Haglund's Deformity Treatment

Haglund's deformity is often blamed for the pain in the back of your heel when you have an insertional Achilles tendinopathy and/or retrocalcaneal bursitis. In this video, Maryke explains why you can really don't have to worry about having a Haglund's deformity and how you can get rid of your heel pain without having to have surgery or invasive treatments.
🌟Need more help with your injury? You’re welcome to consult one of the team at TMA online via video call for an assessment of your Achilles injury and a tailored treatment plan: www.treatmyach...
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Reference:
Tu, P. (2018). "Heel pain: diagnosis and management." American Family Physician 97(2):86-93.

[@kizarumelon2477]

WHOA! THIS PERSON ACTUALLY HAS A DEEP UNDERSTANDING OF FOOT AND SHOES AND PHYSICAL THERAPY!!!! ID FLY TO UR COUNTRY TO SEE U

[@TreatMyAchilles]

You're welcome to book a video consultation with one of our physical therapists - then you won't have to fly anywhere. 😊 More info here: www.treatmyachilles.com/

[@tyronpanganiban3779]

Ma’am, I hope you get an award or anything in appreciation to your research. As soon as you mentioned overloading the achilles through switching abruptly to minimalist shoes which I have done with Altras. I was astonished. This video is outstanding!

[@jannieschluter9670]

You are really an expert. One can clearly see that you truly internalized and grasped this.

[@JaviCuelo]

The level of comprehension and coherence in this video is at an unreachable level. Great job!!! I am suffering from a Haglund right now and was looking for therapy ideas. Thank you so much for your insight!

[@user-vq1nk8zf9m]

What helped you? I think I have the same problem because of football shoes

[@DYCEDYLLI]

As a therapist this was amazing insight ! Ty for your time ! And brain power 🎉🎉

[@louisbastien6680]

I am a french runner who is injured since 8 months with his Achilles tendons. I decided few days ago to not go with the surgery, wanted to try progressive overload before. I just want to Say thank u, you re my hero.

[@steverenner4710]

Left my Dr office shaking my head with his advice . . . Yep stretch the calf and tendon. . . . Since I'm 64 years old I already knew this was from overdoing things . . . And the spur didn't show up overnight. . . Thank You for making sense of the condition . . .

[@sl2608]

I have a back of heel spur also, in the region where the Achilles inserts into the heel. My podiatrist has given me no help -- brushed it off as nothing needing attention, despite the fact that I have pain! How are these spurs treated to reduce pain?

[@simoanne-jz1ge]

Good for you. Could you please share what were the steps you took that led to the disappearance of the spur or haglund's deformity

[@alabi2k542]

Switching from regular heeled or raised heel shoes to wearing only Birkenstocks everyday for 3 months caused all kinds of heel and ankle pain, as well as bursitis in one heel. I truly believe that this was a contributing factor in the ankle injury that I suffered when rolling my heel ( in a pair of Merrell Jungle Mocs) shortly after deciding to take a break from the Birks. Now facing 6 to 9 months of recovery, I've tossed out both the Birks and the Merrell , and will stick to my Ascis runners

[@kt7677]

Recently, I experienced a similar situation. After I started wearing Birkenstocks during the summer, I noticed change in the appearance of my foot. It seems that my bone has worsened despite my belief that wearing open shoes would improve it.

[@TerryStoa]

STOP STRETCHING - makes perfect sense. What a terrific explanation of the problem and potential treatments.

[@Jayster07]

Ma’am, you a t truly a hero. I’m so thankful I stumbled upon this video. I was feeling hopeless.

[@TreatMyAchilles]

Glad I could help!

[@BacknMetro]

The pain wasn't all that bad UNTIL I started doing those stretches (that they all say you should do) and I made it 10 times worse. I suspected as much and seeing this video only confirms it. I wish I saw this sooner! I would've saved myself unnecessary grief and frustration.

[@MissVerdine]

Right! For me, the stretches never felt good, only more pain.

[@davidperrone5771]

Same for me, the stretches made it worse and ruined my other foot

[@lisacaceres805]

I saw 2 doctors, one of them was a podiatrist & you have educated me more than they both did. Two different diagnosis and no relief. I'm sure it's all similar treatments but this explanation puts me a little at ease. Thank you. I appreciate you.

[@TreatMyAchilles]

You're welcome, and good luck luck with your recovery.

[@jeppespence1584]

Wonderful video. I have an exam on a patient with a haglunds deformity and got a calcaneoplasty. Lovely to hear the different views and not only the "my plan is the best plan"-view. But I agree that conservative treatment is often overlooked and the facts about tendinopathy is ignored.

