Haglund’s deformity is described as either a prominence laterally or dorsally at the back part of the heel or a type of bone deformity. This condition usually results in an aching, dull soreness in an area that is called bursitis.
Painful bursitis is described as inflammation that occurs in a sac that is filled with a fluid between the bone and tendon, as well as between the skin and the tendon. This condition is usually most painful in woman who wear high heels as the back of the shoe aggravates the condition.
Surgery for this condition is usually conducted with a local foot-block injection where the area typically goes to sleep for around 4 to 6 hours. The surgeon then makes a small incision which enables the use of specially designed fine instruments. This surgical procedure usually takes about 2 hours.
Time to Recover Explained
The First 2 to 4 Days
The patient is placed into a below-knee, non-weightbearing cast. The first 2 days are the most painful. It is recommended to rest completely in the first 4 days and to keep the foot elevated, so it is above the hip level. Activities should be restricted to only using the bathroom.
The patient must schedule a visit with the surgeon to check on the foot and to be re-dressed. At this stage the foot will stay in the non-weightbearing cast. More activities can be introduced within pain-limits. Any pain in a foot is a signal of overdoing it.
The patient will return for a doctor visit to remove the stiches. If absorbable stiches were used this will typically mean trimming off the ends. The bandage will be removed, but not the cast. It is important that foot does not get wet while wearing this cast.
Between 2 To 6 Weeks
The foot at this stage will still be swollen, and even more so towards the end of each day. The doctor will review the patient periodically in order to monitor the patients progress. At the end of week 6, the doctor will usually advise that the patient participates in a few basic foot exercises which is usually demonstrated by a clinical team, this will be dependent on the progress of the patient. At this stage the doctor may replace the cast with a removable, weightbearing walker boot.
Between 8 to 12 Weeks
At this stage the patient will be encouraged to transfer gradually into a shoe that is supportive like a running trainer or walking shoe. This will also depend on the recovery of the patient. If the recovery is going well, the patient might be able drive if they are able to comfortably conduct an emergency-stop. The foot from here will continue to feel a lot more normal and improve. The swelling will be less, and sport might be a consideration after a period of 4 months. Some patients during this phase of the recovery may benefit from physiotherapy.
The patient will undergo a last review from the surgeon between the 3 to 6 months after the surgical procedure. Swelling at this stage should be slight or even disappeared altogether. Patients during this time usually start to experience the benefits associated with this type of surgery.
After a year the healing should be complete. However, it is important to note that the recovery rates may be delayed or even regress should any complications arise along with individual factors like the general health of the patient. After surgery it is imperative that the patient follows the advice of their surgeon to ensure that the foot recovers as quickly as possible.