What to expect in recovery from Haglund’s deformity surgery

I’m a fitness instructor who had a partial rupture of the achilles (left) about 14 months ago. I was coaching two teams and then went to a training session for coaches. It didn’t hurt at the time but the next morning, I couldn’t even walk it was so incredibly painful. After 14 months of physical therapy, exercises, boot, ASTYM, cortisone shots, etc., it became obvious that although the partial rupture had to have healed, things were getting worse, not better.

I had surgery last Friday (Oct 2) to remove the Haglund’s deformity and am wondering what kind of recovery time can I expect? The surgeon put me in a boot and said “PWB as tolerated.” It’s been 7 days since surgery and I tried PWB yesterday and today I can say emphatically that is was not well tolerated the following day (today) as my pain level is up.

Anybody else had this surgery and farther along in the recovery process? I really don’t know what to expect and how hard to push it.  I’m slated to go back to teaching 14 days post surgery but it will only be a pilates class. At 30 days though, I’m supposed to return to teaching a weightlifting class. Is that even going to be doable?

390 Responses to “What to expect in recovery from Haglund’s deformity surgery”

  1. Your recovery time depends greatly on which procedure your surgeon performed. The classic ‘remove the tendon, scrape down the deformity, attach the tendon’ procedure has a recovery time very much like any other achilles injury, but the others are likely to heal much more quickly but perhaps be much more painful, especially the old ‘remove a slice from the calcaneous’ maneuver. Those procedures look decidedly uncomfortable.

  2. Had the surgery Oct. 2. The old detach the AT, cut about 1″ off cIalcaneal (had a nice sized bone spur), remove calcification from AT.

    Pain not really that bad, but there is no way that I could possibly be PWB.

    I have been consistent with elevation and inactivity, and it seems to have kept swelling and pain down.

    I agree, each case on its own merit, and your healing time, etc. will be different from most others. My Ortho told me 6 months, maybe longer….but I believe that I will be pretty much up and about in 4 months…I do not know how long it takes the AT to re-join/grow back into the heel, and what impact the screws holding it to the bone will have.

    I have resolved to do what I am told, when I am told….

    This was a much bigger deal than I realized…but I want to walk with no pain and no limp…

  3. I am wondering exactly what he did do. Before surgery the discharge sheet said NWB but after surgery is was crossed out and replaced with “PWB as tolerated.” I know what procedures he’d talked about and wrote down on the legal paper I had to sign

    1. remove the bone spur
    2. remove retrocalcaneal bursa
    3. debride tendon
    4. attach/reattach as needed
    5. augment with tendon that goes to big toe if there’s not enough achilles tendon left after debriding

    But since the discharge instructions changed, I really have no idea what he did for certain. I’m sure he did 1 and 2 and I know he did NOT do 5. It’s 3 and 4 I don’t know about.

    My pain level was excruciating once the nerve block wore off about 3 am that first night. For the next three days - the pain was the kind that wakes you up every half hour to every hour even while under the influence of two of those little white pills that I had my husband doling out (they make it so I can’t remember anything including when I took the last one so he got the task of dispensing the drugs).

    I am not even going to attempt PWB again until I see the surgeon for my post-op this coming Wednesday when I get my stitches out. It swells and the pain level goes back up to the little white pill level when I do. As long as I am NWB and keep the foot up, the swelling doesn’t get too bad and discomfort is dealt with by a couple motrin.

    Going into it, my PT said to be realistic and realize that it would be 12 months before I was really back to what I consider normal. However, being a type-a person and a fitness instructor, my normal is not necessarily “normal” for anyone else.

    I hear you on the I want to walk without pain. Me too. And bike and run and dance and play soccer with my kids and teach step and … just plain old get back to normal.

  4. Oh no, fitnessgennie, you’re scaring me! 12 months or longer to be back to normal, I don’t think I could do this. How do you manage weight and physical fitness by being so limited?

  5. I was told by my surgeon and PT that anytime something like the achilles is injured, it’s 12 months to FULL recovery. I expect to be able to start running by about 5-6 months. Probably not far but running as part of the physical therapy process.

    I’m a fitness instructor so I know how to modify for injuries. Not much stops me. You just have to make up your mind to do it. Upper body work can still be done - pushups, dips keeping the injured foot lifted suspended mid-air, shoulders, arms, upper and lower back, single leg squats, single leg lunges (requires a ball), pilates, crunches. There’s really a lot I can do right now. For the injured leg, I’ve been doing quad sets, and there are machines that you can use for the gluts in the gym that don’t involved the calf. I always thought those things were useless … until now.

    Once I get the okay from my PT, swimming or biking will be the first thing I’d like to add back to get the heart and lungs back into shape. I could swim using a pull buoy if I am only allowed a short about of time with both legs. That’s what I was doing prior to surgery as it was so painful to use my calf. I was already rather limited prior to surgery. Whichever he’ll let me do first, I’m going for it. And I’ve lvoe to get walking. My dog’s getting fat sitting around with me all the time.

    You’ll be fine. make a list of what you can do and figure out how you’re going to get to an fro, what kind of help you might need during workouts (like someone to carry plates and/or weights for you). Then make a plan and ask for help where you need it.