[@sl2608]

Is conservative treatment effective is you have a bone spur? My xray showed a "posterior calcaneal spur". What are the chances that I will have to have surgery?

[@livegreatalways]

OMG.. I have been suffering with insertional achilles pain for more than 2 years now, tried everythg from podiatrist to meeting a foot specialist, I have given up. But looks like I have been doing the wrong exercises all along - DAILY! I will stop immediately and see how goes. Many thanks and God bless you.

[@TreatMyAchilles]

That is so frustrating. Focus on just doing things to calm it down. Also maybe look at the video about insertional Achilles tendinopathy for more ideas: kzbin.info/www/bejne/o4i4q6aHfrGtjaM

[@toddpickens]

Thank you so much. I've seen two podiatrist, both contradicted each other, and both had me stretching. One wanted to do an injection with no attempt at pt, the other immediately suggested surgery. Simply ending the stretching and adding a lift have made a big difference. Doing pt to improve it and get back to athletics.

[@marshel9884]

What is pt?

[@toddpickens]

@@marshel9884 physical therapy

[@Dunstlookalike]

What specific kind of PT and have you improved a lot since then ??

[@sl2608]

Todd Pickens: That's great to hear and encouraging! Do you have a posterior bone spur on the back of the heel? I do. Scared I might require surgery.

[@toddpickens]

@@Dunstlookalike yes. I'm about 95% and would probably be 100 if I wasn't dealing with other medical issues that are sidelining my recovery. The short answer is due very little. Do it consistently and slowly, very slowly progress what you do. PT amounted to progressive ankle flexion, rotation, etc every morning will sitting on the couch having my coffee. Started at about 15 or 20 reps each and worked up to over 100 reps on each ankle. Then seated calf raises to isolate the soleus and control the level of resistance. Eventually walking with the heel lifts in my shoes. Started at 5 minutes. Progressed up to 30 minute walks and then back to 5 minutes with reduced heel lifts and eventually no lifts. Progress that back up to 30 minutes. Slowly added in standing calf raises, then bought a treadmill and begin with 10 minute walk at one level of elevation. Then progressed up to 10 minutes of walking 10 minutes of intermittent jogging at 20 seconds on 10 seconds off. Anyhow you get the idea that's probably way more detail than you need.

[@matthewmccarthy1738]

Thanks for the great video. A few years ago I had surgery to treat Haglunds. Before surgery I tried everything, PRP,, Grastoning, acupucture, massage, orthotics, etc. Eventually My achilles tendon almost completley detached after 10 years of non-surgical treatment.. so sugery was the only remaining option. .Everything went well with the surgery, but the recovery was lengthy and expensive. Recently the other side started showing concerning signs of bursitis. Caused by working out in a treadmill with steep incline. I was worried that surgery on the other side was imminent. After watching the video, I stopped stretching my calf and used heal lifts. After just a few days, no more pain. So now I know how to treat bursitis flare ups. They key I think is to stop stretching, which was never suggested before...in fact the opposite was directed.

[@TreatMyAchilles]

I am so glad that you found the advice useful! Best wishes for your recovery

[@adambird9949]

Very reassuring info re- Haglund’s deformity! I knew I had a lump and had vaguely heard about the condition but I daren’t do a search about it until now😂.

[@umarshariff2329]

thank you very much for the detailing on haglund deformity,hoping it will help me a lot, may almighty bless u with health and prosperity....

[@SA-sk5nf]

Absolutely amazing!!!!!!! I was stretching in-between hot and cold therapy and was miserable. I began wearing wedged sandals as soon as I got out of bed. Though I look ridiculous walking around the house in a t-shirt and sweats with my wedges on, my foot feels remarkabley better!!!!!!!!! and it's only been 2 hours. I just wish I could wear them to work. If I have any further for concerns you'll be my go to. Thank you!!!!!

[@ensignmjs7058]

Put Orthotics in your shoes.

[@simoanne-jz1ge]

​@ensignmjs7058 could you please tell which kind of orthotics to use in bursitis/haglund's deformity

[@imperfectstillworthit]

You are an ANGEL!!!! I had removed some bone built up allready, and when during my pregnancy my achilles got really bad again, I was sure I'm in for another operation. I also switched to minimlaist shoes and started running more often - insult to injury🤦🏼‍♀️ Thank you so much for all the new options!

[@joeirvine3398]

Just received this diagnosis from my physio. Your explanation is extremely helpful! I have recently increased walking from 3k once a week to 5k twice a week during lockdown, but had shifted to winter boots (much flatter heel) than trainers. Thank you for the clarity in differentiating the three issues (Haglunds, bursitis and insertion tendinitis).

