Haglunds Search Results

Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video


Search on portion of word, single word, or exact phrase.


Message Boards and Database
Journal Articles & Abstracts
Scott's heelspurs.com book

Begin Message Board Search

Searching file 26

Message Number 261461
Re: Haglund's Deformity View Thread
Posted by eve t on 10/22/09 at 14:40

I have just now gotten back from the doctor and was told that I have Haglunds Deformity. I walk endless miles a day for work and I have only one pair of shoes that don't hurt. But they are very old and worn and now have a place in the back of my shoe for the dumb nub. My doctor suggested buying high-top shoes bigger and putting some type padding on the heal then cutting out where your nub is.

Result number: 1

Message Number 261338

Re: Haglund's Deformity View Thread
Posted by Diane S on 10/17/09 at 09:39

I/m interested to know the name and location of the doctor who treated you. Was he/she an orthpaedic surgeon or podiatrist? How are doing 3 years later? I have Haglunds with achilles tendonisis in both feet and am trying to avoid surgery because I haven't heard many success stories. thank you

Result number: 2

Message Number 261280

Haglunds? View Thread
Posted by jim p on 10/13/09 at 19:44

Help.....I need advice. I have been battling left foot heel pain(at the insertion of the achilles into the calcanious) for nearly four years. I've been to six different medical professionals. I am told I have a Haglunds deformity and need surgery. I do not have a large 'bump' and as a 54 year old male, I don't wear pumps!!

Has anyone any experience with Dr. Cooper for this type of surgery? He is highly recommended.

Result number: 3

Message Number 261146

years of foot pain View Thread
Posted by Jewel on 10/07/09 at 23:31

First let me say that I have some sort of autoimmune disease. I've been to many doctors and none of them agree. The latest being where 2 highly regarded rheumatologists took a look at my records and gave their determination and both completely contradicted each other. The possible diagnosises are RA, Undifferentiated Spondy, CPPD, Reiters/Reactive arthritis, Lupus and fibromyalgia. So, really who knows. I'm partial to the spondyloarthoapathies due to my foot problems.

I've gotten this foot pain on and off since 97. It has come and gone of it's own accord despite treatment. But now, I've had pain in feet constant for the last 5 years. Terrible, excrutiating pain that has now rendered me immobile. No, I wasn't overweight when it started, yes I am now. The one podiatrist I went to kept saying it was PF. I did the stretching, PT, night splints, injections, custom oththodics and none of it worked. He finally said he couldn't help me. Yes, I do have heel spurs - quite large ones. Floated between several other doctors, had EMG's = negative. Finally the one I have now has Dx'd a haglunds (doesn't hurt unless you press on it) and achillies insertion tendonitis. PT isn't really helping much.

The pain is in the back heel in a horse shoe shape - just along the edge of the foot. Yes it hurts when you squeeze the heel. In addition, there's a bone on the side of the foot by the tarsals on one side of the 'tuberosity' and according to the PT and Podiatrist it's where another tendon attaches and its super painful too. The achillies is sore in the ankle areas going up the ankle sides into the calf. The peroneous tendons (?) are very sore from the foot all the way up to the knee.

The ball of the R foot has issues. Podiatrist thought there was a neuroma between toes 2 & 3 as it was super painful too. He injected it there 3 times now (cortisone, over the past 1.5yrs) and it has helped. However, MRI showed no neuroma. Now toe 2 has very quickly deformed curving toward the big toe and hammering out. The last time I was at the podiatrist he mentioned capsulitis in that toe. So, could it really be the autoimmune arthritis and not a neuroma? I don't know whether to let him cut me open or not.

Went to an orthopedic doctor who specializes in feet/ankle. He said I have tendonitis all over my foot/feet. Took an xray of the R foot ball and you can see that the toe has hammered, said he couldn't do surgery due to the inflammation in the feet = too much scar tissue would develope in my current state. I asked him if he ever saw something like this before. He said 'just a couple times and that I need to tell my rheumatologist to get my inflammation under control.'

Result number: 4

Message Number 261039

complicated..... View Thread
Posted by Jewel on 10/04/09 at 14:10

Hello Doctors!

Gosh am I glad I found you. First let me say that I have some sort of autoimmune disease. I've been to many doctors and none of them agree. The latest being where 2 highly regarded rheumatologists took a look at my records and gave their determination and both completely contradicted each other. The possible diagnosises are RA, Undifferentiated Spondy, CPPD, Reiters/Reactive arthritis, Lupus and fibromyalgia. So, really who knows. I'm partial to the spondyloarthoapathies due to my foot problems.

I've gotten this foot pain on and off since 97. It has come and gone of it's own accord despite treatment. But now, I've had pain in feet constant for the last 5 years. Terrible, excrutiating pain that has now rendered me immobile. No, I wasn't overweight when it started, yes I am now. The one podiatrist I went to kept saying it was PF. I did the stretching, PT, night splints, injections, custom oththodics and none of it worked. He finally said he couldn't help me. Yes, I do have heel spurs - quite large ones. Floated between several other doctors, had EMG's = negative. Finally the one I have now has Dx'd a haglunds (doesn't hurt unless you press on it) and achillies insertion tendonitis. PT isn't really helping much.

The pain is in the back heel in a horse shoe shape - just along the edge of the foot. Yes it hurts when you squeeze the heel. In addition, there's a bone on the side of the foot by the tarsals on one side of the 'tuberosity' and according to the PT and Podiatrist it's where another tendon attaches and its super painful too. The achillies is sore in the ankle areas going up the ankle sides into the calf. The peroneous tendons (?) are very sore from the foot all the way up to the knee.

The ball of the R foot has issues. Podiatrist thought there was a neuroma between toes 2 & 3 as it was super painful too. He injected it there 3 times now (cortisone, over the past 1.5yrs) and it has helped. However, MRI showed no neuroma. Now toe 2 has very quickly deformed curving toward the big toe and hammering out. The last time I was at the podiatrist he mentioned capsulitis in that toe. So, could it really be the autoimmune arthritis and not a neuroma? I don't know whether to let him cut me open or not.

Went to an orthopedic doctor who specializes in feet/ankle. He said I have tendonitis all over my foot/feet. Took an xray of the R foot ball and you can see that the toe has hammered, said he couldn't do surgery due to the inflammation in the feet = too much scar tissue would develope in my current state. I asked him if he ever saw something like this before. He said 'just a couple times and that I need to tell my rheumatologist to get my inflammation under control.'

I don't know what to do. I've lost my ability to walk. The wheelchair/scooter people came on Friday..... I'm hoping you can help.

Thank you,
Jewel

Result number: 5
Searching file 25

Message Number 259281

Re: Haglund's Deformity View Thread
Posted by Phillipa F on 8/01/09 at 01:07

Hi there

I also have Haglunds Deformity and have had it for the past two years and have only had it diagnosed in the last week. It has been a very frustrating 2 years. I am a professional athlete and like you have tried everything!! I have finally decided to have surgery on it. Lets hope its successfully, but i'm sick of being in pain all the time before and after i compete, so its worth a go.
Phillipa

Result number: 6

Message Number 258935

Re: Haglund's Deformity View Thread
Posted by Holly on 7/18/09 at 14:26

Hi, I have been diagnosed with haglunds and i take pretty strong prescription medication for it. It started about a year ago and i had to quit work and completley rest my foot for several months. I had then put on 30 extra pounds and was weighing in at about 200 lbs and I am 5'6. Then I decided to go on a diet and attempt exercise. The oddest thing happened. Due to the strong medication I was taking it pretty much dulled my morning pain so I decided to try wrapping the ankle and heel, put on running shoes and jog. I cried in pain at first and could only make it about a block, if that. But I persisted-I had to lose weight. To make a long story short, it has now been 5 months, I am jogging 2-3 miles a day with 1 or 2 days off a week. I started with the old Stillman diet(no carbs) eventually sticking to a diabetic II diet plan. I have now lost 40 lbs, have much less pain, although I developed a slight ccase of achilles tendonitis during the whole process. The bump is much less pronounced, it hurts sometimes at night, or after running, so I apply ice for 20 minutes. The only time I experience extreme pain is when I bump the back of the heel. I am now off the medication and have returned to work.(as a cosmetologist, no less). This is just my story, believe when I say it was painful at first, but now im a healthier, happier more pain free person than I've been in 2 years. I'm not saying strong meds and jogging are the way to go for anyone, but now I jog daily-yeah I have some pain sometimes but I dont limp or need a cane anymore. Good Luck- do not suffer in pain with only ibuprofen though, there are many great prescription meds, that when used properly and not abused can improve the quality of life by tenfold.
Thankyou and blessed be!

Result number: 7

Message Number 256061

Re: Haglund's Deformity View Thread
Posted by Peter J on 3/18/09 at 17:00

I have had trouble with my heel spur for nearly 20 years and it is a pain in the foot. I had it removed by an Orthopaedic surgeon who just chopped away the lump. They grew back in only a few months, then I had cdortisone injections which are excruciating.

I had had great difficulty exercising and have lost confidence, put on weight because I find exercise very difficult, and the pain is constant, I guess I have just got used to it.

It has also caused problems with my calves which are rock solid and have no flexiblity and I always worry about my achilles which are always sore and tight.

About 12 months ago I found a podiatrist who diagnosed Haglunds, first time someone had put a name to my trouble.
I now have orthotics to help my gait and we will look into surgery next year, but I will need podiatry follow up to help complete the surgery.

I think I probably have some of the world's worst feet.

Result number: 8

Message Number 254038

Hagund's Deformity View Thread
Posted by Fiona on 1/15/09 at 08:43

I am now 8 weeks post op for Haglunds and it is 4 weeks since the cast was removed. I am beginning to get back to normal now with not much more pain than pre op. My biggest problem is the amount of swelling I still have. My whole foot and calf are very swollen and uncomfortable. If anything the swelling has increased now I am more active. Have had a scan for blood clots which was negative. Can anyone tell me if this is just something that will gradually go away or could there be an underlying problem. I was discharged from hospital as soon as the cast was removed and no follow up or physio offered. Should I chase this up or struggle on alone?

Result number: 9

Message Number 250866

Re: haglunds deformity View Thread
Posted by Julius D. on 10/06/08 at 12:07

I wana know if anyone has tried the surgery and has it been successful. I am a very active, athletic person that loves to play football, basketball and baseball. The 'bump' is stopping me from being able to compete. So I wana know if anyone has had the surgery?????????????????????????????????

Result number: 10

Message Number 250704

Re: Haglunds Bump View Thread
Posted by Dr. DSW on 10/02/08 at 18:34

Each surgeon has his/her own techniques of performing this type of surgery, and it depends on the involvement of the bone and tendon, the condition of the tendon, the health status of the patient, and many other factors that you have not made available.

There are too many factors that are involved to answer your question, therefore, as per my 'standard' answer, I will strongly recommend that you address ALL these questions to the doctor that is planning on performing the surgical procedure. He/she is best qualified to answer these questions, since he/she knows your exact case and the exact procedure that will be performed. Additionally, each surgeon has his/her own post operative preferences regarding casts, crutches, amount of time for non weightbearing, etc.

Result number: 11

Message Number 250698

Haglunds Bump View Thread
Posted by debbie2401 on 10/02/08 at 15:21

I had surgery 4 months ago and this problem has got worse not better. My specialist has now suggested that I leave it for another 4 months and see what happens, but he has said that he feels I will need major foot surgery. He said recovery time is approx 4 months, he mentioned something about moving the achilles tendon. Can anyone explain what this surgery would involve, how long the operation takes and would I have to stay in hospital for long?

Any help would be greatly appreciated.

Result number: 12

Message Number 250179

Re: haglunds deformity View Thread
Posted by Dr. Z on 9/14/08 at 19:08

Nacy,
I agree that ESWT won't have any effect on a bony deformity such as one on the posterior lateral aspect of the calcaneus sometimes called pump bump or haglund's deformity.. A Haglunds deformity isn't directly behind the heel it is on the post lateral aspect of the heel. ESWT is very effective for insertional and non-insertional achilles tendinosis with or without calcification. In most cases the calcification has nothing to do with the pain . ESWT works by creating a cavitation ( micro- sized gas bubble) which injuries the damaged poor healing, non vascular tissue,which is what is typically causing the insertional and non-insertional Achilles tendon pain. Creation of neo-vascularization allows healing and new tissue growth and hopefully non pain.
I will tell you from observation and experience with 'high energy' ESWT for Achilles tendon pathology that it can take anywhere from one to four treatment. Yes I have one patient that I used High energy ESWT treatments to resolve her pain. That was two years ago. Most treatments are one and sometimes two. for resolution of AT pain.
I find most ESWT doctors only will use one treatment and then move to surgery if there is initial failure from ESWT. Find an ESWT that is willing to apply more then one treatment

Result number: 13

Message Number 250178

Re: haglunds deformity View Thread
Posted by Nacy on 9/14/08 at 18:54

From experience I can tell that shockwave will not remove the spurs or the deformity. Shockwave increase blood flow. Had the surgery and my opnion it's the only solution. I wasted years doing everything else.

Result number: 14

Message Number 250106

haglunds deformity View Thread
Posted by maria g on 9/11/08 at 16:42

Does surgery for haglunds deformity work? I have bumps on both posterior heels with pain right below them in the crease if I touch it and pain around the heels and pain on outer edge of left foot (don't know what this is) but don't have it on right one. If I press around the heels when they are really sore I can press on the pain. I don't even wear pumps and haven't worn them in a hundred years. The fifth doctor I went to diagnosed this. He also said my achilles tendons would probably have spurs on them. They would have to cut my heels and open up the tendons and clean them of these spurs in addition to cutting the enlargement out too so that the bursa stops getting inflamed and stops bothering the achilles tendon. My pain location is at the back of the heels. Dr. said with time my achilles tendon can rupture if I don't address this. Tried everything under the sun to be painfree to no avail. Don't think that shock wave would help this right? Just surgery? Thanks.

Result number: 15
Searching file 24

Message Number 246512

Re: Haglund's Deformity surgery was a success for me View Thread
Posted by kay s on 5/02/08 at 23:31

hi my name is kay and i just found out that i have haglunds deformity i ran cross country for 8 years and never really noticed the bumbs on the backs of my feet till a year ago when i started getting really bad pain in the back of my heals it felt like they were on fire so i went to the doctor and he sent me to another doctor who said he couldnt do anything for me so i went to a spealist and i finally got an answer but he told me not to get surgury and told me to get heel pads but i dont want to wear those for the rest of my life so do you think i should have the surgury if so my e-mail is kay_stull at yahoo.com

Result number: 16

Message Number 244446

Re: Haglund's Deformity View Thread
Posted by callies on 3/12/08 at 13:24

Wow, I am not believing all the people that have this strangeyet aggravating problem. I am a 39 year old aerobics instructor who has been activly teaching for over 20 years. I also at one time was a long distance runner. However, about 2 years ago, while training for a marathon. my heel began to bother me. I thought it was too much running, but after several visits to 3 different doctors they all have diagnosed me with this Haglunds. I have given up running, but still continue to teach group fitness. I am at a cross roads now, and am considering surgery, but have been told different time frames as to recovery. I am very active, and am also a special needs teacher. If I take ibuprofen or alleve it seend to help with the pain. I do not mind taking the pain relievers everyday, I just need some one to tell me that it is O.K. I have often thought about those who have arthritis, and have to take these daily, so I guess it is O.K. Also, does it get worse, or do the nerve endings eventually get numb so that the pain goes away.If you have had the surgery, what is the 'real' down time. Alos, since I have gotten into my late 30's, had a family and a daytime job, my weight is not what it was 5 years ago. Could loosing some weight help? One more thing, I alos am over 6 feet tall. I know that Larry Bird had to retire because of foot problems.. does any one know if this was the cause?

Result number: 17

Message Number 244445

Re: Haglund's Deformity View Thread
Posted by callies on 3/12/08 at 13:14

Wow, I am not believing all the people that have this strangeyet aggravating problem. I am a 39 year old aerobics instructor who has been activly teaching for over 20 years. I also at one time was a long distance runner. However, about 2 years ago, while training for a marathon. my heel began to bother me. I thought it was too much running, but after several visits to 3 different doctors they all have diagnosed me with this Haglunds. I have given up running, but still continue to teach group fitness. I am at a cross roads now, and am considering surgery, but have been told different time frames as to recovery. I am very active, and am also a special needs teacher. If I take ibuprofen or alleve it seend to help with the pain. I do not mind taking the pain relievers everyday, I just need some one to tell me that it is O.K. I have often thought about those who have arthritis, and have to take these daily, so I guess it is O.K. Also, does it get worse, or do the nerve endings eventually get numb so that the pain goes away.If you have had the surgery, what is the 'real' down time. Alos, since I have gotten into my late 30's, had a family and a daytime job, my weight is not what it was 5 years ago. Could loosing some weight help? One more thing, I alos am over 6 feet tall. I know that Larry Bird had to retire because of foot problems.. does any one know if this was the cause?