  6. I’m also a group exercise instructor and ruptured my achilles tendon snowboarding in March. I was able to stay in shape during the time I was in the boot by using the rowing machine with one leg and doing a lot of upper body, single leg and abs work. I went back to teaching full yoga classes about 8 weeks after surgery and started teaching spin about 9 weeks or so post-op. I was able to start running at 16 weeks. I would say that I was 95% recovered by the 6 month mark and I’m about 98% now at 8 months. My right calf is just slightly weaker than my left but it doesn’t have any impact on my activities. I can run, jump rope, do really tough mountain bike ride, etc., and plan to go back to snowboarding next month. I was told 12 months until full recovery, but I think if you work hard, while not overdoing it, you can cut that in half.


  7. Stacy,

    I am inspired by your recovery. I am 3 weeks post surgery and hope to be active again at 8 weeks. I tore my Achilles playing football but I also snowboard so I am wondering what you did while snowboarding to tear your achilles.



  8. Stacy,

    That is good news. I saw my surgeon today and he said IF I don’t overdo, I could very likely be back to normal by 6 months. That’s all well and good but I’m going to wait and see what the PT says as I’ve found his estimates to be pretty darn accurate. I want 6 months but I also don’t want to get my hopes up.

    I start PT Monday. I return to teaching my weightlifting class tonight. I am allowed to start swimming now as well without the pull buoy as long as it doesn’t hurt. And swell, of course. I am really, really looking forward to being able to take on my step classes again but I know that’ll be a while. Jeanie

  9. Oh I feel each and everyones pain here. I had the bone shaved off in March 2009 and then in September after the pain was getting worse I had to go back for another surgery on the same foot. This time the achilles was lengthened and more bone shaved off. I was NWB for 6 weeks in a half cast and then 6 weeks in a PWB boot. I can tell you that 5 months later I am still in pain. But its more of a calf muscle pain. I also have to have the other foot done, but I am going to wait till the right foot is 100% healed. I am sure this will be a 12 month recovery period

  10. I am at 4 weeks post surgery for removal of the Hagland’s deformity. I had it for quite a long time and after it got pretty painful I decided to have it removed. I have been in a cast, NWB the whole time. I have the cast removed in two days and hope to be able to be at least PWB by that time. These crutches are killing me, not to mention the inconvenience of having my wife drive me around. (right foot, of course).

  11. I am 16 days post surgery for Hagland’s deformity as well as having the damaged tissue from my Achilles removed and new tendon grafted on before it was reattached. I am a 60 year old choreographer and dance teacher and for the past 3 years every doctor just told me it was time to retire. That is until I found the ortho-surgeon who said he could fix things and get me dancing again. Frankly I was at the point where all I really wanted was to walk without a limp and to have less pain.

    I go next week to have the stitches removed and I am hoping to go from NWB to PWB. I hate the no driving and I HATE Crutches. It is great to read about others who have been where I am right now. I am so tired from the effort to get around and I look forward to that ending. I wonder if there are others my age who have gone through this who can talk to me about the recovery. I was swimming 5 days a week up until the surgery and although the pain was awful I was still working in the theater choreographing shows even right up until the last day. Now all I want is to get back to doing what I love and what pays the bills.

  12. Hey Bebe! Another theatre gypsy! Very cool! I’m 50 and former ABT ballerina now a teacher and choreographer. I very much related to your post!

    Ruptured my left Achilles Tendon on May 31st during a production I had choreographed of Romeo and Juliet. I was in the wings when a dancer flew into the wrong wing and I moved (deftly, I THOUGHT!) to avoid a collision. Heard a ghastly pop and thought the rubber heel on my split-soled jazz shoe had come off. But, of course, it was my AT. Had surgery on 6/7/11 and am full weight bearing in “the boot” . Hope to make the transfer to two-shoes at my next appointment with the surgeon! I would like to return to being able to demonstrate some things for class/choreography but do feel my days of demonstrating petit batterie and grand allegro are now completely done. I’m trying to be realistic about my niche as a middle-aged ballet choreographer!

    Anyway, I wish you all the very very best with your post-op recovery and return to dancing! Professional dancers are a tough breed — that should hold us in good stead!

  13. Hi Daisy,
    It is so helpful to know there are people who understand we are not “done” just because we are no longer performers. I hope you are in two shoes very soon. I have been hired to choreograph 4 show over the next 12 months so I am encouraged that local producers don’t find me too old, and they have all been willing to hire me rehearsal assistants while makes me feel my skills are still appreciated. I am also so lucky to have a surgeon who is treated me like an aging athlete instead of a horse in need of the pasture. All of these things and the tough dancer mentality are what I am counting on to get back.
    Good luck with your recovery and stay strong, And thanks for the support