[@Blueskies1180]

Great explanation! I would agree with the crazy stretching that all therapists tend to jump to....I would also like to add that some people are more susceptable to this due to their gait pattern, certain individuals have extremely externally rotated hips, and they end up loading incorrectly on their knees and ankles throughout their life, until they eventually get this deformity.

[@veronicasamms7893]

Wow this is an amazing video. So thorough for the public. Such good mannerisms and teaching style. Thank you for explaining and reducing my fears. New sub here good luck on your channel

[@TreatMyAchilles]

You are so welcome!

[@alexkellison8130]

I'm so glad I found this video; the explanations and advice are so incredibly clear and helpful. I really appreciate it - thank you.

[@TreatMyAchilles]

Glad it was helpful!

[@petervandersluijs9256]

This is mindblowing... I am struggling with it for about 3 years now and my physio therapist is telling me to stretch every day several times.. I wish I had seen this video a few years earlier. I found out already that shoes with heels work better but it somehow confused me that doing the opposite (stretching) was supposed to help also. Thank you so much! From now on I will follow your advice.

[@TreatMyAchilles]

Best of luck!

[@zuber2325]

definitely recommend the heel lifts as you stated! after 12 months of pain finally I'm feeling like I'm recovering

[@TreatMyAchilles]

Great to hear!

[@epilario1]

This what I experience, run on friday, leg/calv exercise on sat and then scammed to a trail run on sunday ( was invites on a chill hike). Literally cant walk due to pain for a 4 days before going to a doctor. Thank you for this

[@marshel9884]

Of watching majority of the videos out there, I find this video to be extremely thankfull cuz u know what you are saying and u r brilliant in differentiating btw those problems.

[@np1000]

She's right, I had a flare up in January and wasn't quite healed and it came back 4 months later.

[@joe94c]

This video is massively helpful. I thought after a couple of weeks without pain I'd be fine. Turns out need to offload it for much longer

[@epgbp]

My insertional Achilles tendon issue came from constant irritation from my figure skate pushing on my heel. Stopped wearing my skate 6 months ago, went through PT twice, heel lifts, orthotics, anti inflammatory meds, stopped running, skating, and ballet. 11 months of this issue, i am having surgery in July!

[@lovejoypeace7288]

Oh my days, I feel like crying! I told my gp this started when I switched to flip flops for the summer and my job increased to lots of walking!. He said it was from wearing high heels (which I never did or do) and gave me loads of stretching exercises to do invluding advising me to buy a special sock that kept my foot stretched all night! 😫 3 doctors at my surgery each gave me the same advice! Thankyou thankyou thankyou I now see light at the end of the tunnel.

[@TreatMyAchilles]

It drives me nuts when doctors don't listen to their patients! Good luck with your recovery.

[@MrsTonySoprano]

Tears of relief a few days ago when I found this video. I added wedge heel lifts in my hiking shoes and the pain has reduced quite a bit. Taking anti inflammatories too. But as a yoga teacher, I’m supposed to be barefoot while working. Not there yet, lol. Thank you so much for the excellent action plan! ❤

[@TreatMyAchilles]

You're welcome! Best wishes for your recovery

[@idcommitarsonforu2345]

THANK YOU SO MUCH! I started a warehouse job several months ago (lots of squatting and over 20k steps a day) and it's caused a lot of pain. I'm so thankful that I found your video, and I'm excited to try your suggestions!

[@janetcrompton2109]

Great advice I’m suffering so much for months non runner

[@padambchuwan2405]

I had a load of confusion when some recommends stretching and toning of calf and tendon. You cleared my confusion and also about injections and surgery. I have the same for last 21 yrs. Pain is severe to mild but OK. Now one Achilles is crying more than the other and I am on rehabilitation.

[@TreatMyAchilles]

Good luck with your recovery!

[@DadWorksVA]

21 years of hobbling from bed to kitchen each morning. Tremendous pain, but once warmed up can run 5k pain free. How did you make it stop? Does this video advice make the difference- no stretching? Heel lifts? Doc say’s surgery is the *only* way to fix my haugland/heel pain. Also Says tendon is in good shape. Says he can’t believe Ive dealt with the pain this long based on my scans.

[@zerogravity6990]

Your video is brilliant and sums up everything I experienced so far. The main problem of I. T. for me is not my diagnosed mild haglund deformity I think. Never had problems until I increased training and tried out all kind of new shoes without warmup, stupid me. However, I advise a little stretching on a no pain level without dorsal flection to prevent further problems from the calve area.

[@joe94c]

This confirms my hypothesis that changing from running heel first to running on the ball of my foot brought on my achilles pain. Tightened my calves up and I don't think I stretched them properly. For years I'd been do a ton of sport, yet the pain only happened after running on the ball of my foot.