Result number: 18

Message Number 243834

Re: haglunds deformity bone enlargement side of heel View Thread
Posted by Dr. DSW on 2/27/08 at 20:18

A Haglund's deformity can also be secondary to the actual angulation/structure of the calcaneus/heel bone. Some patients are simply born with a calcaneus with a structure that is more prominent causing the Haglund's deformity.

However, if the 'bump' is simply a cosmetic problem and has never been painful or uncomfortable, I would advise avoiding surgery. Surgery should always be avoided if there is no discomfort, because there is always a chance that there will be discomfort post operatively.

Result number: 19

Message Number 243826

Re: haglunds deformity bone enlargement side of heel View Thread
Posted by Dr. Wedemeyer on 2/27/08 at 18:57

Louise a Haglund's deformity is typically caused by excessive contact of your heel with the shoes heel counter. This could be due to improper fitting shoes with a too narrow (or short and shaped wrong for your heel)counter and this is often the cause.

Poor biomechanical control of the foot can also cause your heel to rotate on its axis (heel varus or valgus) causing iriitation. Achilles tendonitis can lend to this as well or be a contributing factor.

On a side note I was a Haglund's sufferer prior to finding the appropriate orthoses to control the mechanical defect and more appropriate shoes. The accompanying bump is no longer visible on my heels now. Surgery should always be a last resort. Find a conservative orthopedist/podiatrist and possibly a pedorthist to help.

Result number: 20

Message Number 243806

haglunds deformity bone enlargement side of heel View Thread
Posted by louisem on 2/27/08 at 11:02

Hi, have read with interest all the messages on this topic.I wondered if some advice could be given. I have just learn't by way of the internet about haglunds deformity. I have enlargement of the protruding area of bone at the back of my feet at the side.I have no heel pain or bursa and dont think i have any problem with the achilles tendon. I think it looks unsightly and was wondering about surgery to shave off the bone enlargement. Does this sound like haglunds? I think it has developed from just walking and shoes rubbing. I think the bone naturally was quite prominent to start with.why does the bone grow with the action of the shoes.I would like to consider surgery but was kind of put off reading the posts.If the enlargement is at the side of the heal is it similar surgery as the achilles tendon is not being moved?Can you advise about the lenght of time that you would be immoblized after the bone is removed and the level of pain from the operation.Are you awake during the operation and how big the incision would be on the heel.I live in Scotland and have not been able to locate any specialists here does anybody have contacts in Scotland or the UK. MANY THANKS IF YOU CAN OFFER ANY INFORMATION.

Result number: 21

Message Number 242919

Re: Haglund's Surgery View Thread
Posted by larrym on 2/07/08 at 20:27

Since you are trying to ski again make SURE you have a good boot shop dremel out the plastic inside the shell over the spot you had removed. The motion and movement inside a boot combined with the hard material irritating it can create problems. Since you are in Canada (or you are Canadian in the states) I may be able to direct you to someone good.


Haglunds are very common in hockey and figure skaters as well as skiers. Most ski boots have the thicckest amount of plastic right over that spot so they can take out several millimeters with no worries

Result number: 22

Message Number 241432

Re: ESWT for Haglund's deformity? View Thread
Posted by Dr. Z on 1/01/08 at 13:11

Hi
ESWT is strictly used for Achilles tendon insertional pain and not the haglunds boney deformity.
That's a nice detachment of your AT !!! Good luck . It going to take lots of time for your surgical foot to start to get better.

Result number: 23

Message Number 240814

Re: Heel Pain View Thread
Posted by LIl B on 12/14/07 at 22:10

Sounds like a haglunds deformity (hump pump) to me. It's probably your achilles. See a Dr ASAP!!!!!

Result number: 24

Message Number 240813

Re: Heel Pain View Thread
Posted by LIl B on 12/14/07 at 22:10

Sounds like a haglunds deformity (hump pump) to me. It's probably your achilles. See a Dr ASAP!!!!!

Result number: 25

Message Number 240019

Re: Haglund's Deformity View Thread
Posted by Benn on 11/30/07 at 05:08

Hello Brian,

I know you posted your comment over a year ago but I to suffer from haglunds deformity. It first occurred over 3 years ago due to poor quality boots I had to wear in the Army. I got fed up with all the 'conventional' treatment which did absolutely nothing so I saw an orthapedic surgeon and had the surgery just over 5 months ago. I am heavily restricted with all aspects of phsical activity still, so I guarentee its a risky move.

Good luck, Ben!

Result number: 26
Searching file 23

Message Number 239327

Re: Haglund's Deformity View Thread
Posted by Kendall on 11/11/07 at 12:37

Hello All:
6 months ago I had surgery to remove the Haglunds bone spur on my right foot, and also debride the insertional area of my achilles tendon. The surgeon also removed a dysfunctional (hard and inflamed) bursa. Though the surgery was fine, the recovery is pretty bad. So do the research beforehand, and get several opinions.

Having said that, I'm pleased with the results. I'm getting stronger every week, and now I don't have nearly the same pain when walking or standing for longer periods of time. If you have a minor case, the conservative methods may work; otherwise, you really ought to consider surgery. The conservative methods don't correct the problem. You may have to sacrifice a few months of your life, but it's worth it in the long run. Believe me.

In fact, here we are at the end of 2007 and the Haglunds on my left foot is now bothering me. I've had this hereditary condition on both feet for a long time, but only the right foot bothered me previously. Now the left foot has the telltale signs. I'm visiting my surgeon this week and will explore the surgery again.

The good news is the following: if the bone spurs are on the outer side of the the heel, the surgeon does not need to detach the achilles tendon. Your surgeon should consider doing two incisions, one on each side of your heel. It's a fairly new technique, but this avoids the uncertainty associated with detachment of the achilles. Good luck. Have the faith. -Kendall

Result number: 27

Message Number 237776

Re: Bone Spur back of heel View Thread
Posted by Kenny L on 10/14/07 at 22:15

I got the 2yr. recovery from a med. website that had my problem listed.When I mentioned Haglunds to the Pod. he said it wasn't. Sure enough,I just bought a pair of Addidas as they had the most padding in the heel area of anything I looked at and things are starting feel better.We'll see in a few weeks.

Result number: 28

Message Number 237772

Re: Bone Spur back of heel View Thread
Posted by larrym on 10/14/07 at 21:26

You must also make sure your footwear isnt rubbing or irritating it. usually a haglunds deformity can be reduced with proper footwear like a running shoe and making sure the shoe doesnt rub on it. Many hockey and figure skaters have haglunds and they have no symptoms.

I would also agree that the recovery isnt 2 years. I would maybe get a second op since getting cortisone injections there and no footwear advice is not the most common treatment

Result number: 29

Message Number 230547

tal surgery?? View Thread
Posted by mary m on 5/25/07 at 12:09

I have a high-arch foot and 1 year ago had a large haglunds deformity removed. I have more swelling/pain (at the back of my heel) now than before surgery. 1 doc recommended TAL surgery,with small incisions through the calf. Another doc has recommended reinserting the achillies. I feel the 'injury' is at the heel and maybe the lengthening procedure may not address that. the doc says it hurts because the tendon it too tight.(It's always been tighter than the other foot.. since an injury at age 18. I'm 41 now)Is there a way to address both the tightness and insertion area? thanks for any help/input.

Result number: 30
Searching file 22

Message Number 228790

Re: Haglund's Deformity View Thread
Posted by shar on 4/29/07 at 14:48

Hi, I had surjury for haglunds deformity about 4 weeks ago and so far being in the wealking cast has not been a problem. I go back next week to see about getting rid of it and rehab. my Dr put a wax on the area after he removed the growth and it is supposed to prevent regrowth. So far the surjury and re-coop has not been that bad at all so there is hope.Good luck

Result number: 31

Message Number 227757

Re: haglunds deformity View Thread
Posted by Dr.Goldstein on 4/14/07 at 19:05

Orthotic can be of help to limit the motion in the rearfoot to prevent further irritation as well as heelcups or a custom molded latex shield to prevent irritation to a heel lift to prevent the counter of the shoe from rubbing.

Result number: 32

Message Number 227752

haglunds deformity View Thread
Posted by Haglunds on 4/14/07 at 18:17

I have been diagnosed with a haglunds deformity. It is causing me pain a the insertion point of my achillies tendon. I have seen what the surgical procedure is and I would like to exhaust all other possible options first. Are there any othodics or other treatments you can recommend?

Result number: 33
Searching file 21

Message Number 215226

Re: ESWT AND POSTERIOR HEEL SPUR View Thread
Posted by Dr. Z on 11/09/06 at 12:16

Hi,
ESWT is used for insertional achilles tendinosis with or without calcification. It isn't used for a haglunds deformity which is separate from the achilles tendon problem. Spurs causing the problem are very are. The problem is a degeneration of the insertional fibers of the achilles tendon. They are poor quality and or avascular thus the term tendinosis.
Studies using our specific protocol show about a 85% success rate with one treatment. This has been published by a Dr. Furia.
The most common cause of insertional achilles tendinosis is repetitive motion injury but there are other causes.
In my opinion and experience ESWT is the best option for insertional achilles tendinosis. I have used ESWT for this problem since 1999 and there is no comparison between ESWT and surgical repair of the tendinosis.

Result number: 34

Message Number 215225

Re: ESWT AND POSTERIOR HEEL SPUR View Thread
Posted by Dr. Z on 11/09/06 at 12:16

Hi,
ESWT is used for insertional achilles tendinosis with or without calcification. It isn't used for a haglunds deformity which is separate from the achilles tendon problem. Spurs causing the problem are very are. The problem is a degeneration of the insertional fibers of the achilles tendon. They are poor quality and or avascular thus the term tendinosis.
Studies using our specific protocol show about a 85% success rate with one treatment. This has been published by a Dr. Furia.
The most common cause of insertional achilles tendinosis is repetitive motion injury but there are other causes.
In my opinion and experience ESWT is the best option for insertional achilles tendinosis. I have used ESWT for this problem since 1999 and there is no comparison between ESWT and surgical repair of the tendinosis.

Result number: 35

Message Number 212794

3 wks after surgery View Thread
Posted by Tony on 10/10/06 at 02:14

I had my haglunds deformity removed on my right heel 3 wks ago which the doc also said he lenghtened the tendon. He did not have to detach the tendon but he said he would have to on my left foot. What would make the difference that it would have to be detached? I see the doc in 3 days. I really don't know if I'm on track I do have a lot of shooting stabbing pains all the time from my foot to ankle to the back of my calf and a lot of swelling when I don't elevate it. I guess this may be normal but I was never told what to expect. I cannot put full weight on it yet due to pain. I guess I am asking what symptoms anyone has had from the surgery and is this normal and why the detachment. Thanks all.

Result number: 36
Searching file 20

Message Number 209025

Re: Officially diagnosed with Haglunds View Thread
Posted by William S on 9/01/06 at 19:25

Hi Alicia, How did the ESWT work? I'm concsidering that option as my pain is getting unbearable. Thanks, William

Result number: 37

Message Number 209024

Re: Haglund's Deformity View Thread
Posted by William S on 9/01/06 at 19:03

Hi Brian, Sorry to hear of your problem. I too have haglunds. I've always been active and feel the same way you do. I'm not ready to become a couch potatoe either. I stand at work about 9-12 hours every day. Sometimes the pain is so intense it brings tears to my eyes and I have a very high tolerence to pain. I too have wondered about ESWT for treatment. Have you found any good news? I'm in North Louisiana. If i find anything i will pass it on to you. Please do the same for me. You can email me direct if you'd like at lstewart3 at jam.rr.com Thanks, William

Result number: 38

Message Number 207731

Re: any one else dealing with haglund's surgery? View Thread
Posted by trixie on 8/18/06 at 15:46

Thanks for sharing. I think I would rather try to clean what is left of my tendon than have someone else's tendon in my body. Have you had any other spurs besides haglunds? I had 2 removed when I was 12 on the side of my heels and I hope this will be the last surgery I have. I'm glad you're better and it gives me hope that hopefully I'll get there too. Thanks!

Result number: 39

Message Number 207685

any one else dealing with haglund's surgery? View Thread
Posted by trixie on 8/18/06 at 09:52

I am currently recovering from my second Haglunds surgery (both feet had spurs)and was wondering if anyone else has had complications from it like I did with my first foot. I now have calcifications on that achilles which will mean another surgery and I would like to hear from anyone who has dealt with this or Haglunds in general. One Dr. sayd he will take off achilles, clean it and the heel off and reattatch and the other Dr. says he would put in a cadavar achilles since mine is so damaged. So is drinking a lot the only answer here to relieve the pain without surgery?? :) Anyone?

Result number: 40
Searching file 19

Message Number 196099

UPDATE/Please read-I need suggestions or opinions View Thread
Posted by Kathryn on 3/24/06 at 08:38

Yesterday I went for another post op appt. My 17 outer stitches were removed and I was told I have several inside. I go back 4/20/06 for another post op. The tendon that they were going to replace my achilles tendon with may or may not be long enough. He said they were going to make it right, they will try tendons and if they can't find one they will put in a flexar something. Is that an artificial heel since I have none? My first post on here was 3/19, that will give you ideas of what I'm talking about. My haglunds bump is still in where my heel used to be. They took no bones out. I have no tendons in my foot.

I asked if it was common for a tumor to be in the achilles and he said no and all others OS's send the ones that have them to them, because the others don't know how to handle them. My next appt. I should have arrangements for my next surgery.

I read this site a lot and would really appreciate any input or opinions. Thank you.

Kathryn

Result number: 41

Message Number 195735

No Heel/Achilles Tumor *guru* View Thread
Posted by Kathryn on 3/19/06 at 10:18

Hi: It's been a while since I posted on here. My initial injury happened May 11, 2000. I went to the ER and they took an x-ray. Came back and said I had a sprain, put on an air cast, told me to see an OS and sent me home. I called an OS that I had seen before, he didn't even make me an appt. or look at my X-rays. He sent me to PT. After a few PT sessions the PTherapist said that something serious was wrong. I contacted the OS's office and again without seeing me they set up an MRI appt. for me. The MRI showed a rupture of the achilles tendon, he did surgery in August 2000, there was only a slight muscle that he could connect the tendon to. I had a cast on for several weeks and a walking cast, and a walking boot. I had no improvement. My sister was with me at ALL appts. He always stuck his butt in her face, she was not impressed with that at all. One time she asked him about a second MRI and as he stammered around on his words he did agree. She was batting a thousand, so she asked him about a second opinion, again he stumbled on his words, he was nervous. He never did tell me about the second MRI and then refused to see me. He left me a painful mess.

My PCP would never address my problem and even swore at me once. Again, as I mentioned before, my sister was there and was shocked at his behavior. I had to see at least 12 doctors, some were OS's, poditrist, pain clinics, neurologist, etc. My new PCP was so nice about all of it and had an MRI taken in April 2005. It showed achilles tear and he told to see an OS in the building. I did and Dr. B was there all of 2 minutes and said it was a cyst. All of the above mentioned seemed to have stuck together about the cyst and a Haglunds Bump. Not so. My PCP wanted me to have a CTscan in Sept. 2005 and the tech there recognized my name and wanted another MRI. He said there was a much bigger tear than the one in April. My PCP wanted me to see the same OS I saw in April and said no. I went to an OS in a hospital about 30 miles from where I live. What a jerk, he didn't look at my MRI films or doctor reports. He made fun that I was on an HMO and said that he could or could not do the surgery, It was up to him. He also said that he could charge my HMO any amount he wanted to if he did the surgery, which he wasn't going to do anyway. Without knnowing the extent of my damage he said he wouldn't do surgery on me and dismissed me and didn't want to see me again. I reported him to my HMO and they did nothing to him, "YET". I'm not through with him.

I saw my PCP again and he referred me to an OS in Pittsburgh, wow, what a difference 100+ miles made. I went to him and the look of disbelief on his face when he looked at my MRI films was frightening. All the time the other doctors said I had a haglunds bump, they were wrong. A haglunds bump is near my achilles tendon and everytime I took a step it tore my tendon more. He said on a scale of 1 to 10 mine was a 9 1/2 in seriousness. He said if the bump was a tumor it could travel and kill me. We set up an appt. for the surgery. I had it on 2/27/06. He took out a tumor the size of a large peach, which was a difficult task, he had to take it off my heel bones, and to scrape off a lot of scar tissue which accumulated over the years. I now have no heel. I was in pain since the injury happened, it was a bad pain, it ended up going up to my butt. I wore a size 7 shoe on my right foot and an 8 on my damaged left. I had a follow up on 3/9 and go again 3/23. I'll have to have surgery to again in 6 to 8 weeks to rebuild my heel. He will take a tendon from the side of my foot above my arch. I will be on crutches for a long time. He said it might be 1 to 1 1/2 years to get as good as I will be. He is a good doctor and treats me as a person, not a White Trash person who has an HMO.