  14. i had extra bone removed behind my tendon and on the side part but thankfully below it. i had the surgery on 8-26-2011 i wasnt in that much pain after 3 days or so (3 pills a day i was good). i asked my docs if i would b able to return to wrk on 9-16 (im a csm and i stand on my feet for 8 hrs a day) and they all said yes. so now 9-20 im in horrible pain. it started on 9-17 with pain starting under my baby toe working its way down the side (3/4 of the way) now after 3 days the pain has only gotten worse and im bak on pain meds which doesnt really help much. the pain has traveled to another location the front of my ankle. in the area that is worse it feels like someone stabbed me with a knife and is turning the blade. i can only walk desent if im wearing my working boots with 2 pairs of socks. anything else just isnt possible. my foot is really swollen and it continues to about my knee. the muscles throughout my leg is so sore even to move hurts and they feel like they are cramping and burning. :-(. i was thinking this pain could be related to me taking it easy for 20 days after the surgery and the only thing i wore was flip flops???? im plannin on making me a appointment come thursday. i hope nothing is wrong, i cant afford to be outta work any longer. they didnt tell me what they did and the only time ive seen my surgen was the day of the sugery. i went for me post op on the 7th and was seen by another doc and was told to come bak in 4-6 wks for a follow up, i just think that is weird. has anyone had this type of pain?

  15. Hi, I am 44 y.o. and have a surgery scheduled for Dec 30th to remove the haglunds deformity which resulted from trauma sustained 21 years ago whn i slipped down the stairs (feet went up high and achilles slammed down on the edge of the stair). I remember that pain like it was yesterday but I was 23 years old and blew it off.

    About 6 months ago I woke up unable to walk on it one morning. Dr. said immobilize it. I put it in a walking cast.

    Anyway, that really didn;t solve it - it still hurts. So reading all this makes me wonder if I should even bother to get the surgery. It seems a grim recovery and maybe even that you don’t recover at all?? My surgeon tells me he goes in from the side with hopes of not detaching any achilles tendon if possible. He’s just going for grinding down the bone.

    I am self employed and need to be able to walk preferably without a limp as I present professionally. Thankfully the 2 months following the surgery are super slow for me which is why i chose December 30th.

    What do you all think? Are you glad you did it? On a 1-10 my pain after many hours on it or walking etc is about a 4. Liveable but I sometimes think it’ll rise back up to a 7/8.

  16. Hi Dan,

    I just had surgery on my left foot for Haglund’s on 11/9/11, so it’s too early for me to tell you much about the recovery, but so far it’s been better than expected. Maybe even much better. All I can say is that you really need to find a good/great doctor, that has done these operations before and knows what he/she is doing. I feel very lucky to have found the guy that I did at Stanford. He did not have to de-attach any of my achilles, but did have to go in from both sides of my heel to clean up the “crab meat” from the frayed achilles and the bursa. He said the remaining achilles looks healthy and the attachment is good. He doesn’t expect any problems. His comments did make me wish I had taken care of this years earlier when it started bothering me.

    Here are a few suggestions for surgery day and the first handful of recovery days.

    1. Make sure the anesthesiologist uses a nerve-block on your leg during the procedure. It allows you to either get “twilight” sedation, or a lighter form of full-anestesia which is easier to come out of. In my case, I also had a procedure done at the same time to fix my big toe joint and straighten that toe (cut bone and add screw), so they had to flip me over in the middle of the operation. That required full-anestesia, but I came out of it and was fully coherent within an hour or so, and no nausea.

    2. Ask to be sent home with a nerve-block catheter/balloon-pump anesthetic system. You wear a small shoulder pack that contains a balloon full of medicine, that pumps into a catheter which is fed in through your skin to a particular nerve just above your knee. They insert this during the operation while you’re under general, so there is no pain to this option (except when you have to rip off a 12″ x 4″ patch of tape from your hairy leg). It lasts for 2 days, and I had minimal pain at any time since the operation. When it runs out, you remove it yourself and simply pull out the very fine catheter. I did supplement it with vicodin at the first inkling that pain may possibly be setting in, since I heard it’s easier to prevent pain from coming than it is to get rid of it once you have it. In hindsight, I’m not convinced it was necessary, and the headache from coming off vicodin may have been worse than the surgery pain.

    3. That would be another suggestion (in hindsight). Ask them to please shave your leg where they tape down the catheter for the home version of the nerve block. They didn’t shave mine, which is what caused my greatest pain since the surgery.

    4. Rent/buy a knee scooter in addition to crutches. It’s so easy to get around the house room-to-room. I only use crutches to get into the shower, or to go outside or up/down stairs.

    5. Get a 42″ long, extra large leg cast protector to keep your leg dry in the shower. You need the extra large size to get it over the heel of your cast. I’m keeping the same cast for 2 weeks until my post-op appointment. I certainly didn’t want to get it wet, which would be unhealthy and affect the healing. I have a bench in my shower. If you don’t, I’d suggest also getting a shower chair/stool/bench that you can sit on, and a hand-held sprayer if possible. With the extra-long cast protector, you can pull the seal up over you knee to your thigh area. This makes the seal vertical instead of horizontal (when your sitting down). Much less chance of having water leak down into your cast.

    6. Have someone around that is willing and patient enough to feed you and help you get things instead of having to get up-and-down constantly. I’m lucky enough to have an unbelievable wife, and she’s been amazing.

    7. As I mentioned, I stopped the vicodin after the second day. Vicodin did help me sleep at night, so I started taking a prescription of ambien (sleep aid) to help me sleep more comfortably through any minor pain or tingling.