[@TreatMyAchilles]

Yes, that sounds like the likely cause. You probably just overloaded your Achilles by making the transition too quickly.

[@greghanson5696]

Thank you for doing this vid, I'm so glad I found it. I've read about stretching it and have started doing so, but I never understood how that can help. After seeing your vid I can see how stretching makes no sense.

[@kandicejewell9774]

Your advice makes so much sence, I suffered from plantar facsiitis and now haglands heel, I think it is because of my high instep, I will try the heel insert, thank you

[@samvox994]

Wow this is an amazing video thank you. I think I was doing the opposite stretching and not letting it settle I will try this

[@TreatMyAchilles]

You're welcome!

[@dodororo2791]

Thank youuuuuu You are amazing ,, i've been suffering from this deformity for 2 year , without any improvement and with wrong doctor prescription But with your valuable videos and advices i get totally better Many thanks , God bless you

[@dodororo2791]

Hi Please can you send me o photo for the best shoes to wear with this deformety And a photo for heael lift i can use Many thanks and appreaciatio

[@franklarin8100]

Wow! Really different advice from the PT sites available on KZbin. Anatomically, it makes a lot of sense. Thant you.👍

[@TreatMyAchilles]

You're welcome!

[@LuckyCharm168]

This is exactly what I am experiencing. Thank you so much for making this video! My inflammation to that area has last for over a month already. The first two~three weeks were the worst, the pump bump was tenderness with just a small touch. Then, I tried to begin walking on my heel again when it gets little better... bad idea. The inflammation got worse again. I followed some other sites' suggestion by stretching the calf using the pulling toes and also pushing the wall exercises, not helping at all. Now I understand more after watching your video. I wish I watched yours earlier. I am keeping my fingers crossed that I will not need a surgery.

[@TreatMyAchilles]

Best of luck!

[@TheWedeShow]

Thank you for this video! Just noticed some mild pain in my Achilles followed by a bump on my heel. Freaked me out. Since quarantine started I have been running anywhere from 12-20miles a week. A lot of uphill stuff included. Before that I wouldn’t do more than 5 miles a week and it would be on a treadmill. I will follow your advice and hope this bump goes down!!

[@pemawangdi8670]

Thank you so much, I was doing wrong treatment for past 4 months, no wonder never improving , now I get the right procedure hope I will get better

[@michaelshaw7113]

Fantastic advice, it’s a horrible condition & very hard to shake.

[@totallyraw1313]

Shockwave really flared up my insertional achilles pain because it basically hammers over the bursa!

[@patshaw618]

This is the video I have been searching for! Most of the other videos recommend stretching but I quickly learned that makes the pain worse. And it doesn't make any sense to me to stretch something that is injured! Plus most of the other videos seem to be pushing a surgical solution which I would like to avoid. Thank you for your insights and advice!

[@TreatMyAchilles]

You're welcome!

[@lisalacy67]

I can’t thank you enough for your videos….

[@TreatMyAchilles]

My pleasure!

[@dandolinesoldaat6543]

I am so grateful for your video. Doctor told me to do stretching and it caused me more pain. So thank you so much.

[@TreatMyAchilles]

Glad it helped!

[@Ncaa67]

Wow, that’s why, my mind has been turned upsides down!!😲

[@johnwiggins2796]

You just answered so many questions and concerns I had. Thank you!!

[@TreatMyAchilles]

Glad it was helpful!

[@jeffbensoutdoors1623]

I totally agree with you my friend, absolutely spot on . Awesome information , great video ❤

[@TreatMyAchilles]

So glad!

[@TheCatseyepub]

Very impressed with her knowledge.

[@neptuneselina1172]

Gosh this calmed a lot of my nerves I just found out I had this and thought I was gonna have to do surgery!!

[@simoanne-jz1ge]

Great video. Great knowledge and Nice Tips. You deserve a lot of success, healthy body and true happiness

[@daleolson1]

I have been using bee apitherapy stings on the sore spot of my heel. I have been having pain in my heel for about 4 months. They seem to help a little after working out. My job is very active on my feet but this was caused by hiking with a pack on. I like the idea of heel supports and bought some about a week ago. I also use a vibrating palm sander (without the sandpaper) to try increase the circulation in the heel and ankle. makes it feel better for a little while. I am desperate since I am also training to go on a 10 day hike with the Boy Scouts. Nice explanation.

[@XyZCwP]

Thanks noticed strange lump all of a sudden which has become slightly painful & annoying I googled it have been dreaded future Surgery I will fix this before that hopefully 🙏 thanks for the advice about stretching also!

[@senior.danzig]

Thank you for your advice. I will try some of your suggestions, and come back in a month or two and let you know if it worked for me

[@TreatMyAchilles]

Best of luck!