I have my reports from most of the so called doctors. Now for my question, has anyone ever heard of a tumor on the achilles tendon, and was it that large.

Thank you for any help or response to my post.

Kathryn

Result number: 42

Message Number 194471

Re: Hanglunds Operation. Pf Treatment? View Thread
Posted by Declan on 3/01/06 at 11:10

I only had artial removal of the tendoI was in the cast for just over three weeks he took alot of bone from the heal itself which was causing swelling and a sac like bursitis at the back of the heel to become inflame and scar tissue to form from the tendon rubbing over the bone.Does this sound like what ur daughter has.Does she know about this site and does she also suffer from Fasciitis.I only discovered this site by chance yesterday.My right heel also suffers from Haglunds but not nearly to the same degree I found wearing a sock designed to reduce fristion with gel sourounding the heel to be enough to keep it at bay. Haglunds i descovered is only a small part of my problem.I also have very sore heels due to the achilles tightning due to having very tight calves.I just bought the night boot today but i will have to wait 10 days because i live in ireland

Result number: 43

Message Number 194444

Pain around the ball of the heel View Thread
Posted by Declan on 3/01/06 at 03:31

Reading the messages here I dont see many complaining of where I find most of my pain.I find I have the greatest amount of pain around the ball of my heel moving up to the achilles.Is it still Fascia related.I just had surgery to remove bone at the back of my heel (Haglunds) just out of cast and i am in a great deal of pain in the morning.I think my achilles has tighten up preventing movement.I go to see the or surgeon next week for post op.Any tips on how to help point him in the right direction.tHANKS

Result number: 44

Message Number 194443

Re: Hanglunds Operation. Pf Treatment? View Thread
Posted by Declan on 3/01/06 at 03:23

john
It is called haglunds deformity it is sure to cure the painful bursitis that was forming on the back of the heel. I also had partial removal and reattachment of my achilles, I was only in a cast for 3 weeks. I am out of the cast one week today the surgeon told me i would not need PT which i dont agree with intirely.But having dealt with PT over the last two years i know what they will do.I have just started deep massage tissue 2 days ago and appling ice straight after.I also stretch the achilles at every op I get.I find this the best way to remove the pain and lossen the Achilles but obviously she should get advice from a PT on how to do them properly.I suffer from very tight calf muscle and im not flexible at all which i think is the root of my problem. Dealing with the stairs will be tough she should use the bottom step to stretch the achilles before going up the stairs.Another big tip is to use a towel stretch before she even gets out of bed to avoid damage first thing in the morning.The worst thing you can do is what I did a try to run through the pain.By the way I still havent been told I have a fascia problem I go to the ortho surgeon next week. What treatments should I ask for from him? Should I get steriod injections.I would descripe my problem as cronic at this stage.

Result number: 45

Message Number 194364

Hanglunds Operation. Pf Treatment? View Thread
Posted by Declan on 2/28/06 at 11:19

I just had bone taken from my heal to cure haglunds im just out of cast a week so not sure if it has worked i had suffered for years with painfull heels but stupidly continued to play sports until i couldnt walk at all got lots of wrong treatment from physios who just thought it was tendinitis.I now know i suffer from pf I cannot walk at all in the morning andi cant walk down stairs at all im in constant pain. I feel lots of tiny lumps running up the length of my foot too sore to massage, do many people here suffer from that . im only 28 yesterday act i used to be very active and a good athlete now i cant even walk properly..I,m due to see the specialist next week for post op. So any ideas on what to point out to him to best get a cure? He hasnt told me i have pf. just said he would sort the haglunds first /

Result number: 46
Searching file 18

Message Number 185853

Re: Will someone please reply about Haglunds View Thread
Posted by Dr. Z on 10/26/05 at 21:35

IF we are talking about inflamation oral anti-inflamatory medication, physical therapy could help.
Dr. Wander asked it the tendon was involved. If it is that isn't a pump bump
Another thing to do is use contrast baths. Hot warm 10 minutes then cold then hot.

Result number: 47

Message Number 185852

Re: Will someone please reply about Haglunds View Thread
Posted by Amy on 10/26/05 at 21:15

Hi, I have not had any physical therapy. I saw a podiatrist on Monday and he took two xrays and found that there was a bone mass on the ankle, he called it "pump bump". Then he went on to tell me that I should go for 2 weeks with a backless shoe and see if it goes away. Is there a chance of that? I just don't see a bone mass "going away". Thank you so much for responding, I live in a small town and want to make sure that I am well informed and not just going along with what this doctor is saying.
Amy

Result number: 48

Message Number 185848

Re: Will someone please reply about Haglunds View Thread
Posted by Dr. David S. Wander on 10/26/05 at 19:49

Amy,
Have you had any physical therapy? Has anyone determined whether your discomfort is from the actual "bump" or if it was from an inflamed bursa or if it was from irritation to the Achilles tendon? It really depends on the actual cause of your discomfort. If it is from a combination of a painful bursa and/or tightness of the Achilles tendon, then physical therapy may be very beneficial. If it is simply "bump" pain and changing shoes has not relieved the discomfort, then surgery may be the only option. The recovery varies depending upon whether the Achilles tendon has to be partially removed during the surgery and reattached. If the "bump" is removed without disturbing the tendon the recovery is much quicker and you should be able to wear a soft comfortable shoe in about 3-4 weeks.

Result number: 49

Message Number 185846

Re: Will someone please reply about Haglunds View Thread
Posted by Amy on 10/26/05 at 19:13

Thank you for responding,
I have constant pain. Even with the backless shoe. It gets worse after work when I get home and take my shoes off. It feels so tight throughout my ankle. I want to put off surgery as long as I can, but without doing any further damage to the area. How long is the general recovery period for the surgery. I know that there are many variables, but how about the ballpark?
Thank you,
Amy

Result number: 50

Message Number 185807

Re: Will someone please reply about Haglunds View Thread
Posted by Dr. David S. Wander on 10/26/05 at 13:53

Sometimes the shoe pressure can be eliminated the obvious way, by wearing a backless shoe, but sometimes a heel lift or modifications to the shoe can change the way the foot sits in the shoe and can reduce the irritation to the bony prominence and eliminate the need for surgery.

Result number: 51

Message Number 185786

Re: Will someone please reply about Haglunds View Thread
Posted by Dr. Z on 10/26/05 at 10:32

Hi
A Haglunds deformity is a boney deformity on th upper outside of the back of the heel bone.
The answer to your question. If there is no shoe pressure on the back then there should be no pain. Can you do that? If not then surgical remodeling and removal of the boney deformity is performed. Feel free to ask any questions.

Result number: 52

Message Number 185779

Will someone please reply about Haglunds View Thread
Posted by Amy on 10/26/05 at 07:28

Need to know if this can be controlled by wearing a backless shoe, or if I will end up having the surgery anyway.
Please someone reply, this is the only message board that I have found that is up to date and has actual doctors replying.
IN NEED OF INFO!!
Thank you so much,
Amy

Result number: 53

Message Number 185712

Re: Officially diagnosed with Haglunds View Thread
Posted by Amy on 10/25/05 at 17:23

Hi Alicia,
Thank you for responding, was beginning to think that no one else would. How severe was your Haglunds before you underwent surgery at 18? Am trying to decide if I should think about surgery or just deal with it. :o(
Thanks,
Amy

Result number: 54

Message Number 185697

Re: Officially diagnosed with Haglunds View Thread
Posted by Alicia E. on 10/25/05 at 12:11

I have Haglunds and underwent surgery when I was 18. It has now reoccurred 20 years later on one foot. Doctors are trying ESWT as a first option before surgery.

Result number: 55

Message Number 185642

Officially diagnosed with Haglunds View Thread
Posted by Amy on 10/24/05 at 18:38

Went to the Podiatrist today and was told that I have Haglunds. His advice to me was to wear a backless shoe for 2 weeks and see if it improves. If not, then he will do surgery to remove the bump.
Would like to hear some opinions on his recommendation.
Thanks

Result number: 56

Message Number 185578

Haglunds Deformity View Thread
Posted by Amy on 10/24/05 at 06:26

Hi, was wondering if Haglunds is strictly a surgery only option, or if it can be controlled by cortizone, brace, cast? Am seeing my podiatrist today but wanted to hear some opinions. Perhaps it varies on each individual case?
Thank you, will let you know what I find out today after appt.

Result number: 57

Message Number 184513

Re: small painful bump on back of heal View Thread
Posted by brent rubin dpm on 10/11/05 at 13:57

sounds like a haglunds deformity. I would recommend padding the shoe so that there is not pressure and if no improvement see a podiatrist in youre area.

Result number: 58

Message Number 184502

Re: small painful bump on back of heal View Thread
Posted by Kaff on 10/11/05 at 10:36

Hey there, ask the doctor about a Haglunds Bump. I have a huge one on my heel.

Result number: 59

Message Number 183263

Screwed Up By Surgeon View Thread
Posted by Kaff on 9/21/05 at 14:32

For all who know, please respond. Back in May 2000 I reputured my achilles tendon, I had surgery August 2000. He sent me PT before he even looked at my x-rays, then he ordered an MRI after PT therapist figured out that something was terribly wrong. An MRI showed the achilles tendon rupture. Well to go on about this screw up, he messed up. About 9 doctors later and no doctor would touch my foot, I had an MRI in April of this year and it showed a ruptured achilles tendon. The surgeon my PCP sent me to said no rupture just a haglunds bump and that surgery would be only trial and error, he said trial and error oh, about 10 times. Needless to say he wouldn't do anything. Well now, my PCP wanted me to have a CT scan because of a bump on my haglunds bump got all red and terribly painful. I have been in pain since the initial surgery, I went Monday to have my CT scan and the technician who read my MRI in April must have recognized my name and wanted an MRI right there and then. I had this MRI and found out that day that my achillies tendon got worse. My doctor's office called me today to tell me that my tear went from a 4.0 to a 5.2 since April. He wants me to see the jerk I saw in April who told me it wasn't a tear. I said NO WAY. I see my PCP Monday the 26th to talk to him about the next step and to find another OS. There are only a few around here and the keep getting sued. The doctor [which I put lightly] who did the first surgery got away with this one, I'm mad as he--. I'm looking into malpractice attorneys again. What does this 4.0 to a 5.2 mean? I know it's worse, but how much. I realize any surgery done now will be blamed on the first OS that let me get this way, and an attorney more than likely won't touch my case this time either, because I tried before.

Result number: 60
Searching file 17

Message Number 179002

Re: Haglands deformity View Thread
Posted by Dr. Z on 7/24/05 at 15:39

If there is going to be a surgical repair of the tendon then you will need to be in a cast for at least eight weeks. The question is do you have a haglunds deformity ? This is where you have pain at the outer upper side of the back of the heel bone. There is no tendon in this are.Do you limp when you first getup in the morning after resting for a period of time?

Result number: 61

Message Number 175075

Re: heel spurs View Thread
Posted by Dr. Z on 5/15/05 at 10:59

Hello,
There are many types of surgical procedures that are used for surgery on the back of the heel. Did anyone call your condition a haglunds deformity?
I am also not aware of any type of bone surgery where a laser is being used.
If the problem is is your achilles tendon then ESWT may be effective for your heel problem
Does your pain occur when you first get up in the morning after sitting for a period of time? Is this strictly a problem when you have shoes on ?

Result number: 62

Message Number 173887

Re: haglunds deformity,pump bump and spur View Thread
Posted by Dr. Zuckerman on 4/28/05 at 19:01

Hi
I have used both local steriod injection and or the 4% alcohol treatments . They can and do work in alot of cases.
When the treatment fails I find in my hands a miminial incision technique whereby we reshape the outside of the heel with small instrumentation. There are NO casts, long incisions and or long disability. I have used this technique for over twenty years. Before you consider this surgical option try the injections with Silpos gel padding to protect the area. Also we need to examine your shoes . The heel counter may be too stiff. Good luck

Result number: 63

Message Number 173884

haglunds deformity,pump bump and spur View Thread
Posted by reneep on 4/28/05 at 18:22

For over a year now I have had a pump bump on the back of my heel. The x-rays also show a spur right behind the pump bump. I also have haglunds deformity. I had PT but it did not help. I can't exercise or walk any distance because I need shoe support but can't stand anything touching the back of my heel. I went back to the DR today and she suggested 4%alcohol injections into the bump to avoid surgery. The surgery involves shaving or rounding the top hump off the top back of the deformity.

I also am flat footed and have arthritis in the tops of both feet! I couldn't ask for worse feet. What is your response to the above please?

Does this condition ever just go away?

Result number: 64

Message Number 173485

Guess what I found out? View Thread
Posted by Kathy R. on 4/21/05 at 08:56

Hi: It's Kathy R. again. If you read my post achillies tendon started 4/17 you know about my problems. Well, yesterday I found out that my MRI on the 15th showed a rupture of my achillies tendon. Imagine how furious I was to find out after almost 5 years and all the constant pain I have been in that I have a ruptured achillies tendon again. I don't know if it left from the old one or a rerupture. I see another OS on Monday the 25th. I was given the choice of 2 OS's. I'm seeing the one my sister had. I would like to if the huge haglunds bump will go away or if I will still have it plus the 2 little ones I have coming on it? As for attorneys, the SOL ran out a long time ago. The SOB is still allowed to practice medicine. I get sick to my stomach everytime I see him or even think about what he did to me and the woman who died of a blood clot that traveled to her heart after 2 surgery's from him. I might report him to the Medical Association. What do you think, does that sound like a good plan? Thanks.

Result number: 65

Message Number 173401

Re: Achillies Tendon View Thread
Posted by Kathy R. on 4/19/05 at 09:02

Hi: I have had this huge Haglunds bump since 2000 after surgery, pt, and several doctors poking at it. My foot is so swollen that the top of it is shiny. Not one other OS or Podiatrist will touch it, it's like they all stick together here. The best OS we had moved to California and the rest of the doctors who remain where he was seem to have changed dramatically. They fight among themselves, the nurses are quitting. I and my family are scared of what might happen. There is a new OS in that area and I am hoping that I can see him since he isn't in the click. Dr. P who did the original "surgery" won't even see me or give me my records. I know he has to give them to me, but he moved and his girls working for him just hang up when I try to get them. He has been sued a few times. I only wanted to see him again to see what he would say about my foot and leg. This is constant pain I have here. I can't stand or sit without it throbbing. Now the pain is up to my buttock. The lawyers wouldn't even take my case. These lawyers get on TV and WOW the BS, they don't do what they say, it's all hype. I have a nerve study tomorrow, maybe then I'll find out something. I really want to know what this mass could be after this long. Thanks for your help. P.S. One woman he did surgery on twice died of a blood clot that went to her heart, she died in front of her 8 year old daughter and in her husbands arms.

Result number: 66

Message Number 173336

Achillies Tendon View Thread
Posted by Kathy R. on 4/17/05 at 14:48

Hi, I'm Kathy. A short synopsis of my problem. In May 2000 I hurt my foot badly. I went to the ER at our hospital by my doctor's orders over the phone. They had taken x-rays there and said I had a sprain and put on an air cast and said to follow up with an Orthopedic Surgeon. I did, he sent me to Physical Therapy, big mistake. The Physical Therapist said there was something more wrong then a sprain. I went back the the OS and he sent me for an MRI, I might add that he never looked at my x-rays, it so happened that I had a complete rupture of my achillies tendon. He did surgery and there was only a thread left of a muscle to hook on the tendon. I had a cast on for 6 weeks. I felt there was something wrong inside the cast, I had an infection. How I know that is I went to the OS and his nurse cut into the cast, she said the saw wouldn't cut skin, well it did, she saw what she had done and hurried up and patched the cast. She never mentioned to the doctor what she had done. My sister was with me and she told the doctor, he said or did nothing to remedy the problem. After several visits with this so-called doctor he was getting nervous, to put more pressure him, my sister asked him about a second opinion and he stammered, so she put more flame on the fire and asked about another MRI. He said he would set up another appointment with some other doctor. Big Whoop!!!! He never would tell me what the second MRI said. I saw several doctors, OS, Podiatrist, Pain Management. Nobody would do anything. I have a huge haglunds bump that is now getting 2 smaller bumps on them. I have no feeling in the bottom of my foot and the pain I do have is clear up to my butt. This is my left foot and leg. The only thing my first OS did was stick his a-- in my sisters face, that is the only way she knows what he looks like. Here is is almost 5 years later and I got a new PCP and he sent me for an MRI, The tech who did the MRI was so concerned he told me I have large masses on/in my achillies tendon and back of my leg before he gave me contrast, he said the doctor was very concerned about a mass in the back of my leg. They put me back in the machine for another 5 minutes and when they brought me out for good the tech told me that their concerns were founded. Please, please, can someone tell me exactly what these masses are? I need to know, I am scared that after this long it may be too late. Thank you.