    That’s all I can think of for now. I am trying to really be good about keeping my foot elevated above my heart for the first two-weeks after the surgery. I believe this initial investment will have a positive impact on the progression of my recovery by minimizing the swelling/pain. I’m fortunate enough to have a job that I can work from bed or the couch, with a phone and laptop.

    Good luck with it. I’ll try to keep you updated on progress.

  17. @edaguy, did you see Dr. Hunt at Stanford? I had the same surgery on 10/19/11 and I’m feeling pretty good. PWB with my boot.

  18. great website - i am 10 days post-op for haglund’s surgery. my tendon was bisected, debrided and anchored. there was quite a bit of bone removed.
    i seen some great advice here which i plan to use to optimize my recovery timeline. since the first few days after surgery i have not experience any great pain until the last two night when i started to get intense stabbing pain at night - has anyone else experienced this? could it be the nerves regrowing?
    additionally - does anyone have any input as to when i might be able to ride a bike again or play golf.

  19. I simply wanted to thank you very much yet again. I’m not certain the things that I would’ve implemented in the absence of the entire basics provided by you regarding such problem. It absolutely was an absolute distressing problem in my opinion, however , finding out your specialised manner you dealt with the issue took me to weep for fulfillment. I’m happier for the work and in addition sincerely hope you find out what a powerful job you have been putting in training the mediocre ones via your blog. Most likely you haven’t met all of us.

  20. Is there anyone out there whose Haglunds was caused by a complete rupture of the OTHER achilles tendon? I never regained full use of the left foot (i.e. there is no strength in that tendon although it’s been surgically repaired) and I’m scared to let them operate on the right. Will I lose total ability to walk?

  21. my haglunds deformity was brought on by a cheap pair of dress shoes. higher heel area with no padding inside shoe under heel and no padding inside of shoe behind heel. partial achilies rupture finally happened on one heel and i couldnt walk for a few months without crutches. 6 months in could limp and walk quick for short distances. 1 yr in and i could run a little without too much pain and play some volleyball. 1.5 yrs in and i could run pretty good and play volleyball for an hour. 2 yrs in and played volleyball for 3 hours straight without too much problems. i did NOT do physical therapy or surgery for AT or for my HD, but i got a pair of crocs that have slowly given me back my life. men’s santa cruz is the model for what it’s worth hope it helps someone else.

  22. Two weeks ago I had 5cm of bone removed from the back of my heel (haglunds deformity) as well as my Achilles reattached and sewn back together. So far I am still in a leg cast and am in constant pain. I have had to have had my cast changed once and would love to know how ur recovery went. In a few weeks I am getting my other foot done and am really not looking forward to it. I am an avid figure skater and I am always active, walking, running, riding my bike and skating. Hating the sitting around.

  23. I am 5 months since surgery - a lot of pain remains and a bump on the inside of the heel. Tendon was anchored back in place and a lot of bone removed. But just not understanding why location of the pain and doctor just keeps saying it will improve. Anyone have anything like this? I am worried this is how it will be forever more - which means a great big fail and mistake that I did this.

  24. Hi I had my op on 6th March 2012, bone removed, bursar that was infected and very painful and torn ATendon, large lump removed off heel was in plaster 2weeks, then hinged boot for 2 weeks,then changed the angle and boot for another 4weeks started to WB , went this week told no boot now and start to walk as much as I feel I can, but not overdo it. Have to say had hardly any problems have a great surgeon and team. But…i have done short walks for two days and my knee has given out and now i am struggling with that , so annoying as felt I was about to get back to some normality. Have been off work since December 2011 and need to return soon, I work with young children so not ideal with this sort of problem. has anyone had knee problems too post op, what would be the best exercise to do?

  25. I had surgery on February 9, 2012 to remove haglunds deformity, two bone spurs and some calcified tendon. Had a post surgery cast, then a hard cast for a total of 7 weeks NWB, then a removable boot to begin PWB for another 4 weeks. Started PT at 11 weeks and am currently trying to get out of the boot. The pain is worse now than at any point following the surgery, primarily along the incision, but the outside of my ankle is swollen constantly, while the inside swells after having a shoe on for very long. I am having a very hard time bending my ankle. Has anyone else had this problem?

  26. Had my surgery on April 25th. Went well, stayed on pain pills for three days and now only take ibuprofen when I need, mostly once a day before bed. Three weeks and I am in a walking boot, NWB. Was told that in one more week, with good progress, could do PWB and light therapy. All expectations is 7 months and will be good to go, can hit the courts again. Do have a strange pain that runs down the outside of the foot from the heel to the toe. Was told this was nerve irritation from surgery and it will go away. All in all I am very happy with it so far. 43 yoa, love all sports and was tired of limping all the time. I hope everyone recovers quickly and safely.

  27. My doc told me not to use Motrin (my fav) because it delays tendon healing. I had already used it 4 days - bummer. Advil and a few other NSAIDs are also not good. He said Tylenol only. (or something stronger if needed at night) Check with your doc!

