Physical Therapist Jeff Castiglione Responds:
A Haglunds deformity is an enlargement of the heel bone (Calcaneus) of the foot. The soft tissue of the Achilles tendon may become irritated and painful with pressure on the back of the heel.
An x-ray is needed to confirm this deformity.
Without the presence of the bone deformity, it may also be a simple tenosynovitis due to shoe pressure. If it is not painful, you probably do not need to have it assessed by your doctor.
As far as going away, an enlargement of a tendon is a response to stress, often the type of shoes you wear, such as those with a rigid heel back. You can sometimes help it by avoiding the type of shoes that aggravate it, as well as some massage and stretching of the Achilles tendon.
— Jeff Castiglione, Doctor of Physical Therapy, Certified Strength & Conditioning Specialist
Jeff is the manager of AthletiCare - Amherst, which provides Physical Therapy and Sports Training and Injury Prevention services in Amherst, NY.
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