Result number: 67

Message Number 170119

Achilles Debridement surgery View Thread
Posted by Tbone on 2/28/05 at 07:38

While preparing for a marathon, I developed pain in the back of both heels, but it was definitely worse on the left side. The pain was a burning sensation that would stay with me for a couple of days AFTER running, not during the run. Achilles tendinosis was the diagnosis. After going through every type of conservative treatment available (including casting) I had achilles debridement surgery on my left foot last May. This involved a repair and graft of the partially torn tendon, a bone excision of the Haglunds deformity, and he also removed some bone spurs from the back of the heel. He also did a nerve release procedure at the same time. I still had a lot of pain when I started to run again a few months after surgery, so I backed off. Began a conservative walking/running program in late November. I am now up to running two miles, but believe it or not, I am still experiencing the same burning sensation and tenderness in the back of my heels! There was one bone spur he couldn't remove because it was directly under the insertion point of the achilles.

I guess my question is why did the surgery not seem to make that much difference? Did my doctor or myself miss something here? Or am I just not giving all of this enough time yet?

Any help would be so much appreciated. I've been dealing with this for over two years now.

Result number: 68
Searching file 16

Message Number 166306

Re: large bump on BACK of heel causing pain View Thread
Posted by George W on 12/30/04 at 13:02

Hi Diane,

I'm no doctor but it sounds like you might have Haglund's Deformity...
I'm attaching a link that might help you learn more about it ..
http://www.drjcgraham.com/articles/haglunds.htm

Best of luck...

Result number: 69

Message Number 161530

Re: Haglund's deformity View Thread
Posted by Dr. Z on 10/14/04 at 17:42

Did you have surgery for Haglunds or or posterior insertional achilles tendinosis? If it was for the achilles tendon then ESWT is an excellent option for your problem

Result number: 70

Message Number 160239

Re: Haglands Deformity View Thread
Posted by Julie on 9/21/04 at 01:59


Suzanne, if you ask google to search it will come up with many sites. Here's one for starters:

http://www.sportsinjuryclinic.net/cybertherapist/back/achilles/haglunds_syndrome.htm
.

Result number: 71
Searching file 15

Message Number 157604

Re: Haglunds Deformity, Heel Spur Surgery View Thread
Posted by Dr. Z on 8/11/04 at 19:34

Hi
After the cast if off you will have to rehab the foot and ankle for months. This isn't a easy to get better procedure. Takes up to one year for healing. We use ESWT for this condition

Result number: 72

Message Number 157576

Re: Haglunds Deformity, Heel Spur Surgery View Thread
Posted by Donna W. on 8/11/04 at 15:05

I mention the migraines because she asked me about my tolerance for pain.

Result number: 73

Message Number 157574

Haglunds Deformity, Heel Spur Surgery View Thread
Posted by Donna W. on 8/11/04 at 14:56

I have haglunds deformity and a small heel spur sticking out of the back of my heel. This is causing a lot of pain because it's rubbing against the achilles tendon.

I'm having surger to get the deformity removed as well as the heel spur. The doctor said that, worst case scenario, if she has to reconstruct the achilles tendon, I'll be in a hard cast for 6-8 weeks.

She wanted me to take a month off work. There's no way I can do that. I'm a programmer so I sit all day. I can put my foot up during the day and luckily it's my left foot so I can drive.

I get severe migraines. Will it really be that bad after surgery? I can deal with the cast, but, a whole month off work? Why?

Result number: 74

Message Number 154758

Re: bone spurs on back of heel View Thread
Posted by Janice N on 7/07/04 at 12:16

I was told I had Achillies tendonitis until I had an xray. Then was told Achillies Tendonitis, PF, Arthritis on top of foot, Three bones spurs one being to the back of heel and under the heel and don't remember where the other one is. And maybe a stump neuroma. Then over growth of bone on the back of the heel. It looks like the pictures of Haglunds deformity. This is where some of my worst pain is.
Is it any wonder my feet hurt? my heels are very narrow. Always had the worse time finding shoes that fit with a medium wide foot. Only noticed this bone growing and pocking out the last two yrs and none on the other foot which is nothing like the pain in my right foot. Lokks like my feet belong to different persons from the back.

Result number: 75

Message Number 154692

Re: bone spurs on back of heel View Thread
Posted by Dr. Z on 7/06/04 at 21:46

The treatment depends on where the spurring is. Have you been told you a haglunds deformity or a bursitis or a tendonitis of the achilles tendon. What is causing the problem will deteremine a treatment.

Result number: 76

Message Number 154503

Re: Pump bump (Haglund's) View Thread
Posted by Janice N on 7/05/04 at 00:08

Guess that is what is on the back of my right heel.
I was told it was extra bone formation and it looks just like the picture of Haglunds. Don't have it on the other heel.

Result number: 77
Searching file 14

Message Number 148600

Re: Persistent pain in the back of the heel View Thread
Posted by Dr. Z on 4/08/04 at 18:59

Hi

This sounds like achilles tendonitis.. Do you have pain going up and down stairs. Do you have pain when first walking after sitting for any period of time.? Did you podiatrist say you have a pump bump or a haglunds deformity. What did he say was causing your heel pain?

Result number: 78

Message Number 144062

Re: Haglunds and ESWT View Thread
Posted by Dorothy on 2/10/04 at 20:06

If you do a search under "Shapow" in the search window at the beginning of this website, you will find some posts that refer to this same name and that might help guide your search for this doctor.

Also, a Google search yielded the intro that follows below but nothing further with the name. If this is the same person, he seems to be in California and that might also guide your search.

"Uniting Symposium Technologies Devices
... alternative healthcare. Dr Mike Shapow PhD: Mike is the owner of 7
Pain Management and rehabilitation Centres in California. He is ...
www.unitingtechnologies.com/devices.htm - 50k - Cached - Similar pages

Result number: 79

Message Number 143999

Haglunds and ESWT View Thread
Posted by Jeff R on 2/09/04 at 15:47

In about 1999 I received treatment from Mike and Dorron Shapow for heel spurs on my feet with, I believe a orbasone machine. The treatment did wonders for my feet, but the heel spur has returned to my right foot.

I have been trying to locate them, but have been unable to find them.

Can anyone tell me how to contact them.

Jeff Robbins

Result number: 80

Message Number 141788

Haglunds Deformity View Thread
Posted by RickB on 1/10/04 at 15:37

My wife suffers from Haglunds deformity which is getting worse so now she wears shoes with no back. This condition limits her tennis significantly. She does not desire surgery -any other options?

Result number: 81
Searching file 13

Message Number 138890

Re: Haglunds Deformity--- View Thread
Posted by Dr. Z on 11/28/03 at 16:51

This is boney area on the back outside of the heel. I use minimial incision bone surgery for this problem when change in shoe gear, NSAID, or local steriod injections fail to relieve the pain.
MIS is where a small opening is used to place a rotary bone shaping burr into the incision. The procedure is done in the office under a local anesthetic. Typical pain is controlled with adavil or tylenol. Swelling takes a few weeks to a few months to go away. There are no casts, crutches or canes needed.
In my opinion this is the best way to handle this problem if you are going to do surgery. The problem is finding a doctor with experience and the skill to do this type of technique.

Result number: 82

Message Number 138887

Haglunds Deformity--- View Thread
Posted by Richard C on 11/28/03 at 16:37

Please explain Haglunds Deformity---

Type of surgery --what is performed recover time and program---

sucess rate ---activity post surgery ---

Result number: 83

Message Number 136940

Re: Orthopedist vs Pod? View Thread
Posted by Joe Rotella on 11/10/03 at 08:46

I have a very painful Haglunds Deformity. I run and play alot of soccer and this issue has prevented me from doing so. It has developed to the point that I cna barely walk...I have tried orthotics. I am considering a cortisone shot..What surgical options are there? How long is the recovery and how successful is the surgery.

Result number: 84

Message Number 134380

Re: Haglunds Bump/Deformity View Thread
Posted by Kathryn P. on 10/17/03 at 14:55

It's hard to say but that is the scenario I have been given. The TV attorneys are just that, I'll help, then don't want anything to do with it. We tried three, but there are others, we're not quitting, we're not quitters. Down to the wire, now that's us. Keep the faith, RIGHT.

Result number: 85

Message Number 134322

Re: Haglunds Bump/Deformity View Thread
Posted by Dorothy on 10/17/03 at 11:50

Yes, I think it quite natural and normal for that kind of fear to insert itself into any pain experience and particularly chronic pain...the worst case scenario kind of thinking. Sometimes it is perfectly reasonable to be considering worst case scenarios and planning for that possibility, but sometimes it simply interferes with what IS happening. You have a lot going on and a lot of feelings surrounding all that has happened - understandably. Try to break it down into manageable bits and also to prioritize things. From what you say, it sounds like you need legal help. If you have been unable to get an attorney who will help you on financial terms that you can manage, do you have a bar association or some legal association that can advise you about obtaining the kind of legal help you need? The "Personal Injury" attorneys are always advertising on tv so they must be successful - what about one of them? If you are alleging malpractice, that seems to be what those lawyers like to take. Have you searched online or at your library for info about such issues as you describe - malpractice, finding an attorney, etc. I hope you find some way through these troubles ~

Result number: 86

Message Number 134273

Re: Haglunds Bump/Deformity View Thread
Posted by Kathryn P. on 10/17/03 at 09:18

Okay, okay, I am so afraid of losing my foot and leg, there I've said it. That was not ruled out, we asked one othopedic surgeon (the better one) and he said it could happen. My sister who has been very sick for over a month has been working feverishly checking over and over on the reports and have to try to come up with something, anything. A botched up achillies tendon repair, plantar fascitis, claudication, Haglunds bump, antagic gait, RSDS, I think that's all, I don't really know. We're trying to figure out what all this means.

Oh, yes, the doctors kiss each other butts here over this problem. Dr. H.M. the first time he told me that Dr. P. did a bad job and was at fault, then he left the room and came back in and changed everything he said at first, but it's in the records. My PCP doesn't want anymore to do with this situation, he doesn't want to give me referrals. So I can't go to anyone else. Sometimes my toes swell up so bad we can't even see my toe knuckles, the slightest bump and my foot is black and blue. I wear a size 7 on one foot and 8 1/2 on the other, it makes quite a lovely pair.

As for my suing, it isn't the money, never had any, it's what Dr. P. did to me. I can't play ball with my 6 yr. old nephew, go sled riding with him, throw frisbee, do things little boys like to do, I can't even go for a walk with him. And you know what I don't even feel sorry for myself.
I just want this person who took away alot of my freedom. That's it for now.

Kathryn P.

Result number: 87

Message Number 134214

Re: Haglunds Bump/Deformity View Thread
Posted by Ed Davis, DPM on 10/16/03 at 21:35

Kathryn:
If you were closer, I would be glad to examine it for you. I cannot imagine a top notch practitioner in your region not doing the same. Perhaps one of the other docs is more familiar with your area and knows someone closer. Sometimes the trip is worth it to both get an opinion and to get away from any tendency for fraternalism to get in the way of helping you.
Ed

Result number: 88

Message Number 134183

Re: Haglunds Bump/Deformity View Thread
Posted by Kathryn P. on 10/16/03 at 18:29

Ed,

I'm really scared of all that is wrong. Philly and Pittsburg are off a good distance, but that's besides the point. We feel it is way too late to consider any surgery or so I've been told. We value your opinion as I have mentioned before. The Haglund bump is enormous, and hurts so bad some people won't even look at it because it is so ugly and deformed.

We were turned down today from an attorney who acted interested before. We're not giving up yet lawyer wise.

Kathryn P.

Result number: 89

Message Number 134174

Re: Haglunds Bump/Deformity View Thread
Posted by Ed Davis, DPM on 10/16/03 at 17:54

Kathryn:
A Haglund's defromity is an enlargement at the back of the heel bone. Considering the size you have mentioned, Haglund's rarely would get that big. Considering all that you have been through, a doctor with significant expertise in the area needs to be consulted. I had mentioned Guido LaPorta, DPM in Pittsburgh or Kieran Mahan, DPM in Philly. If at all possible, it is important to try to get a good opinion outside of your HMO system.

Ed

Result number: 90

Message Number 134129

Haglunds Bump/Deformity View Thread
Posted by Kathryn P. on 10/16/03 at 11:07

I have had a bump by my incision since surgery in Aug. 2000, it was about the size of a golf ball. Now it is a least the size of a tennis ball if not bigger. Again when we asked the doctor, "Duh, I don't know". Looking through my records it is said it's a Haglunds bump/deformity. Now my question, what is that? Along with everything else that's wrong with my foot and ankle is this repairable? From what I read in the reports, there isn't much that can be done. The doctor's quote said it was a prominent Haglunds bump, and I have plantar fascitis and he didn't see a surgical technique which would have much chance of helping these things. He is one of the better orthopedic surgeons I have seen. I saw him Jan. 4, 2001.

I have contacted attorneys about a medical malpractice case, no one got back to me. It's very discouraging, I don't have money to put up, what I need is an attorney who will collect only if I win my case. This isn't easy doing this. I'm am messed up permanently because of this a-- and I can't do a stinking thing about it. It's very frustrating for my family and me. We are grateful for the help we have gotten on the board, now we need more. Someday maybe we can help some of you.

Kathryn P.

Result number: 91

Message Number 132140

Haglund's deformity surgery View Thread
Posted by Cindy J on 10/03/03 at 23:00

:-s I am sort of in a Catch 22 situation. About 5 years ago I went to a Podiatrist to see what could be done about my chronic foot pain as I am over weight and need to loose a great deal of weight. But every time I tried to exercise I was in major pain in both feet around the back of my heel. I was told I had Haglunds Deformity. The doctor then told me he would touch my feet with a ten foot pole because of me being obese and that I should come back until I lost the weight! Well of course I left crushed and hurt. I mean no one expects to Have Thyroid disease and gain an excess amount of weight and no one that I know says GEE I want to be the size of a baby whale one day!....AT ANY RATE....It's 5 years later my feet are like 10 times worse, I take 600 mg of Motrin 3 times a day, I ice my feet down most days once sometimes twice a day, I tape my feet, wear elevated Clogs, do tendon stretches and I STILL have the most horrific pain imaginable, The swelling at times gets so bad that My ankles will lock up with out much notice and I fall on my face! The last time was in a crowed airport, I was so humiliated, some people even laughed at me! The problem is I am scared of having the operation done and I am scared of not having it done. I had E.S.W.T done 2 years ago by Doctor Martin and it helped maybe 30 percent, to which I am grateful for that much. But now I have gone back to him and he said itís much worse off then before in fact one of the worse cases he has ever seen... So now I am left with once chose and that to have the surgery... HELP I AM SO SCARED. The thought of having my Achillesí tendon detached and then having part of the bone of my foot cut off and then having my Tendon reattached to the bone makes me ill. I was told I could get a blood clot or worse pain; this really scares the U KNOW WHAT out of me. What should I do? If I wait will it get worse? What would happen if I do wait? Please help me to know all the facts so I can make up my mind what I should be doing.

Result number: 92
Searching file 12

Message Number 129035

Re: haglunhd's deformity and surgery View Thread
Posted by vivian on 9/07/03 at 17:18

Hello; For the last year I have been having right heel pain. I am a nurse and I work twelve hour shifts so I am on my feet alot. I went to the podiatrist in our town and he told me that I had a very prominant
haglunds bump with a bursites(sack of fluid) behind it. He thinks that it has been there probably since birth but it hadn't been any trouble until recently. The area of my right heel is very reddened and swollen with pain very bad upon standing up after sitting for a while and also I am not able to wear shoes with backs on them. I can feel the pain with each step.
He thinks that surgery would be the only way to cure the problem and tells me that he has done many of them. My question is what amount of pain is involved? I would like to get in touch with someone who has had this same problem. Thank you

Result number: 93

Message Number 127975

Re: eswt 8/03 View Thread
Posted by Will B on 8/25/03 at 19:56

ESWT usually starts to see results only after 12-16 weeks. Patience is key. Hard to do, but must be done. Pain withing the weeks soon after the ESWT is normal. Many people have to go back for a second time. Some for a third occasionally. Usually seems one or two treatments do the job. This can be especially frustrating for an athalete. I was one also. Running. I will get the ESWT soon. but what I ve learned from this board, from Dr.Z, and the other fabulous Pods here, is that - it does normally take 12 or so weeks to really 1. start to get the real benefit of ESWT 2.It takes a while for some of the pain from ESWT itsef to go away. Ending "it all" is no option for any athalete, and should not be an option for anyone. You have to strive - and try to learn to control the pain, and get the biomechanics corrected (if you have a problem), and Nutritional deficiencies (if you have them) corrected. Some people have a limb discrepancy, some people have excessive pronation, some have bone loss along with lack of support and high arches, so many problems. Haglunds, Tarsel Tunnel can result later - even if your original probem was classic PF. Seems to me, if these things are not corrected, and the tissue (damaged) dealt with with ESWT and all other things (Insoles, taping, stretching, ice, heat) - then you will always have problems with your feet on and off at times, if not all the time. Ending it all should never be an option. No matter the pain level - because a good podiatrist will eventually get you mostly, if not totally pain free. but you have to be agressive for years possibly. In my case, severe pain for 2 years. But I managed it with info on this site, and some I came up with on my own. I have about half the pain I had before, but it's always there. I need custom inserts to correct biomechanics, and I need the damaged tissue dealt with, with ESWT (maybe twice) and my own PT (my own PT was far more effective then previous medical PT I got)

Never give up - ESWT will also becaome less expensive over time. Lasic was at one time very expensive. I think ESWT will become even more refined in time, and much, much better, and it will be commonplace. Have hope.