[@maxp9793]

Thank you smart lady, for sharing your knowledge and explaining things like you do! I appreciate the way you get to the point.

[@TreatMyAchilles]

Glad it was helpful!

[@1love4music4love1]

@@TreatMyAchilles can you also give some information about certain massage you can give/get for your haglund exostose?

[@SiEffen]

Thanks for this. I had bursitis in the heel a few years ago when I believe it was a footwear issue that triggered it. It flared again this summer, although no idea why. Physio has suggested I have a HD albeit without an X-Ray, just based upon the shape of my heel. Useful to hear that it's roughly a 12 week recovery period as so many things I've seen online have suggested 3 weeks! So I'm more comfortable knowing that what I've done is right and it just takes this amount of time.

[@TreatMyAchilles]

Glad you found this useful - yes, 3 weeks is a bit over-optimistic unless it is a very mild case. As long as things are slowly improving you know you are on the right track.

[@cinafernando3635]

I love your explanation; easy to comprehend. Thank you so much🥰🥰🥰 I now know how to look after my feet.

[@TreatMyAchilles]

Happy to help!

[@rohanpeiris1959]

Thank you for your so insightful video and it did enhance my knowledge on this Achilles tendonitis which I have been suffering for the last 6 months. In my case it was due to over use of my feet when I played badminton 5 days a week. I have stopped it for some time now and on treatment. I will certainly follow what you have recommended to have a silicon pad under the heal in my shoe all the time. Thank you once again.

[@GinaLB1967]

I have switched to heel less shoes but I think I got another heel spur on the bottom again. I have no insurance and work as a CNA and I am in so much pain in heel all around. Bottom and back help!

[@monamorgan8614]

Wrong, I SUFFER hourly with this and the pain is excruciating, my “bump” is the size of an egg and pushing and rubbing against the achilles tendon , my only option now is surgery or to be crippled. I will listen to her ideas and hopefully one might help.

[@andrewquick1609]

Thanks for this upload! I've been really struggling with a Haglund's deformity/Achilles tendinopathy/retrocalcaneal bursitis for a year and more. I've not known what to do about it - it would seem the stretching/loading exercises I've been doing may have exacerbated the problem! I even tried a couple of short 2 mile runs in the last week (through frustration really) and I'm hobbling around lame again. Thanks for the advice, I'm ready to try pretty much anything to assist recovery!

[@tsg_boomer5042]

Yea I'm in the same boat. I'm sick of it . I'm doing surgery. Both feet.

[@sl2608]

@@tsg_boomer5042 Do you have back of heel bone spurs?

[@luv2watch32]

Had surgery 2 days ago after years of non surgical methods.

[@ArtMusicLife15]

Thank you for this video!!! I've been to numerous docs and had x-rays and MRI's but was not given any type of advice or treatment (acutally they sent me to PT, and they made me do ankle stretches!! UGH).

[@kingarthurusatenniscoach1415]

thank you understanding the massage too, no cross massaging and your guidance appreciate it ,,,

[@TreatMyAchilles]

You are welcome!

[@zeplike5630]

Pretty good video overall, but I disagree with the recommendation about cutting out stretching. The literature does support stretching as one of the main modalities for a reason. Getting the patient out of equinus by stretching the gastrosoleal complex as well as the hamstrings can reduce the amount of pressure near the achilles tendon insertion where the pain is associated. This modality has helped many people. It's also not worked so well for many people. The actual answer is that the timing and whether or not to include stretching in a treatment routine at all should be decided on a case by case basis.

[@sl2608]

For a posterior calcaneal bone spur?

[@ragupathy.hareess7291]

Very good information. Thanks for sharing it.

[@TreatMyAchilles]

My pleasure

[@jirikadlec1058]

Thank you for a great explanation! I probably have a Haglund's deformity and experienced bad pain above my heel 6 months ago. I think I got it from running up steep hills too fast. What has finally helped me to get better: 1. Local cryotherapy to reduce the swelling, 2. Shockwave therapy, 3. Working on my balance and stability, 4. Doing achilles strenghtening exercises, 5. Wearing shoes without a hard back of the heel so that my heel doesn't get irritated by the shoe, 6. Always doing runner's alphabet before each run, 7. Taking a cold shower after every run! It took 6 months to get better but now I'm able to fully enjoy running again and run faster 5k's than before my injury. I still do avoid hills though and prefer to train on soft flat forest trails ;-)

[@TreatMyAchilles]

I'm so glad you're better! When you get back to hill running, remember to introduce it very slowly.

[@TropicofCapricorn.]

What is a runner's alphabet?