  28. I’ve also been told (or read) that NSAIDs like ibu are bad for tendon healing. Can’t remember the source, just treating it as if it’s true now!

  29. I injured both of my tendons in 1998 and finally found a surgeon who figured it out in 2009. I had the right one done in Nov of that year. It is a long hard road no doubt. I walked too much when I got into the walking cast and broke my foot. Today I decided to call tria to have my left one repaired. I am tired of limping and not being able to run. Is it worth it? Yes, I am 51 and am not done yet. I will not let this injury beat me. I have suffered with this way too long. It is not to be taken lightly but I will not live the rest of my life this way. Surgery in September. Here we go!!!

  30. Hi all

    This is my first post…. :-)

    I have recently a haglunds exostosis surgery (two weeks ago 9th May) and must say the surgery went fine, I have had next to no pain and only took the prescribed painkillers for one day. I guess I have my surgeon to thank for that, and being so good.

    I have had my first post op appointment and there is very little swelling/bruising and the wound seems to be healing fine. I am two weeks into a three week period of having to wear an open cast and I must say limping around with crutches is becoming increasingly tiresome(!). I can’t wait to have the pot removed (28th May).

    I also can’t wait to start running again, although I have to keep reminding myself to take my time. i’m very impatient and want to get back running as soon as possible, my main worry is that I try to do too much too soon.

    I was hoping posting on here would help share my frustrations with a bunch of people who have been in the same situation. I’d be very interested to hear what others have done in terms of recovery, prevention of haglunds reforming and at what timescale is it recommended to try physical activity such as running.


  31. Hello,

    I am schedule for surgery (according to the doctor papers it states “haglunds deformity, Achilles tendons”). Of course, it is my right foot. My heel has been hurting for years but I ignored it. Until I started going to the gym and pushing myself to the limit and the pain just got worse I mastered walking without a limp even though I wanted to. My question is how long should I expect to be out of work (I’m a workaholic). And, how long before I can drive. Did I mention I am scared??????

  32. No need to be too frightened. My 18 year old son just had his surgery 1 week ago this past Friday. He will get his stitches out on Thursday of this week and is out of a cast and in a walking boot. The surgery is quick and recovery hopefully as well. Maybe this is a way of slowing you down if you are the self prescribed ‘workaholic’ that you are. Best of luck!!!!

  33. Hi folks
    thanks for sharing your stories. I had my Haglund’s exostosis surgery on my right foot on 22 Dec 2011. The surgeon went in from the medial side of my foot and removed the excess bone and bursa without detaching the tendon at all.
    Good luck TrickyTree - I think your experience so far has been very similar to mine. I had very little pain following surgery, apart from the inconvenience of being in a cast for nearly 4 weeks and not being able to drive.

    I didn’t have a lot of bruising after the cast came off although my tendon attachment still looks quite ‘lumpy’ compared with the left one and I don’t think it will ever look completely normal.

    My advice is to have physiotherapy as soon as you can and just be patient. Even though my tendon wasn’t ruptured or detached during surgery it has still taken me 5 months to get back to running again. I am now slowly increasing my running times by just a few weeks each week. Progress can be slow but its definitely been worth having the surgery as I was in so much pain in the lead up to it that I was facing the prospect of never running again.
    Good luck everyone.

  34. Hello All!!
    I had surgery for a partial achilles rupture that believe it or not I had no idea I had done. I noticed a large lump on the back of my ankle but it wasnt painful. t had been there for about a year when I noticed I was starting to have trouble pushing off with the ball of my foot while walking. It was painful and I started limping. I finally saw my regular doc in Feb 2012 who sent me to a surgeon who took one look at me and told me exactly what was wrong and that I needed surgery. I had to wait because I drive a school bus and couldnt take off 6wks for the cast I was gonna be wearing.

    He told me that he would remove the damaged part and then do a Flexor Hallus transfer from my big toe. Thankfully the tendon wasnt as bad as he thought but I also had the Haglund Deformity, and a retrocalcelal bursa and he lengthened the tendon and my flexor tendon of my big toe. Had no idea what all was gonna happen and told me he didnt do the transfer because I was so young and he wanted to leave it incase I needed it later in life. That was not something I wanted to hear.
    Had a cast for 6wks then a walking boot for another 6 weeks while doing therapy. Got boot off on the 14th of August and an ASO brace on and my heel is KILLING me. While at doc on Tues I told him about this and he pushed on tendon and asked if that hurt. Nope. Then he squeezed the side of my ankle in the back just above the heel pad and I about fell out of my chair from pain. He said well we broke that bone so thats why its so sore. I said what? Kinda sat there with my mouth open and he told me to come back in 6wks if not better and continue therapy for 6 more weeks.
    Heel and calf are really sore today and hope it is just from transition from boot to ASO and regular tennis shoe.
    Anyone else have same problem?

  35. Hi,

    I had both my haglund deformities removed on the 31/8/12, I was not put into plaster, just bandaged on both feet and given crutches. Was told to use cruthes for a couple of days! Have been back to see consultant today to have stiches removed, he was surprised to see me without cruthes but shuffling. I reminded him that he said only use for couple of days. I told him I was still in pain and walking was hard. He said that maybe I should have been in plaster after all, then said go back on crutches to start walking normally. I asked about returning to sport which he said another month.