Result number: 94

Message Number 127285

Re: ESWT for Haglund's ?? View Thread
Posted by David G on 8/19/03 at 08:29

So, the worse would be that an ESWT would be ineffective for my Haglunds? No potential side-affects or negative outcomes?

Result number: 95

Message Number 127211

Re: ESWT for Haglund's ?? View Thread
Posted by Ed Davis, DPM on 8/18/03 at 10:11

David:

The Haglund's deformity itself will have minimal help from ESWT but if there is associated tendon pathology of the achilles, then ESWT will help.
It is important to have an accurate diagnosis to determine how much of the problem emanates from the Haglunds (the boney growth) and how much from a potential achilles problem.

Ed

Result number: 96

Message Number 125869

Re: calcaneous haglunds View Thread
Posted by Dr. Z on 8/01/03 at 09:41

Boney enlargement and or angulation of the calcaneus( heel bone) on the outside back side of the heel bone.

Result number: 97

Message Number 125847

calcaneous haglunds View Thread
Posted by robin s on 8/01/03 at 07:05

i have calcaneous haglands what is it?

Result number: 98

Message Number 124431

Re: for Dr. Z View Thread
Posted by Dr. Z on 7/14/03 at 20:46

Ok

Insertional achilles tendonitis is ususally only pain with activity or after sitting for any length of time. Haglunds deformity only hurts with shoes and shoes only. The pain with Haglunds is on the upper outside of the back of the heel. Achilles pain on at the back of the heel where the tendon inserts into the heel bone

Result number: 99

Message Number 124343

Re: for Dr. Z View Thread
Posted by Dr. Z on 7/13/03 at 21:13

I am only talking about pain from a haglunds deformity and not any pain from insertional achilles tendonitis. These are two separate problems. The haglund's pain is from shoes. The minimial incision procedure is used for pain caused by Haglund's. Which new endoscopic procedure are you talking about? The minimial incision I am talking about I have been using for over twenty years

Result number: 100

Message Number 124092

Re: What's causing my heel pain, Can someone help me? View Thread
Posted by Dr. Z on 7/11/03 at 11:43

Hope you don't mind Dr. Z answering this. Haglunds deformity is a boney enlargement of the upper outside back of your heel bone. Some times it is an abnormal angulaton of the heel bone in relationship to the ground. Another name is pump bumps. Very common in the high heel shoe days

Result number: 101

Message Number 124057

Re: What's causing my heel pain, Can someone help me? View Thread
Posted by Elizabeth C. on 7/11/03 at 07:56

Dr. Ed,
I have never heard of Haglunds deformity. What is this, what are the symptoms. The reason I ask, I played competitive soccer through Jr. high, High School, College, and recently an Over-thirty women's leage. I know this was a huge factor in my PF, but what is this Haglunds Deformity? I had "Compartmental Syndrom" from being kicked over and over in the shin (with shin guards)in one season, but this is interesting.

Elizabeth

Result number: 102

Message Number 124008

Re: What's causing my heel pain, Can someone help me? View Thread
Posted by Ed Davis, DPM on 7/10/03 at 19:21

Bruce:
Haglunds deformity is one of the more common problems with professional soccer players.
ed

Result number: 103

Message Number 123981

Re: What's causing my heel pain, Can someone help me? View Thread
Posted by Dr. Z on 7/10/03 at 17:30

It could be either achilles tendonitis and or haglunds deformity. You need to stop running for now and see a doctor who will give you medication to reduce the pain and swelling and to evaluate the cause of your tendon pain

Result number: 104

Message Number 123502

Re: surgery for heel spur/achilles tendonitis View Thread
Posted by LindaJ on 7/03/03 at 10:51

Hello,
I had surgery on Aug. 6th, 2002, almost a year ago. I have Haglunds Deformity and heel spurs that had calified into my tendon. My doctor did a right calcaneous bone debridement and achillis insertion debridment. Now 11 months later I am still having major problems. I have two metal "hooks" that hooked my tendon back to the bone. I was in a cast for 5 weeks, out of it for 9 days, then while walking the "hooks" pulled off taking a sliver of bone with it. I was back in a cast for 6 more weeks. I was suppose to be out of work for 1 month and ended up out for 5 months. To cut to the chase, my bursa sack on the back of my heel now sticks out futher than the rest of my heel. It hurts all the time. My doctor said that the "hooks" are being irrated. He wants to go in and take the hooks out and "shave off some more bone" and back in a cast for 6 weeks. I've been to PT 3 sets of sessions since surgery. It is doing no good at all. I only have a range of motion of 5 (normal 15-20) when flexing my right foot up. My left is at 15. I know I'm going to have to have surgery on my right foot....I am just delaying as long as I can. My left heel is now starting to act as my right did before surgery, but not real bad yet. What can I do to prevent all these problems that I have on the right to be on the left? PT? Strecting?
Linda

Result number: 105

Message Number 122469

Re: Bunion/Haglund's deformity questions View Thread
Posted by dave r on 6/20/03 at 15:27

Well it sounds like you have had some luck with your surgeon already.
I too have a haglunds and have had a few opinions on having it removed. I guess the bottom line is that it could take 6 months to a year for it to heel. that is a sensitive area and prone to swelling.....I know that my doctor told me that i would be off of work for 6 weeks.....

Result number: 106

Message Number 122181

Re: post op recovery Haglunds View Thread
Posted by Dr. Z on 6/17/03 at 21:20

Hi

The type of tendon and bone surgery that have gone thru can take up to one year to get better. Sometimes a nerve can be trapped or damaged. Not sure where the incision was made but it is possible with this type of surgery. In most cases this areas does in fact take up to one year to get better. There is alot of swelling after this surgery. I would discuss your concerns with your doctor. Ask him if the sural nerve could be trapped

Result number: 107

Message Number 122180

post op recovery Haglunds View Thread
Posted by Rebecca P on 6/17/03 at 20:56

In March I had a (achille's area) spur and haglund's deformity surgery on right foot. Since surgery the area has been hypersensitive to any touch. My Dr. I don't feel truly believes how sensitive it is, but to wear socks is painful, for pant legs to touch area is painful and irritating. There are still areas that if I touch set off a burning sensation that goes around outside of foot and into ankle. The foot still swells when on feet very long and taking a walk more than about 15-20 is just downright painful in the heel and ankle. I have gone to PT for exercises and attend water PT classes as well. I also swim daily which even the pool water some days makes area sting and burn. How much longer can I expect these sensations to occur? There is still alot of redness and swelling right over surgical area as well. When not working I keep foot elevated and iced several times a day. Motrin does little and I can not take vioxx, at night I often still require T3's to calm area enough to sleep, heaven forbid area should touch sheets. I can not wear shoes that cover area, but am limited to berkenstocks or other shoes with open backs.

Result number: 108

Message Number 121896

Re: achilles tendonitis called something else? View Thread
Posted by Dr. Z on 6/14/03 at 23:58

Insertional Achilles tendonitis. Haglunds deformity. Calcification Achilles tendonitis

Result number: 109
Searching file 11

Message Number 119735

Re: Dave R..... How you doing? View Thread
Posted by dave r on 5/23/03 at 08:18

Marty, i am sorry that you have hit a speed bump. I can say that my surgery did help me. I am not sure if it has completely healed yet. It looks fine and i can press anywhere on the bottom without causing pain.I was unable to do that before the surgery. It hurt everywhere. I was very uncomfortable all the time. Now, i still have trouble with my feet burning some if i walk around to much, however i dont get that feeling of walking on a bruise. My achilles is still a very big problem. When that bad boy flares up i am in trouble. I saw a surgeon yesterday for it. He said that he would remove the spur from under the achilles, remove the haglunds deformity which is the size of a golf ball and do a gastroc recession.
To remove the spur from under my achilles he would make a J shape incision and detach alot of the achilles from the back of my heel. The gastroc recession surgery would also be done at the same time. He explained it to me in detail and said that that surgery heels very quickly because the area that is being cut has a very good blood supply. he also said that the achilles insertion area (where the spur is) can take a very long time to heel. Some people get over this rather quickly but for others it can take a year or two. I will need to give this some thought. But i can tell you that for the last four years i havent been able to wear a shoe on my right foot for a long time because of this achilles problem.
I would also like to add that my pf surgery has helped alot but i doubt if I will ever be able do what i once could. Probably because of the amount of scar and diseased tissue that i have. I guess only time will tell. I do wish that i would of had pf surgery along time ago but all my doctors kept telling me that it wasnt a good idea.
I am going upnorth tonight for a lengthy vacation at the Wisconsin and Michigan Border. We rented a cottage for the week. I cant wait to go up there and fish fish fish.......

Result number: 110

Message Number 114241

Re: question for th doctors View Thread
Posted by dave r on 3/24/03 at 13:37

yes doctor z. I have had this problem for a few years. Physical therapy has helped a little. And i mean only a little. I have a feeling that i have retrocalcaneal bursitis. At least from the pictures that i have seen. Not knowing what is wrong bothers me. I cant find much info on the back of the heel except for haglunds and achilles tendonitis. My pain seems to come from the insertion of the achilles and then moves downward to the base of the heel. Any ideas on what it could be without me coming in to see you? I do have a spur under my achilles. Im not sure if you remember talking to me about this the last time i saw you when i had eswt. It isnt any worse since i had my plantar fasciotomy. Last time i saw my surgeon he said that it could be from not toeing off enough while walking. Does that make any sense Dr. Z?

Result number: 111

Message Number 113967

Re: pain at the back of heel View Thread
Posted by mary b on 3/23/03 at 07:15

I have had the haglunds for many years. Probably from steel toe shoes. That surgery sounds pretty invasive. Are the outcomes usually good? Thanks Doctor Z

Result number: 112

Message Number 113499

Re: pain at the back of heel View Thread
Posted by Dr. Z on 3/19/03 at 14:36

Surgery will help to lengthen the achilles tendon if the insertion is changed. IF you are having pain in both the haglunds and the achilles insertion then we have to determine which came first. This is clinical judgement. This is very hard for me to determine from just an examination.


The recovery time for having the achillest detached and then repositioning
could take up to one year. You are in a cast anywhere from six to twelve years depending on the surgeon and what was needed. There will be some level of physical therapy post surgery

Result number: 113

Message Number 113474

Re: pain at the back of heel View Thread
Posted by mary b on 3/19/03 at 13:13

yes there is pain at the haglunds area. But there is more pain below it to. When its really bad it seems to cause the rear bottom of my heel to hurt to. I can also see some swelling on the back of the heel and on the bottom of the heel but not where the plantar fascia inserts. I do have a spur under the achilles wchich is somewhat painful. How will eswt help this if i am unable to stretch? Wont surgery help lentghen the achilles by moving it up higher at the back of the heel? The surgeon wants to remove the spur and the haglunds deformity. he said that he would have to detach the achilles and anchor it back in higher up. Is this advisable? What is the recovery period for this type of surgery

Result number: 114

Message Number 113445

Re: pain at the back of heel View Thread
Posted by Dr. Z on 3/19/03 at 09:39

Do you have pain if there is no shoe on the area. Do you limp when you first get up in the morning. Is there pain in the haglunds area. Why I am asking these questions is you may be a good candidate for ESWT which is a non-surgical procedure for chronic insertinal achilles tendonitis. Will tell you more about the surgery which type depends on what where you pain is and the condition of your achilles tendon. Has a doctor recommended surgery for you?

Result number: 115
Searching file 10
Searching file 9

Message Number 96123

Achilles and ESWT View Thread
Posted by J Malone on 9/24/02 at 16:36

I have had major trouble with both my achilles. After 2 surgeries (haglunds and 'debrisment' of the achilles my left one is in decent shape. The right one is giving the same trouble as the left had before and recently ortho said he could feel a small tear in it? Said stay off of it so I didn't have to go through surgeries again. Is ESWT an option after giving this minor tear time to heal? I don't want to be semi crippled for the rest of my life at 30. Thanks much

Result number: 116

Message Number 95760

Re: Causes Insertional Tendonitis after hagulands surgery View Thread
Posted by Ed Davis, DPM on 9/19/02 at 17:57

There is some confusion, even in the medical community about problems that occur at the back of the heel bone. The problems are often lumped together as Haglund's deformity or "pump bump."

Haglunds deformity is an enlargement of the posterior-superior (top-back) portion of the heel bone ABOVE the area where the achilles inserts on the back of the heel bone. The enlargement is genetic but shoes rub on the area making it worse and often causing an adventitious bursa (fluid sac) to form in response to the rubbing. I would not expect ESWT to provide much help for this.

Achilles insertional calcific tendinitis (AICT) is pain and enlargement AT the area the achilles tendon attaches to the back of the heel bone. This is caused by repetetive, excessive side to side motion at the interface between the achilles and the heel bone. ESWT should, in theory, be helpful for this although the abnormal biomechanics must be addressed via surgery or orthotics.
Ed

Result number: 117

Message Number 94212

Re: Haglunds Deformity removed six times on the R and five on the left. View Thread
Posted by Ed Davis, DPM on 9/02/02 at 10:28

Jennifer:

The multiple surgeries really make things worse. It sounds like you may have to travel in order to get the care you need. Consider Dr. Lowell Scott Weil of Chicago.
Ed

Result number: 118

Message Number 94156

Re: Haglunds deformity 18 months later View Thread
Posted by Dr. Z on 9/01/02 at 18:49

Glad to hear that you very long recovery is almost over. Yes foot surgery takes a very long time compared to other types of surgery including heart surgery. Our feet are very complex and difficult to heal as you very well know. Take care.

Result number: 119

Message Number 94103

Re: Haglunds Deformity removed six times on the R and five on the left. View Thread
Posted by Jennifer B on 8/31/02 at 22:13

The site wont let me get any further back than December of 2000. Thanks

Result number: 120

Message Number 94102

Re: Haglunds Deformity removed six times on the R and five on the left. View Thread
Posted by Jennifer B on 8/31/02 at 22:12

Thank you for your response. There have been three surgeons involved. They have each done two of the six before referring me to someone else. The first two were done by a podiatrist, the last 4 were done by an orthopedic surgeon, two seperate ones. I have seen several different podiatrists regarding this problem but are always sent to an orthopedic surgeon. I have not found a podiatrist within 100 miles that will even consider further treatment. The most aggressive they want to be is injections, which I have been advised not to take anymore. Orthotics have been tried on several occasions without success, cork and leather, rohadur, First Steps, and the last Sole Supports made with a foam casting tray. The orthotics have been altered on the inside to tilt the foot back outward. I wear tennis shoes everyday and dont buy new shoes until the soles are falling off because the bumps are so prominent they will rub holes in the backs of the shoes. Trying to get in a new pair of shoes without the holes rubbed in the back for the Haglunds causes 2 months of painful walking. Orthotics were attempted before and after surgery without success. The surgery has been to just remove the Haglunds Deformity and repair the achilles tendon tears just above the insertion. As of this far I have not had to use Mitek anchors. Also folowing surgery I am casted for 6 weeks, cam walker for 6 weeks, partial weight bearing splint, then full weight bearing. Is there some other type of surgery they could be performing to correct this or is there something else that can be tried to improve this last surgery. I have post-poned the surgery for the L at this time as the R is still very painful. An MRI, X-rays and physical examination do reveal a severe Haglunds once again with a small tear in the achilles tendon just above the insertion but again if the L should turn out like the R I will not be mobile at all. Also the scars due to the many surgeries are overlapped in several places, the skin is very tight, and full range of motion can not be achieved, the normal heel to toe walk is just on the heel because there is not enough stretch to roll from the ball of the foot to the toe, do you have any suggestions for this problem. As it is now I am 32 years old and walk like Im 85. If you should know of a physician in the Kansas City, Missouri area that you think maybe could help me, please e-mail me his name and office location. Any further suggestions you may have would be appreciated.