[@jirikadlec1058]

@@TropicofCapricorn. See the pre-run drills here: kzbin.info/www/bejne/mmKwgGxtjdqpiK8

[@jirikadlec1058]

lifting, kicking back, kicking forward, skipping, going sideways with hip rotation, deer jumps :-)

[@MsPorororo_chickengamer2728]

Did you perform this with pain…or you let it heal first…i got achilles tendonitis 3 weeks ago,healed after couple days..diagnosed with small retrocalcaneal spur..but it healed …flare up after few days coz of my work..walking whole day…my gp gave me prednisone, i still have pain in my right foot on the right side of achilles..sharp pain when putting load on it…TIA

[@chriscrouch449]

Thank you do much for all your great information, I have been told to do stretching which I have found really painful, I do alot of walking every day, I will now be getting something to raise my heels and hopefully this will help

[@TreatMyAchilles]

You can do it!

[@chriscrouch449]

Hi could you please recommend what would be the best heel raiser?? I wear trainers alot for work and do alot of walking, what you recommend any kind of exercise????. Thank you for your video, I have leaned alot

[@xavierlluisfuentes3779]

Thank you!!

[@TreatMyAchilles]

Welcome!

[@Mary-su8bv]

Thank you for your video. Now i realized my pain started exactly after i’ve started massively daily cycling without recovery. I live with constant heal pain for almost two years, will try your recommendations, hope not to give up regular cycling. (Although it reduced to max 2x a week now)

[@TreatMyAchilles]

Best of luck!

[@janetcrompton2109]

Had shockwave also acupuncture I’m now waiting for an ultrasound fed injection

[@JustCarol808]

Please. What do I do, this has flared up excessively (the back of my heel) I just found out I have arthritis in my knees. I can't handle wedge shoes with my knees. Trying to lose weight to help take some of the load off. I can't get into the Podiatrist until January. Doing heel lift excercises, and was doing Tylenol, but Dr. said I can do Ibuprofen (with food) I can't take Celecoxib (I am allergic to Sulfa drugs, this is what one Dr. initially wanted to give me). I just want to walk without pain. This thing hurts so badly. Thank you for doing this channel.

[@maximilianocarrizo]

Gracias 🇦🇷

[@jerseyjeffz]

Wonderful job. I'm a TV composer and fairly serious tennis player diagnosed with Haglund. Unfortunately, I was convinced to have an outpatient surgery called Tenex - but it did nothing. Went for a 2nd opinion who said to try exactly what you suggested - but also added trying an Achillotrain by Bauerfeind. If not successful, he wants to do surgery. But after hearing your clear, concise instructions I"m going to follow your course and see if I get good results. The most important piece of advice you offered was to be patient and give it at least 3 months. Great job and a big thanks.

[@chrisdavies1675]

Wow. Really helpful. I've been stretching and stretching with loads of heel drops. Going to give that a miss for a good while. Have out some heel rises in my shoes and am getting some SWT treatment. So maybe I shall run again (I've been competing for 53 years and as my knees are holding up well I want this problem fixed well before I turn 70 and enter.a new age category).

[@TheBukester]

By far the best synopsis of, at least, my problem. I'm very active - play basketball 2 times per week and run a 5k once per week. Have HD my whole life but only in the past month has it flamed up in my left side (right side also HD - fine, no pain etc). The only thing new that I've introduced is squats which she mentioned !!! Holy cow. I do Kettlebells routines 3 times per week but the program is changing all the time but my recent program has double kb squats - not high volume - 7 sets of 4 reps - certainly repetitive. I am using shoes that are soft in the back now and very loose fitting. I feel no pain during or after the squats. the basketball is very bad though unsurprisingly. I don't think the squats are the cause per se. But the heel lift is a good idea. I have an appointment in 2 days with a specialist and I'd like to know via xrays etc., what the state of my inflammation is. Regardless of the outcome there, this is heartening to know that there are non-operative treatments etc I can pursue. Be nice to know the extent of the bursitis which I am certain is the case and extent of insertional tendinopathy. What about cutting holes in shoes to relieve any friction ? running shoes and baskball shoes in my case (not all my shoes I hope :)

[@TreatMyAchilles]

Cutting holes can be useful, but please don't leave it there - go for a rehab plan as well.

[@TheBukester]

​@@TreatMyAchilles the plan is, tomorrow in fact, I'll meet with a foot specialist in a sports clinic. I'd like to xrays/images etc to see the exact state. As you say, the bump may be so small but the insertion and/or bursitis is my problem entirely. That will dictate what happens going further. If I am not happy with the interaction, I may ping your clinic.

