Haglund’s deformity occurs when a bony bump forms on the back of the heel, often leading to irritation, foot pain, and discomfort in the area. This guide will help you understand where the condition develops, how it causes problems, and what treatments can relieve your discomfort.
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Anatomy
The calcaneus, or heelbone, is the largest bone in the foot. The Achilles tendon attaches to the back of the calcaneus, and a small bursa sits between the tendon and the bone. This bursa allows the tendon to slide smoothly during foot movement. Bursae are common where tissues glide against one another, preventing friction and reducing stress on the tendon.
Causes
The main cause of Haglund’s deformity is pressure from footwear. People with a prominent bump on the back of the heel are more prone to irritation when the soft tissues are compressed against the shoe. Over time, this leads to inflammation, swelling, and thickening of the tissues, worsening discomfort.
Symptoms
The primary symptom is pain at the back of the heel. Thickened tissue can form a callus, which may become inflamed during walking or other activities. The bursa may also swell, causing bursitis. While this usually does not affect walking ability, the pain can interfere with daily activities and shoe wear.
Diagnosis
Diagnosis involves a detailed history and physical examination. The condition is often visible due to the prominent heel bump. X-rays help assess the shape of the calcaneus and rule out other causes of heel pain. Additional tests are rarely needed.
Treatment
Nonsurgical Treatment
Removing pressure from the back of the heel is key. Wearing shoes with no backs, like clogs, or using pads over the heel can relieve irritation. Reducing time spent in shoes and applying ice or anti-inflammatory measures can help decrease swelling and discomfort.
Surgery
Surgery is considered if nonsurgical options fail. Procedures aim to reduce the heel prominence and relieve pressure:
- Bump Removal: Through a small incision, the surgeon repositions the Achilles tendon and removes part of the calcaneus, reshaping the heel.
- Wedge Osteotomy: A wedge of bone is removed to shorten and reshape the calcaneus, relieving pressure similarly to bump removal.
Rehabilitation
Nonsurgical Rehabilitation
Physical therapy helps reduce inflammation and pain. Therapists may suggest pads, cushions, or specialized footwear to offload the heel. Treatments like ultrasound, soft-tissue massage, or mild electrical therapy can support healing. Light activity is recommended initially, with more vigorous exercise delayed until swelling and pain subside.
After Surgery
Crutches may be needed for a few days. The incision is protected for about a week, with stitches removed after 10–14 days, unless dissolvable sutures are used. Full activity is usually resumed in about six weeks, with continued guidance from your physical therapist to restore strength, mobility, and stability.
Our osteopathy services in Mississauga focuses on hands on care to restore movement, reduce pain, and improve physical function. Each session includes a full assessment of posture, mobility, and injury history to guide precise treatment. Care targets joint restriction, muscle tension, and circulation limits to support faster recovery and daily comfort. Services support injury recovery, chronic pain relief, postural correction, and long term physical balance.
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Infants, children, and youth injuries affect movement, posture, and development. Osteopathy focuses on gentle hands on care to address tissue tension, joint restriction, and movement imbalance for healthy growth and function.
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About City Of Mississauga Ontario
Mississauga, Ontario, is a thriving city located along the shores of Lake Ontario, just west of Toronto. As one of Canada’s largest and fastest-growing cities, it is home to a diverse and multicultural population. With Pearson International Airport, the country’s busiest airport, and major corporate headquarters, Mississauga has established itself as a key business and economic hub in Canada. The city’s modern skyline, featuring high-rise condominiums and commercial developments, is complemented by green spaces, waterfront parks, and vibrant cultural attractions.
One of Mississauga’s most notable landmarks is Square One Shopping Centre, one of the largest malls in Canada, attracting millions of visitors each year. The downtown core is rapidly evolving, with new residential and commercial projects reshaping the city’s landscape. Meanwhile, neighborhoods like Port Credit offer a charming, lakefront lifestyle with boutique shops, cafes, and marinas, making it a popular destination for both residents and tourists. Historic Streetsville, with its small-town charm, provides a glimpse into Mississauga’s past while offering modern amenities.
Mississauga is also a city committed to education and innovation, with top-rated schools, colleges, and easy access to leading universities in the Greater Toronto Area. The city’s public transit system is expanding, with new LRT and GO Transit projects aiming to enhance connectivity and reduce congestion. With a strong focus on community development and sustainability, Mississauga continues to improve its infrastructure, recreational spaces, and public services to meet the needs of its growing population.
Beyond its economic success, Mississauga is a welcoming and family-friendly city with a strong sense of community. The city hosts numerous cultural festivals, outdoor events, and recreational activities, celebrating its diverse population. Whether enjoying waterfront trails in Lakeview, exploring Erin Mills and Meadowvale’s parks, or experiencing arts and performances at the Living Arts Centre, Mississauga offers something for everyone. With its blend of urban convenience and suburban comfort, it remains a top choice for those looking to live, work, and thrive in a dynamic and inclusive environment.
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References
Cleveland Clinic. (2023, July 17). Haglund’s deformity. https://my.clevelandclinic.org/health/diseases/25134-haglunds-deformity
American College of Foot and Ankle Surgeons. (n.d.). Haglund’s deformity. Foot Health Facts. https://www.foothealthfacts.org/conditions/haglund%E2%80%99s-deformity
Physio-Pedia. (n.d.). Haglund’s deformity. https://www.physio-pedia.com/Haglund%27s_deformity
American Academy of Osteopathy. (n.d.). What is osteopathic medicine? https://www.academyofosteopathy.org/what-is-o-m
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