Result number: 121

Message Number 94082

Re: Haglunds Deformity removed six times on the R and five on the left. View Thread
Posted by pala on 8/31/02 at 15:22

i really appreciate it when you, dr ed and the other docs here give us a way to further research and learn. this is a rare quality in a medical professional, at least in my experience. it says to me that you are truly interested in empowering our healing process. thanks.

Result number: 122

Message Number 94078

Re: Haglunds Deformity removed six times on the R and five on the left. View Thread
Posted by Dr. Z on 8/31/02 at 14:10

There is an excellent edition in Podiatry Today which talks about what Dr. Davis has explained to you. Go to the web site it is a back issue. Oct 2000 www.podiatrytoday.com

Result number: 123

Message Number 94029

Re: Haglunds Deformity removed six times on the R and five on the left. View Thread
Posted by Ed Davis, DPM on 8/30/02 at 21:02

Wow. You deserve the award for the most patient patient.

The Haglund's deformity is recurring due to a number of possible biomechanical factors --- calcaneal varus, rearfoot varus, "poor" attachment of the achilles tendon to the back of the heel bone. Without going into a lot of detail, there is too much side to side motion of the heel bone when you walk. That causes bone to deposit around the area where the achilles attaches to the back of the heel bone in an attempt to stabilize the achilles' attachment.

The biomechanics of the problem must be addressed either via orthotics, surgery or a combination of both. Has the same surgeon done all of the procedures? What has been done to address the cause of the problem?
Ed

Result number: 124

Message Number 94003

Haglunds Deformity removed six times on the R and five on the left. View Thread
Posted by Jennifer B on 8/30/02 at 16:25

Over the last 15 years starting in 1986 I have had 11 surgeries for treatment of Haglunds Deformity. Six being on the right and five on the left. Prior to all surgeries conservative treatment has been tried. Shoe lifts, inserts, orthotics, cortisone injections, physical therapy, stretching exercises, NSAIDS with no improvement. These surgeries have averaged 2 years apart with the most recent being in 1-02. I have gradually gotten worse since this last surgery. It has been painful daily with bruising 6 months post op, excessive swelling and the end of every day. Walking, standing, sitting, sleeping, driving a car, rocking my daughter to sleep in a rocking chair are extremely painful. I am able to function doing simple day to day activities, running the vaccum, loading the dishwasher etc, only with the use of pain medication and only in short intervals. Sitting with my feet hanging down causes excessive swelling within one hour. I have been told by the surgeon this may not get any better. I have been to Rehab recently and they tell me the figure eight measurement of the right foot compared to the left has a significant difference in size. (2.5 inches) They have told me the range of motion is very poor in both ankles even though the left has not been operated on since 1996. They have told me there is such a lack of skin on the back of the ankle that proper range of motion will never be acheived again. An MRI pre-op revealed that there was significant deterioation due to steriod injections over the last 15 years and was advised not to get any more injections. I dont like taking the pain medication daily but see no other option by the end of the day. I am used to being very active. I am a registered nurse, room mother for my daughters school, head of the Northwest Missouri Girls Softball Association, and coach a boys basketball team. I have not worked in 5 months and feel I may have to resign from the other activities. Is there anything else I can try for pain relief. Is there something I can do to prevent the recurrence of the Haglunds Deformities. I should mention I let the Haglunds Deformities get so large before I agree to surgery that they tear the achilles tendon and that has to be sutured up during surgery as well. What causes these to recur in such a short period of time and why do they continue to recur. If you have any advice for me I would appreciate it. I am considering appling for disability benefits in the near future if this situation does not get better. In your opinion would I qualify for such benefits. I am a wife with a mortgage, car payments and three children. I am sick at seeing the savings dwindle due to the fact I can not work. I would appreciate any advice anyone has. I am at my wits end.

Result number: 125

Message Number 93919

Haglunds deformity 18 months later View Thread
Posted by karen f on 8/29/02 at 19:51

Thanks to all who responded to my last posted message a year ago especially Dr. Reid. I didn't see the responses til now so I did not answer. I had had surgery in Chicago for Haglunds deformity in Dec. 2000 and after all the usual treatment( antibiotics, cortisone injections, stretching, anti inflamatories, etc) I was still in pain.( I had a variety of other health problems as well as personal problems at the same time) Last September I thought I would die the pain was so bad. I dragged myself home one day thinking that if this was what my life was going to be it wasn't worth living. My doctor listened to me and put me on an extra 25 mg. of vioxx at night for about two months as well as the 50 mg I always take for arthritis in the morning. At last the inflammation went away and I only had to deal with the stiffness. BY December I was feeling lots better. Stretching and aquasize (wearing water aerobic shoes) and time has finally brought me relief. I am walking normally. I still wear mostly backless shoes- thank God they are in style but I am starting to try others. It took a good year and a half to recover and now I am about 95% there. I am 58 years old and an overweight diabetic who is fairly well controlled. My toe which had hammartoe surgery at the same time healed perfectly so I don't think the diabetes effected the healing in my heel surgery. I think that the bottom line is to approach all foot surgery with extreme caution. It's not an exact science no matter what anyone says. My 83 year old mother is being advised to have hammar toe surgery and I have told her to get other opinions especially her primary care doctor's assessment of her overall health. Good luck to all of you with heel problems. My hysterectomy was a piece of cake compared to my heel.

Result number: 126

Message Number 92969

Re: Haglunds deformity vs. syndrom View Thread
Posted by Dr. Zuckerman on 8/20/02 at 06:46

Good morning,
I believe they are one and the same problem. Haglund's deformity or what is also known as pump bump is where the back outside of the heel bone is enlarged. This is can be due to the shape of the heel, the angle of the heel bone and or how the heel bone moves in the gait cycle. Treatment can be, change in shoe gear, local steriod injectins if there is a bursa sac or surgery to remove or correct the boney deformity.

Result number: 127

Message Number 92941

Haglunds deformity vs. syndrom View Thread
Posted by Elaine J on 8/19/02 at 21:25

Can you advise difference between Haglund's deformity and Haglunds syndrome? What is the cause? Thank you for any help

Result number: 128

Message Number 91466

Re: Pain in outside side of right foot View Thread
Posted by Roddy W on 8/03/02 at 02:43

Dear Jobo, I get this, it is like being shot in the foot and burns. Think mine is due to a Haglunds deformity.

Result number: 129
Searching file 8

Message Number 89350

Re: haglund surgery View Thread
Posted by Dr. Zuckerman on 7/09/02 at 11:55

IF you are going to repair the tendon I would use a cadevar tendon as oppposed to taking another healthy tendon and using it. I don't agree that you should use a tendon from the big toe. Are you sure you had a haglunds problem. There is no involvement of the achilles tendon with a haglund boney bump

Result number: 130

Message Number 88743

Re: What is Haglunds Deformity P View Thread
Posted by Dr. John Cozzarelli on 6/29/02 at 06:07

Hi Patty:

A Hagland's deofrmity is a bone spur on the back (retro) of the heel (calcaneal) bone. It is usually aggrivated by a shoe's counter (back of the shoe) rubbing on the back of the hel bone. Over time you form a bone growth causing pain. Outside of surgery your conservative options are open back shoes, Silipos heel protector and physical therapy. I hope this helps.


Dr. John Cozzarelli

Result number: 131

Message Number 88735

Help!! DX Planta Fascutis, Haglunds Deformity View Thread
Posted by Patty O on 6/28/02 at 22:10

**** I'm new to this so Please Explain in laymans terms ********

DX : Planta Fascuitis, Haglunds Deformity, Retrocalcaneal
bursitis

that what it states on all paperwork that Dr. has given me
but what should I do about it.... Besides Surgery......
What is recovery time....

Someone Help !!!! I'm hurting

Result number: 132

Message Number 88732

Re: What is Haglunds Deformity P View Thread
Posted by Patty O on 6/28/02 at 21:50

Gail, how did you do with your surgery???? How long was you down ??
Would like details...

Result number: 133

Message Number 88718

Re: What is Haglunds Deformity P View Thread
Posted by Gail R on 6/28/02 at 19:48

I am not a doctor. I have already had surgery for haglunds deformity also known as a pump bump. There are several web sites with detailed info on this condition. Either name will bring it up. Hope this helps! Gail R

Result number: 134

Message Number 88716

What is Haglunds Deformity P View Thread
Posted by Patty O on 6/28/02 at 19:19

My Doctor has DX Planta Fascutis, Haglunds deformity, retrocalcaneal
bursitis.... I have looked up several things what exactly is Haglunds
Deformity, and retrocalcaneal ??? Thanks for your time and answer ..

Result number: 135

Message Number 87448

Re: haglund deformity View Thread
Posted by Dr. Zuckerman on 6/13/02 at 10:30

It sounds like you have a calcified achilles tendonitis with a haglunds deformity. Verfy dificult to tell what is going on. Why the second surgery? Is the achilles tendon torn. This is a surgical procedure that can take a very long time to start to heal. Sometime 10-12 weeks, sometime up to one year for complete pain resoluton If I had more information I could give you additional information and advice. Tell us more about the future plans for your foot .

Result number: 136

Message Number 86320

Re: heel spur regrowth View Thread
Posted by Joe S on 6/04/02 at 21:59

How many patient's have you seen however who have had a Haglunds resection or retrocalcaneal exostectomy with little tendon work other than retraction have had the bump come back? I've seen quite a few. As far as pain goes, many patient's with large haglunds or retrocalcaneal exostoses do not hurt. Those that do I try every conservative measure you can throw at them. Surgery is the last resort for this. ESWT is a good alternative. I believe Lowell Weil has done a significant amount of work in this area. As for ESWT and tendonopathies in general (be it achilles tendonitis or whatever)it is pretty well documented that it works. I believe that this particular person is more worried about the recurrence of the osseous prominence. In my experience, these should only be operated on when all other therapies have failed such as shoe wear modifications, losing weight, heel lifts, ESWT etc... I am trying to be sympathetic to her result but I think many people often think that the quick fix should suffice when in fact it does not and ultimately prolongs their pain. You know as well as I do that 99% of al foot surgery is elective. I believe that we as foot surgeons have a service to adequately inform and educate our patients of all treatment modalities as well as the possible risks and complications. You have ultimately found success with ESWT. That is great. However, ESWT is not for every patient. As surgery is not for every patient. My method of discussing surgery with patients is as follows. I propose a certain procedure. Discuss the risks and complications. The patient has an opportunity to ask questions if he or she likes. Alot of times patients are afraid that they will offend the doctor if they ask for a second opinion. I say, go for it. If I lose the patient to another doctor so be it. It's probably one less headache to deal with. The other doctor will now have to deal with any complications that arises. If the patient is unsure of the procedure, I basically tell them that this is an elective surgery. You have to be ready for the postop recovery phase. In this case, 12 weeks of nonweightbearing. If she is unable to do it then I won't operate until she can have the time to recuperate. I think that's where alot of docs get into trouble. They promise claims of getting back to work or exercise sooner when they know deep in the back of their minds that this may or may not happen. Anyway, sorry for the tangent. I found this board not too long ago. It's nice to have such discussions.

Result number: 137

Message Number 83779

Re: Haglund's Deformity/Achilles pain View Thread
Posted by DR Zuckerman on 5/14/02 at 01:45

ESWT is used for chronic achilles tendonitis . If the problem is a haglunds deformity , this is where there is pain at the upper outer edge of the heel bone, it can't be used. Very sucessful for the pain associated from insertional achilles tendonitis associated with spurs

Result number: 138

Message Number 83108

Re: haglund's deformity View Thread
Posted by Dr. J. Cione on 5/08/02 at 16:28

I think a 2nd opinion would be very helpful. Your symptoms don't correlate with a Haglunds deformity, so I am a bit confused. If it is a Haglunds deformity, usually surgery is very helpful. Anyhow, I would exhaust all conservative treatment before any surgery is discussed.

Result number: 139
Searching file 7

Message Number 79482

Re: haglunds deformity View Thread
Posted by Dr. Cozzarelli on 4/12/02 at 18:40

How severe is the bony protrusion on the back of the heel? If it is small we performSterotactic Radio-frequency themal lesioning. This is basiclaly inserting a needle under anesthesia in the pain site. This is guided by X-RAY (Fluoroscopy). The area is then stimulated and as long as were in the sensory aspect of the nerve we then pinpoint lesion the site. It beccomes desenstized and the pain stops. Post op care is a band-aid and is tender for about one day. There is no incision and or stitches. A post op shoe is also not necessary.

Dr. John Cozzarelli

Result number: 140

Message Number 79443

Re: haglunds deformity View Thread
Posted by lisa k on 4/12/02 at 13:43

what is Haglunds deformity? thanks

Result number: 141

Message Number 79111

Re: haglunds deformity View Thread
Posted by Dr. Zuckerman on 4/10/02 at 16:52

padding, gel padding and possible local steriod injection can help alot. Try the gel padding first. Silipos is the best for this

Result number: 142

Message Number 79097

haglunds deformity View Thread
Posted by Ross M on 4/10/02 at 14:36

hello

I am a 19 year old male who was recently diagnosed with "haglunds deformity"..I have been on anti inflamitorys for 2 weeks and I dont think they are helping...The pain is only in one heel and was caused by very stiff and hard backed mountaineering boots.

any advice for other conservitive treatments...and "gulp"..how long is recovery after surgery..

thanks for your time

Result number: 143

Message Number 77410

Re: haglunds deformity View Thread
Posted by DR Zuckerman on 3/24/02 at 15:24

I use the miminial incision approach. Very sucessful in my hands. One suture procedure. Then there is the open procedure 15 suture,alot of pain.
sometimes a cast is used.

Result number: 144

Message Number 77380

haglunds deformity View Thread
Posted by Paula L on 3/24/02 at 08:14

what is the treatment and surgical options for haglunds deformity? I like details of the deformity and surgical options...thank you, Paula

Result number: 145

Message Number 74172

Re: post haglunds deformity surgery heel pain View Thread
Posted by Ron A on 2/18/02 at 12:33

yes, 50% and bone screws were used. The heel pain has calmed down quite a bit so i'm no longer worried about having Plantar Fasciitis. The heel pain I'm having is because I'm walking without pushing off from the ball of my foot. At what point is it safe to start stretching my achilles tendon other then walking ? Thank You for the reply

Result number: 146

Message Number 73940

Re: post haglunds deformity surgery heel pain View Thread
Posted by Dr. Zuckerman on 2/16/02 at 19:45

Yes. With any type of surgery at or near the achilles tendon you can have some tightening of the achilles. Did you have the achilles tendon removed and then put back on the back of the heel bone. Any screws or casts used

Result number: 147

Message Number 73797

post haglunds deformity surgery heel pain View Thread
Posted by Ron A on 2/15/02 at 13:29

I had surgery 8 weeks ago to remove a bone spur that was located at the intersection of the heel bone and the achilles tendon. I have pain at the back of my heel and the bottom of my heel when I put my weight (240lbs) on it. I have been instructed by my doctor not to stretch my achilles tendon so I am not using my calf muscle. Could this be causing my heel pain ? I have a very high arch and use about a 3/8 heel lift in my shoes. Any help would be nice.

Result number: 148

Message Number 72991

Re: haglunds deformity View Thread
Posted by Dr. Marlene Reid on 2/07/02 at 23:58

Have they tried a course of ultrasound or one of the newer scar pressure pads??

Result number: 149

Message Number 72917

haglunds deformity View Thread
Posted by Bernadette W. on 2/07/02 at 12:20

I have had it! I had surgery last April to remove my haglunds. I have incurred alot of scar tissue on my heels from the surgery. As a matter of fact my heels look worse now, than they did prior to surgery. It has been ten months now. My docter wants me to wait two more months to see if any changes occur. I do not think waiting another two months is going to change anything. I feel as though my life has been put on hold. Oh, I failed to mention I also had bunion surgery at the same time as my haglunds and have since broken my right toe (Bone graph and pin required to repair) and have been in a cast since Dec. 11th. I have been unable to drive, this has been tough duty especially when you are a single Mon. So yes, I am cranky and would like to have surgery to remove the scar tissue from my heels now while I am still recovering from my broken toe. Is there any other alternative measures besides surgery to eliminate the scar tissue from the back of my heels? If I do have surgery, what are my chances of scar tissue forming again? What would my recovery time be for the removal of scar tissue?