    Reading all the other post I feel that maybe I’ve been left to get on with this by myself and hopefully haven’t done anymore damage. Any advice??

  36. Hi,everybody
    I had my surgery (no attaching the achiles with 2 little scarves at the both sides of the heel) on 19.06.2012 and now it is 3 months + after the surgery and i try to run a little bit.I do 2 km very slow run and it was ok but when i get back home i feel pain again.So I have not trained since then.My achilles is thicker than the fit one and that bother me.I am 22 and I’m an athlete and run abour 90 - 100 km a week before surgery.Wonder if I will be able to run the same mileage at quick speed again.And can someone at my age tell my how long the recovery period to go back at about 80-90% goes?Thank you in advance

  37. Wow. Reassuring to know that this condition and the burden it’s become is not isolated. Ruptured my Achilles (partial tear) playing rec league football about 12 years ago and my heel has never been the same. To be truthful, I’ve had pain in walking and running for about five years and live day to day with a lot of discomfort.

    As active as I am, and as active as my young children are now, I find myself dreading any sort of extended activity or quick sprinting. I meet their energy but I’m hurting for the entire day following.

    I’ll consider the surgery if there’s a high probability of a return to pain free activity. Not sure if I want to risk it if there’s minimal improvement or worse, complications.

    My question: Do any of you regret having the surgery?

    Thank you for your feedback. Best wishes to all for a healthy recovery.

  38. Hello everyone!

    I had my surgery about three weeks ago. It was the normal move the tendon out of the way, scrape down the bone, put everything back in order, and done. I’ve been dealing with daily discomfort for about 8 years and after a few google searches I realized this was actually something I could take care of. My doctor was AWESOME. We tried everything before surgery and nothing worked so he suggested removing the deformity. I’m pretty tough when it comes to pain and did not have to take pain killers since the surgery. How easy my post op recovery was has even surprised the doctor. I have been on crutches since the surgery and totally NWB, until about two days ago. I’m walking with a boot and a serious limp but the pain is tolerable, only taking a few ibuprofen.

    Anyway, my question is has anyone seen an extreme increase is your need for sleep? I was off of work and sleeping a lot which I assumed was mainly out of boredom, but even since I’ve been back to work I’ve been sleeping about 12 hours per night. Is this just part of the recovery?

    Thanks everyone!

  39. I am not sure what is normal, but i think this is part of the recovery. I am not sleeping 12 hrs but i wish i could. I had different surgery (debridement) 2 weeks ago, and I still can’t get a complete nights sleep because of boot and aching foot. If not for this I am sure I would sleep for 12 hrs.

  40. I have been in conservative treatment for Insertional Achilles Tendonitis since Feb. Did lots of PT on and off, all the time in pain. Doc recommended that I wear walking boot which I did for 10 weeks. Did not work got another doctor who recommended Haglund’s excession. Had surgery Oct 17th. On crutches for three weeks, then in boot alone 2 weeks and now try to walk in sandles or run shoes with back cut out. Doing PT for three weeks now. It is now Dec. 6th and I still have tightness, swelling and pain when I try and walk. Working on transfering wieght on to the heel and then to ball of the foot but every time I do this it feels like tearing on the insertion point of the heel. I was wondering if anyone else had problem with recovery like this. My surgery was just calcaneus bone and bursa removal. No repair of the tendon. Incision was on the lateral side of foot about the height of the ankle bone. How much longer will swelling continue and pain and tightness?

  41. I’m no Haglunds or Insertional Achilles Tendonitis expert, Tom Winter, but if your AT was removed from your heel=calcaneus then reattached, I think you’d be on a rehab schedule similar to us ATR folks. Trying to bear your body weight on the ball of “that” foot at ~7 weeks post-op is very aggressive, not surprising that “it feels like tearing on the insertion point of the heel”, ’cause it kind of IS!! Even if your OS worked around the insertion point, I’d back off that intensity. My blog tells a sad tale of a 1-month setback in my first-ATR post-op rehab from doing 3 or 4 1-leg heel raises at about TWELVE weeks post-op! No pain while I was overdoing, but a few hours later, it hurt more than the ATR (which isn’t saying much in my case), and it hurt for almost the full month while I returned to my hinged boot.

    My fave modern aggressive ATR rehab protocol — online at bit.ly/UWOProtocol — doesn’t “wean off boot” until EIGHT weeks post-either, and then they contemplate the possibility that the patient will have to go back to crutches for a little while. And without crutches, the boot-free “walking” is usually a very halting lop-sided gimp-shuffle that avoides all DF and CERTAINLY avoids loading the calf-and-AT with full body weight, as you’re doing (with pain).

    None of this constitutes a “problem with recovery” in my book, just unrealistic expectations about recovery.

    The duration of swelling and discomfort and stiffness varies hugely between patients. I posted a whole blog page with a title like “This Inflammation is getting OLD!”, ’cause mine lasted several weeks longer than I’d expected. The swelling brings a lot of discomfort and stiffness (and ROM limitation) all by itself, as I discovered later from a bone bruise on the shin of my OTHER leg, which ended up feeling a lot like ATR rehab — see my blog (somewhere) for details.