[@TheBukester]

Update: Received a cortisone shot in the bursa area though not bursitis per se. The doctor has had some success with that but I saw the image and my bump is rather large (8mm) and the surgery is likely in his opinion, but this is his course of action. I mentioned my concern about cortisone and assured me that has never been a problem in his experience. This clinic is the house-clinic to FCK football club in Copenhagen, so I think he has seen a lot.

[@nickpepper1870]

First video addressing Haglunds that makes sense to me and will help with my rehabilitation plan. So many thanks. I assume my pain is due to Haglunds then bursitis. Lots of swelling, but specific pain. Running creates pain but other than that it improves (I'm very active). I have been hitting 80km /week, but I'll drop the mileage for now and up the cycling to balance loading. Thanks again. I'm going to watch for a second time now. I also run in Altras 😯. I'll think about introducing drop.

[@sl2608]

Altras are zero drop, right?

[@nickpepper1870]

@@sl2608 yes. Lots of tension on the achilles . I'm thinking bursitis at the moment. I'll head to a physio though. Still struggling and I want to help myself!

[@t.r.backenbaum7325]

What people Always seem to forget while talking about this condition is what Type of shoes to wear? I can't wear 99% of them due to this condition because they irritate the Back of my Heel. What works for me is: Find sneakers/running shoes with a lot of cushion in the heel and feel If there might be a plastic Heel Cup in there that can be removed. If yes, I make a Cut with a knife and tear it Out. Did this on Lots of different ones with success. With Winter Boots it's a Lot more difficult, Dress shoes are almost Impossible. I can only wear ankle Boots and try to stuff them with tissues in the back but it doesn't always work

[@TreatMyAchilles]

Yes, shoes are very very tricky - thanks for sharing this advice.

[@lindsaymcdade310]

Thank you for such a great video.

[@TreatMyAchilles]

You are welcome!

[@MainstreamDB]

Really helpful video. Mine seems to get seriously enflamed after long drives. This latest trip just happens to coincide with me transitioning to zero drop shoes and is the most painful ever!

[@aggiraffelover13]

I feel mine after driving too. Get out of your zero drop shoes! go for 8 mm at least. Brooks has good 8 mm. Solomon you can get a 12 mm. It's helped me.

[@sl2608]

@@aggiraffelover13 I'm desperately trying to find a good athletic walking shoe that gives me relief from the Haglund's pain! Brooks did not work for me. Any other suggestions, for females?Should I tape the foot in that area? Thanks.

[@dfire1029]

Man i tried to do nothing and when i played basketball it hurt alot and stopped playing and when i started stretching it i can play longer now so stretching helps a lot respectfully

[@TreatMyAchilles]

We are all different - thanks for sharing - it is all about observing how you feel in the 24 hours after. If better, like in your case, then it is OK. But the vast majority usually don't do well with it when it is the insertion of tendon that is affected.

[@joex]

this is exactly what i have!! thanks a lot!!!! super video and explanation!!!!

[@TreatMyAchilles]

Great to hear!

[@ilostsomethingonce]

When I learned how to do a toe loop (figure skating jump) I was so excited I practiced for 3 hours straight. Bad idea. Now years later, I still have the haglund's deformity bump but I don't ice skate anymore :,( I found 1 pair of high top sneakers that fit the heel cup and till death do us part, and there's no way in hell I'm gonna pay somebody to cut my achilles tendon. ouch

[@jmfs3497]

My pain started to build up after a few years of working a desk job. I think having a job where I was moving a lot more kept things stretched out. At the desk job i noticed stiffness/pain when getting up from the desk. I now wear a night splint and that seems to help, but doing the PT calf stretches doesn't seem to help. I play drums a lot, and hike a lot, and those hobbies can really agitate it. I like those hobbies enough that I am looking to see i surgery is for me. The bump is the size of a golf ball. I am continuing the conservative stuff due to the minimal success rate.

[@Ozolline88]

It all started a year ago, One day I got up, I put my left foot on the ground, but I couldn't put it down, because it hurt my heel and ankle very much, throbbed while standing, then changed and so all the time when I couldn't even put my heel to the ground, japaiet was to be able to walk, abnormal pain, even if there was no problem all the time I walked 10-15 km a day, I'm not a runner, maybe the work shoes are to blame, I do not know if I was stretched or what X-rays, plantar fasciitis, or heelspur, prescribed anti-inflammatory drugs, and physiotherapy. The podiatrist prescribed special soles that did not help, it hurt even more, I tried a lot of soles, then stretching, drinking vitamins, riding a bike, walking less, but there was stiffness in both legs + Hagelund's syndrome on the right leg + joint pain or watching your and other videos, but the heel pain passed half a year ago, but reappeared today, after a heavy load and a kilometer of walking, after rest it is difficult to start walking, but when walking then pass a little pain, but after 8 hours of work, both stiffness in the legs, maybe arthritis, heels hurt every day, I use plantar soles, because with the usual I can not work all day, my feet hurt, I did an X-ray, there are no fractures and heelspur, but the ankle bone of the right leg has a needle, broken where years ago, probably! could it be this problem, or from the lower back that is worn, the bones of the foot are worn, the tendons are guilty, feeling like a 60-year-old grandfather ??? because I don't understand why no doctor sends for an MRI ?! What do you think ?