I hope you can help me soon. Thanks,

Bernadette

Result number: 150
Searching file 6

Message Number 65685

Chronic achilles tendon problems View Thread
Posted by George J on 11/29/01 at 20:11

I am grateful to find this board , and am in the process of reading the posts to try and learn more. I am a runner with 4-5 years worth of achilles tendon problems, at the insertion point to the heel,I think due to having Haglunds Deformity - I have been the full route of treatment with the exception of a night splint , which I am about to try. My dodctor mentioned EWST and I was wondering if this has been a successful treatment for others with achilles problems .Thank you

Result number: 151

Message Number 64149

Re: Questions Doctors View Thread
Posted by Anthony P on 11/05/01 at 09:04

Hi, Dr Z Thanks for the fast reply
My doctor said he needs to decompress the tendon and remove a piece
of bone at the insertion I `ve been trying to find info on the web.
Just wondering if its the same thing as Haglunds or achilles tendon
release. The doc said this surgery will be a long recovery.

Result number: 152

Message Number 61648

Re: haglunds deformity View Thread
Posted by Ed Davis, DPM on 9/26/01 at 16:30

PS ESWT is not officially approved yet for achilles insertional tendinitis, so trying it would probably be an out of pocket expense.
Ed

Result number: 153

Message Number 61647

Re: haglunds deformity View Thread
Posted by Ed Davis, DPM on 9/26/01 at 16:28

If the boney prominence is not too big, ESWT is worth a try. Success would depend on the amount of pain coming from the insertional tendinitis versus the amount of pain from the boney enlargement itself.
Ed

Result number: 154

Message Number 61528

Re: haglunds deformity View Thread
Posted by Jack W. on 9/25/01 at 14:31

I have Haglunds problem which is associated with insertional achilles tendonitis. My condition is an overuse problem from years of running. I don't want to practice podiatry but I believe ESWT is available to treat this conditon. Help me with this docs. I am presently being treated for this condition with ESWT. I feel ESWT is worth a try before submitting to surgery (provided conventional methods have been tried and failed). The way I understand it is that the ESWT will take care of the pain but not the bony prominence.

Result number: 155

Message Number 61495

Re: haglunds deformity View Thread
Posted by sassyj on 9/25/01 at 06:46

Thanks for responding. Doc said I would be in hard cast for about 3-4 weeks, then the shoe cast for about the same time. He said the achilles would be detached and put back. Just a little nervous about this.

Result number: 156

Message Number 61466

Re: haglunds deformity View Thread
Posted by Ed Davis, DPM on 9/24/01 at 20:07

True Haglund's deformity involves an enlargement of the back of the heel bone ABOVE the are where the achilles tendon attaches. The surgery is simple and the recovery usually is not that long. How long did your doc state the recovery would be?

If the bone to be removed from the back of the heel bone is beneath the attachment of the achilles tendon, then part of the achilles needs to be detached--often the case with achilles insertional calcific tendinitis. The recovery period for this procedure is significantly longer.
Ed

Result number: 157

Message Number 61451

haglunds deformity View Thread
Posted by sassyj on 9/24/01 at 16:04

I have a large bump on the back of my heel. Tried anti inflammatory drugs, physcial therapy, wearing the boot. Nothing has worked, just gotten bigger. Dr. now wants to do surgery. Says that achilles tendon is invovled, surgery fairly simple but a long recovery. Don't know too much about this but I am tired of the pain, the inability to wear shoes and the limping around. I stand on my feet all day so it aggravates the problem. Any suggestions or input from someone who has had this done. A little nervous about the whole thing......

Result number: 158

Message Number 61263

ESWT for Insertional Achilles Tendonitis View Thread
Posted by Jack W. on 9/22/01 at 11:58

Hi: Chose to post here rather than the ESWT Patient Progress Reports section. I had my first treatment (DR. Z) for IAT (plus bursitis and Haglunds Deformity - I'm a mess)two weeks ago today and I want to relate my progress to date. Prior to treatment I was running an average of 37 miles per week with terrible pain. Simply touching the heel as Dr. Z did on my first visit sent me through the roof. I am pleased to report that the inflamation has subsided 90%, the area is not nearly as tender. I don't know whether to attribute this to the treatment or the fact that I have not run in two weeks. I have not gone without exercise though. In fact I have been quite active since day one, alternating between biking, elliptical trainer, recumbant bike and weight lifting (all low impact exercises). I will continue this regime for another week and then gradually return to slow running. I experienced some throbbing sensations in my foot the first week, but not horrible. The second week I experienced less throbbing but I started feeling a dull ache from time to time, also not terrible. Generally I would say there has been some improvement but until I resume running I won't really know how much. It's still very early in the recovery process but I am maintaining a guarded but high level of optimism. Sorry about the long post, but I know that for myself I like reading detailed reports of other persons and figured someone out there might like this much detail. Next progress post will be in two weeks. Good luck to all.

Result number: 159

Message Number 60358

Re: P.S. View Thread
Posted by Jack W. on 9/14/01 at 17:00

Pauline: Ooops! I forgot to mention that I do NOT have PF, so therein may be the difference. I have calcification and inflamation at the point where the achilles tendon inserts into the calcaneus (I think the pods call it AICT). I also have a touch of Haglunds Deformity. I therefore have no pain at the bottom of my foot or at the bottom of the heel. My pain is to the right of the center of the heel. This condition has never really stopped me from running. What it has done is prevent me from running without pain and from running long distances. So, where I was used to running 12-18 miles with no pain I am now limited to about 7, at which point the pain sets in and gradually becomes more excruciating with every step. Dr. Z said this condition was treatable with ESWT so I went for it so as not to have surgery. Interestingly enough Dr. Z. said I could start running easy again a few days after the first treatment. I guess this is what I wanted to hear, but I have decided to not run for three weeks to give my foot the best possible chance of recovery. If this works I consider 3 weeks no running a small price to pay when weighing it against a six month recovery period with surgery.

Result number: 160
Searching file 5

Message Number 58661

Re: haglunds deformity View Thread
Posted by Dr. Marlene Reid on 8/31/01 at 21:18

Karen,

It is possible that not enough bone was removed from the Haglands area, especially if the tendon was not disturbed. You mention you are a diabetic, this could have had a role in the surgeon's decision to be more conservative in the amount of bone resected and therefore not having to deal with the tendon. Age is also a factor in healing, you didn't mention your age or weight or if he/she determined in you had any shortening in the achilles tendon. It is really impossible to tell with out examining you. I am in the Chicago area, if you would like another opinion. I am board certified in surgery and orthopedics and have trained many residents. My office number is (630) 852-8650 if you have any questions or would like to make an appointment.

Result number: 161

Message Number 58656

Re: haglunds deformity View Thread
Posted by anne on 8/31/01 at 20:29

HI Karen
What doctor did you see and where do you live? I ask b/c I had work done by a reconstructive foot and ankle surgeon in Boston and wonder if it is the same one.
Good luck and feel better.

Result number: 162

Message Number 58642

Re: haglunds deformity View Thread
Posted by Ed Davis, DPM on 8/31/01 at 18:59

The sequence of events is not clear. Was it May of 2000 when the pain started? What is the bump on the back? Is it visible on X-ray?
Ed

Result number: 163

Message Number 58640

haglunds deformity View Thread
Posted by karen F on 8/31/01 at 18:49

I had surgery for haglund's deformity in December 2000. The pain had begun in May and did not respond to anti inflamatories injectiona and visco heel pads. I am on my feet at lot at work and I was in terrible pain and couldn't wear shoes. Doctor finally recomended surgery. Surgery went fine I also had a hammertoe corrected. The bone was removed from back of heel the tendon was not disturbes. I was in an orthopedic boot, no cast, and I was off work for four weeks. I am still in considerable pain. I can only wear backless shoes which are not very supportive for my feet. I can't walk more than a few hundred feet. My doctor is a reconstructive foot and ankle surgeon who teaches in at Dr. Sholls. He has recommended stretching exercises and anti inflamatories. I have a large heel spur that he feels is not the cause of the pain. The pain occurs when I move foot and also on the bottom of my foot at the outer edge of the heel. Sometimes the back of my heel is super senstive to the touch. I t still has a bump on the back. I've had two trigger point injections recently a month apart. The first one helped a lot the second not at all. I am getting desperate as I had been exercising regularly for my diabetes and had lost weight. NOw I have gained back all I'd lost and can't walk, my preferred exercise. This foot pain is affecting the rest of my health. What do I do? Karen F.

Result number: 164

Message Number 58103

Re: Pain on the back of the heel after tennis View Thread
Posted by Dr. Zuckerman on 8/27/01 at 12:33

Hi,

How is your ankle range of motion. Are you stretching before and after your tennis game.

How old are your shoes. This could be either a achilles tendonitis or a haglunds deformity.


So check your shoes. Have this checked out before it starts to curtail your
tennis game

Result number: 165

Message Number 57258

Re: Haglunds surgery View Thread
Posted by ellen w on 8/20/01 at 10:44

Another thing you could try is a type of protective half-sock made by Silipos. It has a gel pad that is shaped to conform to the heel and back of the ankle and protect that area from shoes rubbing on it. I believe Dr. Z. sells them and has them listed on his website; there is a web site for silipos.com; I got mine from a shoe catalog. I found it helpful when I had retrocalcaneal bursitis, and part of the symptoms were a very hard red heel that felt painful when any pressure was applied to it.
ellen

Result number: 166

Message Number 57173

Re: Haglunds surgery View Thread
Posted by bg cped on 8/19/01 at 13:20

You may want to consider (if you have not) wearing an open back slip on sandal that has a slight raise in the heel. It wont rub on the back of foot and the lift will reduce pull on achille

Result number: 167

Message Number 57034

Re: Haglunds surgery View Thread
Posted by Dr. Zuckerman on 8/17/01 at 18:45

Should start to feel better. Some time a nerve called the sural nerve healed into the incision .Need to find this out. Also need physical therapy to the foot and ankle working again

Result number: 168

Message Number 56958

Haglunds surgery View Thread
Posted by LeanneC on 8/16/01 at 23:12

I had surgery to remove a spur growing up the back of my heel 2 months ago. The scar is looks healed, but I am still in terrible pain and cannot say there has been any improvement since my surgery. My scar is about 2.5 inches long from the bottom of my foot to just below my ankle at the very back of my foot, and the top third of the scar has seems to be swollen. If I press along my scar or knock it, it becomes very painful although there appears to be no infection. I am still using a walking stick because I am back at work and if I do too much it is really handy. Spoke to my ortho who said it would take months to heal and otherwise was quite happy with my operation, saying he did not need to see me again. I recently applied for a promotional position, but am unable to accept it because it involves a great walking between companies (around 2 kms) on a regular basis.

Is this normal?

Result number: 169

Message Number 55340

Re: Haglunds Deformity View Thread
Posted by Ed Davis, DPM on 8/03/01 at hrmin

First, it is important to know if it is a true Haglund's deformity because a lot of entities on the back of heels may be lumped together. The true Haglund's deformity involves enlargement of the bone on the posterior-superior aspect (back of the heel bone and high on the back) of the calcaneus. The enlargement is ABOVE the attachment of the achilles tendon, thus it's surgical removal is fairly simple with a relatively rapid recovery time.

If the enlargement is under the achilles tendon, then part of the tendon needs to be detached in order to completely remove the tissue causing pain. This is a larger procedure although we now have better ways of re-attaching the achilles (bone anchors) that make this a more successful procedure.

The problem is often due to AICT-- achilles insertional calcific tendinitis, in which the achilles calcifies at it attachment to the back of the heel bone. This is the entity that ESWT can work for.

A lot of individuals with this problem have rearfoot varus or calcaneal varus. This is an angulation of the heel which causes the heel bone to roll inward excessively after hitting the ground. This must be addressed--if not, surgery may fail. Orthotics with a deep heel cup and rearfoot post (wedge) are a good way to neutralize the effects of rearfoot varus.

It is vital that you are seeing a doctor that thoroughly understands the differences between these entities and how those differences effect treatment.
Ed

Result number: 170

Message Number 55323

Haglunds Defority View Thread
Posted by sarge on 8/03/01 at hrmin

For the past 4 years I have been in constant pain around the ankle area, and very tender on the heel. I visited a specialist and he advised that I had Haglunds in both heels. He wanted to do surgery immediately, but due to my job as a police officer, I was unable to comply that quickly. I have a few questions that I need answered. Is this surgery a cure for my pain, or only a percentage of it? I walk like a elderly man and somedays barely can even stand. How long can I expect to be off my feet..could I return to desk duty within a week? Is there any type of special shoes that I might could purchase for relieve of the pain? I have been wearing a rubber insert attached to a ace bandage for the past year, which seems to protect the heel, yet, pain is still there, and especially intense if I remove my shoes and go barefooted. What should I expect in relation to this type surgery? I appreciate all inputs as I am reluctant as to having this surgery and not getting good results afterwards. Only my pain has grown intense, and I'm even having trouble with my balance when standing. Thank you for all responses...Sarge.

Result number: 171

Message Number 53401

Re: Haglunds Deformity View Thread
Posted by Dr. Ed Davis on 7/16/01 at hrmin

The exact location of the problem can go a long way to determine the best treatment. A "true" Haglunds deformity is an enlargement of the back of the heel bone above the area in which the achilles tendon attaches. Surgical removal of the protruding bone is a fairly simple proposition and you should be able to run without any problems after recovery from such a procedure. ECSWT would have no effect on such a problem.

Boney protrusion at the area of attachment of the achilles is a different problem sometimes termed achilles insertional calcific tendinitis (AICT).
ECSWT may be helpful for this, providing the amount of protrusion is not too great. Surgery for this problem is more extensive since the achilles tendon must be detached and re-attached to the back of the heel bone in order to resect the abnormal tissue. Patients generally return to activities such as running within 3 months. It is important to discuss this with an individual who performs a lot of these procedures as the surgeons' skill level can make a difference in the outcome. Please consider a second opinion.
Ed

Result number: 172

Message Number 52944

Re: Haglunds Deformity View Thread
Posted by Dr. Zuckerman on 7/12/01 at 11:19

If the pain is at the achilles tendon insertion and not at the outside lateral aspect of the heel, ( this is haglunds) then ESWT will be perfect for you. Do you have pain even without shoes on. Is the pain right where the achilles tendon attached to the back of the heel bone.

Result number: 173

Message Number 52940

Haglunds Deformity View Thread
Posted by Deb S. on 7/12/01 at hrmin

Looking for some help.

I am a competitive marathon runner and have been suffering with this heel bump for nearly two years. Tried all sorts of physical therapy, even painful accupunture. Upon viewing the x-ray, it was determined to be Haglunds which explains why I was receiving little benefit from the previous treatments. I visited with a orthopedic surgeon specializing in feet and he would not preform the surgery. He said I would never run the same. His advice was orthotics and medication. I have cut a hole in the back of my shoe for the bump and have some excellent orthotics. I am still in much pain and wondering what I can do. Any ideas???? Thanks.

Miss Deb from Big D.

Result number: 174

Message Number 52894

still hurts after six months View Thread
Posted by karen on 7/11/01 at 22:35

had surgery for haglunds deformity in December. Pain is almost as severe as before surgery. Pain with movement and especially sore when standing. Unfortunately I stand a lot at work. Doctor has no explanationfor so long a rcuperation period. Says stretching exercise and anti inflamatories but the only thing that has helped is water aerobics. I am off work for summer so am getting some rest. This has been a horrible year. Daughter lost twins, i had two major surgeries besides foot and now husband is having affair. He's depressed. Thanks for listening. karen

Result number: 175

Message Number 51987

Re: 19 year old has large bone spurs on back(offcenter) of Heels - Surgery question? View Thread
Posted by Dr. Biehler on 7/01/01 at 11:09

This sound like what is called a Haglunds bump or in females a pump bump. This is an enlargement of the heel bone on the back outside of the heel. They usually only cause a problem secondary to a shoe rubbing on it. There are paddings, some with jells in them to cushion the shoe pressure on the bump. If this doe not work, the bumps can be reduced by surgery. The two basic types of surgery for this is the ambulatory surgery that uses a small side cutting burr to reduce the prominance or the open surgery that is a little more invasive. Dr. B.

Result number: 176

Message Number 51679

Re: Jo HAGLUNDS REMOVAL View Thread
Posted by Jo on 6/27/01 at 20:40

To "rick" my foot is my term, basically I had put my foot down (it was still reasonably numb) and took a small step, I felt my achilles in my calf region sort of pull and had a lot of pain there later. I has now cleared up. I use to often rick my foot when it still had the spur in it around my inner heel if I was running around too much at work.

I have found my recovery since my surgery really good, I have had little to no swelling and after around 4 days my foot felt really good. I had had my foot up all this time and used crutches to get around. I went to a movie and left my foot down and it ached a bit the next day. Still aches if it is down too long, but otherwise okay. I thought about graduating to a walking stick, but my smarter half said I was probably pushing it and should take it easier. I will see how I go after the weekend.