  42. I am 9 weeks post surgery and am now wishing I hadn’t had the surgery. Pain now is worse than prior to surgery. In the last week it has involved my heel, toes, and my calf. Sometimes the pain radiates to my hip. I was very active prior to the surgery, and was training to run a 1/2 marathon when I had to stop. Since surgery I have gone to one Zumba class, this after my doc said all restrictions were lifted., Needless to say it didn’t work out well. I am still icing every night, and almost feel as if I have restless leg syndrome now. I cannot keep my lower leg still due to the throbbing. Im very discouraged by all this. I’m 47 years old and was very actiive, now I feel like a slug and wishing I had never had surgery.

  43. Hang in, teresa! 9 weeks is still a very early and still-wounded time. I’m sure others will chime in with very similar stories that turned out well, and I’ve had two of my own and read dozens of them. Keep progressing incrementally, and try to focus on the improvements — I bet there are a bunch, buried in the frustration that there aren’t more and sooner. Try not to let the mental game beat you up while you’re almost certainly slowly winning the physical game.

  44. My best wishes to you Teresa. The hardest part is enduring the frustration, however you will get through these just hang in there. Like Norm says the smallest improvements do add up. He is such a great advocate to this blog. Ryan too. Kudos to both of you Norm & Ryan! Looks like you, Teresa endured the pain months ago prior to your surgery. It sounds to me like surgery was your best option to repair the Haglunds. Zumba at 9 weeks is a bit extreme and I’d take caution with that. There are many other ways to keep active and not jepordize the achilles. I looked at my recovery as a way to improve my body in other areas. Like: pull ups I can do 10, chest to ground full push ups 100 + no sets, picked up 1/4 inch on my biceps. So concentrate on other areas of weakness and not the weakness of your AT as you continue your AT physical Therapy. This helped me.

  45. Teresa I wish you a speedy and smooth recovery. Our recoveries are a slow process to get to where you want to be, and it can be frustrating at times. I try to focus on every positive gain no matter how small and I’m sure you are making some gains also.

    I’m 9 weeks post-op and I wouldn’t be able to do a Zumba class (Although I doubt I would of been able to do a Zumba class before surgery lol) I still have issues standing up and walking all day at my job. I’m doing MY PT everyday and my leg swells and throbs at times to, but I’m also seeing improvements in my endurance, ROM, and swelling (less) each day, and I’m sure you are making improvements also. Good luck.

  46. Teresa, I second the comments above wishing you the best. I am not yet 9 weeks post op, but know that even at 9 weeks Zumba will not be possible (although like Kevin it may never have been). I think we just need to take things slowly. I am making use of some dumbbells that have been collecting dust in my basement, and hopeful will see some results of this.

  47. Teresa, I’m a couple of weeks ahead of you and don’t feel Zumba class would be doable at nine weeks. My PT tells me this is a “managed” recovery. He’d be worried if suddenly my ROM increased to much. Follow a plan with weekly goals - sometimes those goals seem very small but it all adds up.

    The physical therapist told me my knee would flex to the wall three weeks after I started with him. He was bang on and I feel good about this progress. It would not have been beneficial (in fact it would have been somewhat harmful) to achieve this any sooner.

    Beckham took over six months to return to his sport. He’s an elite athlete with the best care and it was his full time job to “get better”.

    Unfortunately there’s not short cuts to an ATR recovery. Good luck with your recovery.

  48. I have been athletic all of my life including playing tennis, basketball, etc. More than this I have been an avid runner and triathlete having completed multiple marathons and one IronMan.
    My first Haglund’s issue appeared in my right heel many years ago. And during this time span, the pain would be present off and on. Fortunately, the pain was more off than on. I was able to manage it with rest, etc.(of course the resting part was a killer). During the pain free times, I was able to train and compete. Finally, in Sept.2011, the pain returned in my right heel and never left me. Then in March, 2012 for the first time I had pain in the left heel which never resovled with conservative management. In the spring of 2012, I went to an MD who correctly diagnosed my problem of bilateral haglund’s and calcific tendonosis of the Achilles. During these months from Sept.2011 until June, 2012, I hardly ran and had pain even with walking as well as stiffness and general missery.
    I resaerch surgeons and spoke with runners who had had the surgery. From the information that I recieved, I knew that the only way to get lasting relief was through a surgical correction. On June 18th I had the right foot repaired which included a Haglund’s resection, an Achilles debridement, and an Achilles reattachment. Then on Oct.1st I had the same surgery for the left.
    Like so many people, I was in a cast for 15 days followed by a walking boot for 4-5 weeks. I have done the PT as presrcibed. And tried to gradually increase cycling and elliptycal training.
    Now that I am 6 months out from the right heel surgery, I have had moments when the heel and Achilles have felt great and ready to run. However, there have been times when it still hurt and/or was stiff. So, I know that I am not 100% in this foot.
    The left foot is slight past 2 and 1/2 months post op and has a long way to go.
    One thing I do recall is that the surgeon told me that in 3 months I would be walking fairly well, running some by 6 months, and after one year not thinking about it anymore ( for as we all know, the pain and thought of recovery and returning to running is constantly on our minds).
    I suspect that, like most who have posted, I too am a little impatient and want to be well…..now! But, I resolve to give the healing of the heel time. I want to get back to running and hopefully competing.
    In the mean time, I will swim, cycle and elliptycal as tolerated, strenght train, and vicariously watch all my buddies run like the wind.

