examine the patient and let you know whether they can help you or not.

Yours sincerely,

Linda Li, MD
It can be, if conservative measures like orthotics, taping, injections, fail to relieve your pain.
Yes, injections, braces, shoe gear changes, physical therapy, orthotics, medications, heel lifts/pads can all prevent surgery for this problem.
Haglund’s the foreman he is a structural deformity of the calcaneus in which there is enlargement of the posterior superior lateral process of the calcaneus. The irritation that one gets from Haglund’s deformity in many cases can be treated non-surgically with the use of padding, shoe modification or a custom foot orthotics that balances the rear foot. Sometimes, if there is an associated bursitis, a Cortizone injection can be used provided that it is nowhere near the Achilles tendon . If those measures are unsuccessful, then Surgery is the best option. But I can tell you, that in many cases, a properly made functional foot orthotic device will allow resolution of Haglund form of the symptoms.
Normally, the Haglund's is not the issue, it is actually achilles tendonitis that is causing the pain. Now the bump cannot go away without surgery, but a lot of people are able to deal with the bump easily; it's the pain of the achilles tendon that is the problem normally.