I find my foot is still more painful if I wander around (on crutches) barefoot than what it is when I wear my birkenstocks. I can't see me wearing shoes which have a back heel on them at this stage, but my birkenstocks are open at the back.

Like you, my achilles tendon is tight, and every chance I get I flex and rotate my foot to keep it going (no cast or boot, only got a thick bandage - better).

I have a huge scar on the back of my foot, but as long as it heals up I don't care.

I am pleased that your foot is getting better and you have returned to work, I think it is very important to listen to your body and basically get on with whatever you can to the best of your ability without causing yourself more harm.

I have another haglunds on my other foot as well, but am hoping to get a bit more time out of it before it gets really painful. However, I now know the actual surgery is not as bad as I thought and will act on getting it removed a lot quicker (saving a lot of pain) if it plays up.

Result number: 177

Message Number 51525

Re: Jo HAGLUNDS REMOVAL View Thread
Posted by Bruce on 6/25/01 at 22:01

Jo,

Sounds good so far! Look forward to hearing your report from your July 3rd appt. I see my Doc again this Friday 6/29. I've been going full-time in tennis shoes since the 20th - making good progress, but I'm getting some stiffness near the Achilles after sitting at my desk for awhile.

Question: what does "rick" my foot mean? I've never heard that term before.

Bruce

Result number: 178

Message Number 51206

Re: EPF AND HAGLUNDS REMOVAL ON RIGHT FOOT 4 WKS POST-OP View Thread
Posted by jo on 6/21/01 at 22:42

I have just had my surgery for a haglunds spur removal on my left foot. I had it on 20/6/01 and have just come home today. It is still painful, but I expected that, and I can go nowhere without my crutches, although I find my foot is not as painful if I wear my birkenstocks.

I return to see my surgeon on 3/7/01. I have not had any problems which I did not anticipate and look forward to my foot having no pain at all in the future.

Straight after surgery, I "ricked" my foot, but there seems to be no complications as a result of that. There is minimal swelling at this stage, so I am crossing my fingers that everything will stay okay.

Result number: 179

Message Number 51058

Re: WEARING SHOE, ALSO VITAMIN E View Thread
Posted by Bruce on 6/19/01 at 22:15

Tina and Andrea,

Thanks for the tip on the Vitamin E oil. After 2 days, it's amazing how well the skin has restored.

Hooray! I wore my tennis shoe half the day at work today, plan to go all day tomorrow in it. Also, I just started driving again (went to the dentist to get a $2,000 bridge put in - now THAT hurts (finacially))!

My doc is having me not wear my orthotics in either shoe for a while - not ready for that yet. He said it should be another 2-3 months before I'm feeling pain-free. I can live with that.... Haglunds removal takes a long time to heal. Plus, I get to wear tennis shoes to work. Added bonus!

Adios.

Bruce

Result number: 180

Message Number 51053

Re: heel pain View Thread
Posted by Dr. Biehler on 6/19/01 at 20:46

Spurs can be on the back or bottom of the heels. There is something called a 'pump bump' that can be found on the back of some heels . The technical name is Haglunds Bump. This sometimes becomes raised,red and painfull when it has recieved to much rubbing, such as from the shoe counter, Dr. B.

Result number: 181

Message Number 50933

Re: EPF AND HAGLUNDS REMOVAL ON RIGHT FOOT 4 WKS POST-OP View Thread
Posted by Andrea R. on 6/18/01 at 07:02

Bruce,

Glad to hear your progressing well. I didn't spend much time in the big black boot. About a week after the stitches came out I was able to start wearing shoes. I found my walking shoes rubbed my incision. I had one pair of black tie shoes that I could wear. I then spent time at the great shoe store we have locally and tried on all types and styles of shoes till I found one that didn't bother my heel or incision.

I was able to flex my foot since the day after surgery. I found walking in the boot threw off everything else. I lost the boot and continue with the crutches most of the time. I'm putting less and less weight on them and now am trying to increase my distance a bit. Around the house I use one crutch and take a few steps with none. I see the doctor on the 25th.

Tina is right about the Vitamin E oil. It's great stuff. The massaging it in is also great for your foot. It also helps minimize the scar.

Andrea

Result number: 182

Message Number 50858

Re: Ouch View Thread
Posted by Dr. Zuckerman on 6/16/01 at 17:41

It is great for insertional achilles Tendonitis with or without calcification. The ossatron may not have the ability to reduce the power density or the joules/mm2/. We have patients over eighteen months post ESWT for this condition. This is really where ESWT shines over foot surgery. As far as haglunds not indicated

Result number: 183

Message Number 50825

Re: Ouch View Thread
Posted by footpro on 6/16/01 at 08:54

From my understanding, there are no clinical trials regrading the use of ESWT on retrocalcaneal exostosis or Haglunds deformity. There really should be. When I was going through the certification process for the Ossatron in Atlanta, I asked the physician about this very thing. He told me that he has tried ESWT on several patients with retrocalcaneal heel spurs and it has not worked that well. Do you have experience with ESWT for retrocalcaneal spurs? If so, how effective is it? What are your patients pain relief at 12 weeks? Also, how are you coding the diagnosis? We have only been using ESWT in our practice for 2 months. It has been a pain in the neck trying to get our patients precertification for the proceduer using the required documentation.

Result number: 184

Message Number 50799

Re: EPF AND HAGLUNDS REMOVAL ON RIGHT FOOT 4 WKS POST-OP View Thread
Posted by Tina R. on 6/15/01 at 22:20

In regards to the scaly skin on your foot, you might try Vitamin E oil. You can find it in the pharmacy section of your grocery store, Wal-Mart, or a General Nutrition Center. The oil that is thick and gooey works best. Some brands are much more thin and don't seem to work as well. I would suggest rubbing it in before bed and sleeping with a sock on. Can't hurt to try. Best of luck.

Result number: 185

Message Number 50798

EPF AND HAGLUNDS REMOVAL ON RIGHT FOOT 4 WKS POST-OP View Thread
Posted by Bruce on 6/15/01 at 22:04

Andrea,

Your timing is impeccable! I just went to the doc this morning. Everything is progressing well. I couldn't be happier! Starting today, I am wearing a tennis shoe with an ACE bandage, atleast after work and on weekends. I will stay out of the "big black boot" at work as much as possible.

I missed 3 weeks of work, returning Wed. last week. I was supposed to be completely off the crutches and walking in my boot. By the end of that first day, the bottom of my heel felt like what a deep bone bruise feels like, but still tolerable. The next day, Thursday, I had a real scare as I couldn't really ascertain if I had done any damage. I was sitting at my desk and ready to "swivel" around in my chair. Not thinking, I planted my RIGHT foot to push off. That might have been OK, except there was a cord on the floor under my boot. Instead of pushing off, my foot rolled on the cord, stretching my leg all the way out and flexing my foot - which it was not used to - and then jolting on the ground when it caught. I felt a sharp ripping sensation on my Haglunds incision on the back of my heel, and it felt like perhaps there was something oozing out. Man, did that hurt!!! I immediately took my boot off, didn't see any blood on the wrapping, and iced it. Rather than jump to conclusions, I thought I would wait until the next day and see how it was before calling the doc. Well, it was still hurting, and no one was in the next day to advise me, so I went through the whole weekend wondering if I had done something bad to it. I was back on crutches because of the pain. Doc called Monday saying it was probably just scar tissue pulling loose and was no problem at all, just back off crutch when I felt comfortable. Thursday (yesterday) was my first full day back off the crutch entirely, and now today I'm in a tennis shoe!!!

The Haglunds spur removal was definitely worse than the EPF. There is just no padding on the back of the heel, so it is very sensitive.

I see the Doc in another two weeks. The expectation is that I will be wearing a tennis shoe by then full-time, even at work.

Walking today was hilarious! I looked like Frankenstein. My foot is stiff like a board and doesn't have much flexibility yet. It's like I'm trying to walk on someone else's foot - very clumsy.

Nevertheless, I am very excited by how things have gone so far. Barring that little "scare", my recovery has also been much better than I expected!

Question: I have not been able to wash this foot for an entire month - now I can. The skin is all dried out and scaly and peeling a little bit between the toes. Any suggestions for getting the skin back in shape?

Gratefully,

Bruce

Result number: 186
Searching file 4

Message Number 48337

Re: Blood clotting disorders and heel pain. View Thread
Posted by Dr. Biehler on 5/20/01 at 06:53

I am not familar with a blood clotting disorder causing heel pain. The area at the out side and back of the heel is where the Haglunds deformity ( a bony bump ) can cause pain. If you do have a very thin fat pad, this could be a major cause of your heel pain. If this is the case, orthotics made to balance and disapate the pressure durring heel strike and extra cushioning should help. Dr. B.

Result number: 187

Message Number 47670

Re: surgery View Thread
Posted by Susan U on 5/13/01 at 18:59

Obviously if you are non-weightbearing you will need to use crutches or a walker. Personally I like the walker better. I feel more balanced. Sorry, I don't know anything about haglunds deformity. Just do what your dr. advises. If he/she says rest, put your foot up, ice it-- then do it! Don't underestimate the importance of pain meds. also. They do speed recovery. Take the maximum allowed for the first day or two and then less and less. It will help more than you can believe.

Best of luck to you and keep us posted on your progress.

Result number: 188

Message Number 47668

surgery View Thread
Posted by rose on 5/13/01 at 18:45

planning surgery in 2 wks for atypical haglunds deformity md said expect 3 wks non wt bearing cast anyone know how painful
recovery will be will have crutches available & walker from friends if needed but really want to be independant as possible
any sugestion will be wonderful

Result number: 189

Message Number 46676

Re: Haglunds Disease. View Thread
Posted by Dr. Zuckerman on 5/05/01 at 08:17

Hi,

A few things

1. Wear open back shoes
2. Check out how you walk if your heel bone is out of aligment then orthosis and or deep firm heel counter needs to be looked into
3. Wear a gel padding in the area when on your feet alot or being involved in high impact sports, such as tennis, basketball or walking.

Result number: 190

Message Number 46660

Haglunds Disease. View Thread
Posted by Dee R. on 5/05/01 at 00:29

I have had surgery on the back of both feet for calcium buildup. the left foot 10 years. ago. the right six years ago. The right foot is getting very large. Is there anything I can do to prevent surgery. If I leave it aline will there be trouble.

thank you

Result number: 191

Message Number 45343

Re: Over-reactive bone removal View Thread
Posted by Dr. Zuckerman on 4/22/01 at 09:21

Hi,

I did get your e-mail and reponded . You are going to be laid up for up to three months. It is going to be very difficult to walk with both feet done
at the same time . Crutches may be necessary. I just recently performed a haglunds procedure for a professional hockey retired a few months ago. This was done thru a miminial incision procedure. Do you know exactly what type of procedure is going to be used. You need to contact your surgeon and disuss with him . The prom is going to be out. Most likely alot of pain for the first week. I hope that this is helpful.

Result number: 192

Message Number 44158

Re: retrocalcaneous exostosis View Thread
Posted by rosey on 4/10/01 at 08:53

yes this is an old problem. 5yrs always was told it is a haglunds then last 4-5 mon started getting pain in heel & ankle went to a different md said this is very atypical for haglunds got cortisone shots lasted 24hrs pain is increasing .is exostosis same as costocondroma?. which i read can change to costosarcoma? , if a growth spurt or pain starts to act up!.md wants to biopsy & surgery which i'm not oppose to. remember i posted a week or so & i also have lupus & questionable arthritis /gout in that foot
and i'm worried about the recovery & time off work . i know i will be in cast 3wks & out of work about 8 weeks.of course like everyone i am a very busy woman & would like to wait till my son graduates in may & then do surgery kids out of school & i wont be running around do you think there is any danger of waiting six weeks. only slight swelling noted to return in last week where i had cortisone shot . thanks so much for this site it is awesome i don't feel so alone!
rosey

Result number: 193

Message Number 43243

Re: Haglund's Disease and PF View Thread
Posted by Dr. Zuckerman on 4/01/01 at 12:59

Hi,

The haglunds deformity isn't part of the plantar fascia pain problem . It is separate. The haglund's deformity can be do to the way your foot and lower extremity is functioning when you walk. So yes it is important to tell your doctor so that he can make sure to do a biomechanical evaluation and gait analysis. Many time excessive pronation is contributing to both the haglund's and the plantar fasciitis.

Result number: 194

Message Number 42907

Re: 5 weeks post-Haglunds surgery View Thread
Posted by Sarah on 3/29/01 at 09:59

Hi Debbie,

I'm sorry, I hardly ever check this site anymore or else I would have responded to you much sooner.

It's now been 3 months since my surgery, and the foot is fine to run on. It only took me about 3 weeks to walk totally normally. The first 2 weeks I was on crutches and in pain, and limped for a while. I couldn't really exercise. Get this, though-- shortly after surgery, when I was trying to walk and my foot was pretty weak, I tripped on the stairs and hurt the OTHER foot- hairline fracture. Because of that, I haven't really been able to start running again. Unbelievably frustrating, but I can tell you for certain that the Haglund's is not the problem.

The area where I had surgery is still pretty tender, but my doctor says that is because of bown regrowth and slight inflammation, and that it will slowly go away in 1-2 months. This tenderness, I should say, has not restricted my activity in ANY WAY. My doctor gave me the OK to start running anyway, as long as I build back slowly.

Like you, I was reluctant to have surgery because I was afraid it would keep me away from running too long, and I happen to be addicted to running. However, I now feel such relief that the problem has been taken care of-- the few months I had to take off as a result of surgery were worth it. And it's not like I couldn't exercise-- swimming and biking weren't at all painful. Now if only I could get this ridiculous fracture taken care of... :)

Good luck, and let me know what you decide to do!

Sarah

Result number: 195

Message Number 42896

Re: pain in the back of the heel View Thread
Posted by Dr. Biehler on 3/29/01 at 08:27

There is a lot of research that points to a limb length difference when there is a bunion on only one foot. If the pain is a t the back of the heel " below the achilles ", then it might be at where the chilles inserts into the heel bone. If shoes are causing the pain, then it is time to be evaluated for a Haglunds bump. Rember the growth plate at the back of the heel is still ossifiying at age 15 and this might be causing an osteochondrosis of the calcanious. Yoy doctor will probably want to do an x-ray study to determine what is going on. If she is an athelet you will probably want to have her evaluated right away. Dr. B.

Result number: 196

Message Number 42489

dr.marlene reid View Thread
Posted by sarak on 3/26/01 at 07:42

I have had my surgery now and it is going very well, although 4 days after this open procedure for haglunds ( a bit of the achilles tendon got loose or so ) I still cant walk without crutches, even if the doctor said i would be able to walk without them today.. I am a little concerned because of this, but I don't know if it is anything to worry about. I guess everybody has theire own paste of recovering... :)

Result number: 197

Message Number 42468

Re: haglunds heel surgery View Thread
Posted by Dr. Marlene Reid on 3/26/01 at hrmin

Sara,
How did it go? Did you find out what to expect before the surgery?

Result number: 198

Message Number 42126

Re: haglundsdeformity View Thread
Posted by Dr. Zuckerman on 3/21/01 at 21:40

If the calcificatoin or bump is at the insertion of the achilles tendon then you could be treated with ESWT. Would help to avoid any foot surgery. Would need to see either a x-ray and or mri to determine exactly where this bump is located to direct you any further.

Result number: 199

Message Number 42042

Re: haglundsdeformity View Thread
Posted by roseyr on 3/21/01 at 08:21

dr.z thanks for responding ! yes the bump is on the inside of my heel. no i haven't had any circulatory problems due to lupus
i did have a questionable "gout attack" in that 4 left toe in july. woke me up from sleep at 3am extremely painful by morning 3/4 of toe fire engine red & swollen & severe pain last most of day .unfortunately i was out of town COULD NOT GET to a md . i have had one md foot say yes sounded like gout & my rheumie said no also had numbness & tingling in that toe and after one month toenail came off ,that numbness was gone for a good time but will every now & then feel numb & tingly & strange but no pain.i too am hesitant to do surgery & only being 44 i do not want to be crippled. sorry so long, just feel a need to vent. appreciate any feed back
rosey

Result number: 200

Message Number 41953

Re: haglundsdeformity View Thread
Posted by Dr. Zuckerman on 3/20/01 at 13:31

I would also be careful about foot surgery due to the lupus. Have you ever had any gouty attacks in the area in question?

Do you have healing problems, circulatory problems secondary to the lupus.

Haglunds deformity is a boney deformity and not a soft tissue. The location of your mass doesn't sound like the posterior lateral aspect of the heel bone. This is the outside of your heel bone. Keeps up informed about the mri results.

Result number: 201

Over 100 records returned. Search was stopped

© heelspurs.com LLC

Powerstep Pinnacle Night Splints Orthotic Sandal StepStretch