[@mohammadrizwan644]

Hello sir I have a same problem 2 years ago are u feel better now tell me how to treatment plz

[@Ozolline88]

@@mohammadrizwan644 must use special plantar fascitis insoles,do exercises, strech all body,dont need to stay all day on feet,must change work than, must relax them,eat less meat, sugar, alchoahol,for me it is better, like it was, but still pain every day!good luck!

[@mohammadrizwan644]

@@Ozolline88 thanks reply me back God blesss u

[@ruthmahmood]

Thanks. Please guide for the exercise s too

[@janetcrompton2109]

Yes I did have surgery on my left heel surgery was tough was a full 24 months recovery then the other one has started sooo painful

[@joannsanderson4055]

I have had Achilles repair and bursa removed. The pain from this is much better but now I have this terrible pain coming from the haglund’s lump. I still have tight scar tissue at the surgical site but this is not causing pain. 😢

[@sergiomoreno5606]

Thank you, very helpful

[@TreatMyAchilles]

Glad it was helpful!

[@sterlingmanchouck4364]

hello am a master runner, at first i did not listen much but this is the best most knowledgeable advice i have heard , many years ago i overloaded my achilles tendon by running a half marathon without preparation and a doc gave steroid injection it bursted in a race in 2008 i had it stitched as it separated it has never given me trouble since but recently my heel by my bursa as you identified, started acting up i beleive with hill sprinting i thank you and wonder if just following your advice or a video session is needed so am asking is there a cost and what may that be

[@TreatMyAchilles]

Thanks for sharing! You can find more info about our services and prices here: www.treatmyachilles.com/

[@luisneira2177]

Great upload. I've been 5 months with sharp pain. Insertional tendinopathy + Haglund's deformity + tendon's calcification diagnosis, doing the wrong exercises. Don't want steroids injection yet. Will try your advice. But, what about the calcifications? how to get rid of them?

[@quimsantos5868]

I have been doing the heel raises in combination with stretches. No improvement at all. I.m going to try the heel cups. Thanks

[@TreatMyAchilles]

I would possibly avoid any advice from a doctor who says there is no such thing as partial tears...it is very common and can happen in any tendon. Good news is that they can also heal very well! So good luck with your recovery!

[@millerfamilyfitness84]

I guess that’s why calf raises with a good stretch each rep don’t feel great the next day haha I was doing more to try and make it better. Guess I am smart enough to realize that probably wasn’t helping. It’s might right one off and on for years. It doesn’t always hurt. Lately it’s been more than not. It’s fine today. But last week for a few days it was bad.

[@TreatMyAchilles]

It's actually a great sign if it is not present all the time! That means that you just need to figure out what you are doing to irritate it or perhaps what it lacks strength wise or fitness wise if that is the problem. This video also provide more treatment advice: kzbin.info/www/bejne/fmLRl5qLZsagrMk If you wanted more specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/treatment-packages

[@TheNeilo-Audiosound]

Well in my case I had a Full right hip replacement and now I have a big lump on my Right tendon which is very hard and the most painful thing I’ve ever experienced including the pain from my original hip pain so is my hip replacement the cause of this as I’ve never had this problem ever on either heel and ironically my left heel is totally fine.

[@bameysbg]

This is the most helpful information I've found regarding heel (hagland) deformity, even better than the podiatrist I saw over a year ago. Encouraging to know this can possibly be treated without surgery, which is not what the podiatrist told me. I have many questions about your treatment suggestions and would like to get in touch with you or someone in your team (practice). Do I simply go to your website to contact someone?

[@TreatMyAchilles]

Hi Brandon, I'm glad you found the information helpful! Yes, you can go to our website to book a video consultation with one of our physios: www.treatmyachilles.com/

[@najihaliraqi3838]

دكتورة ارجوكي ان الم الكاحل لا يطاق وان لدي اسفل الكعب كرة صغيرة في الكعب واحتاج علاج منك ارجوكي من بعد الله احتاج مساعدكي في وصف ابره او ارسال علاج منكم الى داخل العراق وانا استخدمت كثير من الدواء وراجعت اطباء لاكن دون نتيجه