Haglund's Heel

diagnostics, therapy and rehabilitation



Haglund's Heel: diagnostics, therapy and rehabilitation

Deformation, syndrome, Haglund's disease? It is easy to get lost in the subtle differences between these terms, especially since in colloquial discourse they all hide under the term "Haglund's Heel". In the article, we explain not only how to understand them, but also how to recognize and treat them.
It is worth mentioning that officially Haglund syndrome or disease (colloquially called Haglund's heel) is a term that covers many injuries to the heel and Achilles tendon, which may or may not be accompanied by the deformation of Haglund (also of the spur), i.e. the growth of the heel bone. They should also be distinguished from Haglund-Sever disease, which is the necrosis of sterile calcaneal tumor.





Causes of Haglund's Heel

The most common causes of this condition include:
  • Overload (e.g. while running),
  • Injury or inflammation of the Achilles tendon
  • Deformation of Haglund
  • Abnormal heel bone structure,
  • Shoes too narrow with a rigid heel.
However, we are still not sure of the reasons for the formation of the Haglund spur, although the phenomenon itself has been known to us since the 1920s.





Symptoms of Haglund's disease

The initial symptoms are so mild that they do not cause concern (discomfort when walking, small blisters). The warning signal should be pain in the back of the heel, particularly strong in the morning when walking in shoes with a hard heel, running or bending and straightening the ankle. In addition, there is also irritation, redness and swelling in the area of attachment of the Achilles tendon.



Haglund's Heel: treatment and rehabilitation

Depending on the exact causes and severity of the Haglund Heel, surgery to remove the Haglund spur may be unavoidable. So we have to be ready for a long recovery time. However, due to the early diagnosis of the disease, we can avoid surgery and recover, using only conservative treatment. Of course, you need to abandon training and use your heels to relieve the affected part of the foot.
For Haglund's heel, treatment can include:
  • Anti-inflammatory drugs,
  • Manual therapy
  • Ankle and Achilles tendon exercises,
  • Physical therapy treatments
The doctor may recommend a variety of different treatments depending on the conditions. The most popular physical treatments that treat Haglund's Heel are:
High energy laser therapy: this type of treatment in patients with Haglund's disease is particularly effective, thanks to the versatility of its action - it stimulates faster self-repair of muscles, bones and joints, also reaching very deep structures in the body. In iLUX high energy lasers, thanks to the TRIAX system, three wavelengths simultaneously affect the affected area. Thanks to these treatments, we reduce pain, affecting the nervous system, release oxygen from oxidized hemoglobin, which gives a relaxing effect and also stimulate neoangiogenesis, reducing swelling.
Shockwave therapy: causes rapid pressure changes that break calcium deposits, stimulate cell transmission and improve circulation. Shockwave rehabilitation accelerates the treatment of inflammation, promoting tissue healing. The body begins to work intensely as in the case of an acute, non-chronic injury, thanks to which the patient feels an improvement after the first treatment.
Ultrasound: involves the interaction of ultrasound on a diseased area, which supports them in regeneration. Sound waves act on the tissues like a micromassage, which widens the blood vessels and increases cell permeability. In this way, it speeds up the treatment of inflammation, but also has an analgesic effect.
Cryotherapy: cold therapy first contracts the blood vessels, but after a while in a defensive reaction the body quickly expands them. Thanks to this, the blood flow increases and with it reduces pain and accelerates cell regeneration.
When a disease like Haglund's heel touches us, rehabilitation can quickly bring first results. However, it is necessary to continue with all the sessions planned and recommended by the therapist, so as not to spoil the effects of the treatment.



Firma BardoMed Sp. z o.o. has been operating on the Polish rehabilitation equipment market for 13 years. During this time it has gained extensive experience on modern solutions for the rehabilitation and physical therapy.
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