  49. Good luck and good healing to all, and a happy Dark Time, too!

  50. Are there any non-athletic patients out there? I read all these blogs and most Haglund surgery patients are runners
    or fitness trainers or young people. I have climbed trees for most of my life and now require this surgery on both feet. After reading these blogs I feel my career is over. I am 57
    years old and I ma sure ‘if’ I am able to recover; I will never
    be able to put my feet under that kind of pressure again.
    Also, how do I find a ‘good’ surgeon versus one who doesn’t use the best options in surgery? I live in Cincinnati.
    I have seen a foot specialist and want to do the AT removal. I feel that will besomething I never recover from and maybe the srape is the best option?

  51. I know an excellent surgeon. He is an orthopedic surgeon with a fellowship in foot & ankle with emphasis on achilles problems and treatment.
    Dr. Benjamin Stevens with Springfield Clinic Ortho. Dept Springfield, Il. I ruptured my achilles 12/15/12 and am currently in his care.

  52. kahome, re. your pain and stretching 4 months post surgery……My physician and phyiscal therapist had me begin stretching as soon as my cast was removed at 15 days. The initial stretching was easy, gentle, and invoved minimal range of motion. As time passed and as more healing occur, the stretching became more aggressive. My right foot is 7 months post surgery, has full range of motion, full stretching without pain, and full walking without pain. I believe that it is 95-98% well. My left foot is 3and 1/2 months post surgery. The stretching has become fairly aggressive, range of motion about 80-90 of normal and my gait at times normal and at times still painful with a limp.But, I can see improvement and have hope of a well left leg in 1, 2, or 3 more months.
    I have been told that 3 months after surgery there is little chance of the Achilles pulling off of the heel where it was reattached. I don’t know about a rupture. I supose if you put enough force on it that it will rupture.
    Anyway, this is a long slow process to recovery and wellness. People that I have personally spoken with tell me that, given time, they were well and back to full activity.

  53. I had partial rupture of Achilles surgery on 12/31/12.
    I was none weight bearing for 3 weeks and started physical therapy on 2/9/13.
    Whenever i have pain in my foot and ankle I know it’s time to put my foot up.
    I have decided , after a lot of frustration that I really like my foot and that I must listen when it’s hurting. Does not help to push through to get things done. Its a good lesson I suppose. I just hope that everyday is a little better.

  54. Cuda, thank you. I’m going to consult with a surgeon (2nd opinion) next week. After reading the above I’m totally freaked out. I am one to follow the Drs. order as well. The 2nd surgeon has done surgeries on many people I know. And is also very well respected as a “perfectionist” when it comes to his procedures. I work at a prison and ground pound on concrete daily. Climbing stairs and running to emergencies is a part of life. 15 years of wearing safety shoes that are rigid have ruined my heels and I have the wonderful Haglunds Deformity. I don’t want this surgery to end my career so I’m nervous. But I believe with the right surgeon and proper aftercare I’ll be good to go… hopefully!

  55. Hi,

    I was scheduled for Haglund deformity operation this coming 14 Mar. I would like to know how the procedures or how operation process goes.

    The doctor I consult said he will chop off a chuck of calcaneous bone and no injury to the achilles tendon. He told me I will be admitted in the hospital for 3 to 4 days and will be on cast for period of 3 weeks before starting physio therapy. From what I read, I think 4 weeks recovery period sound impossible. May I know your opinion/what is the expected time frame for recovery.

    I had been having swelling around the area where the calcaneous bone protude to my tendon.

    Hope someone could clear my doubts.



  56. I had arthroscopic Haglund’s repair and some debridement of small partial tears of the Achilles on 2/27/13.

    At my first post-op check-up, the surgeon told me to start stretching the foot and moving my toes and working toward being able to put my foot in a walking boot. That was at 8 days post surgery and I was stunned as my foot was still very swollen and tender, I had no range of motion and could barely wiggle my toes.

    I’m 15 days post-op and completely non- weight bearing. I start physical therapy tomorrow.

    I have had some improvement in ROM of both the foot and toes, but still cannot stretch my foot to 90% and feel like I am pretty far from being able to put my foot in a boot. My foot, and toes especially, are ice cold much of the time and still swollen. My big toe in particular feels like it has cords pulling on it. All of my toes feel very strange.

    After some stretching, I have felt like progress was made, but each time I stretch is like first time again, I don’t seem to retain any gains.

    I wish the doctor’s would spend a little more time explaining what to expect in terms of sensations and abilities. I’d appreciate it if someone who has been through this could tell me that this is normal, that I should not be able to flatten the foot yet and that the tingles and pulling and freezing cold foot etc is normal. I appreciate any experiences that members would like to share. Thanks.

  57. The tingles and pulling seem to be normal as I experienced them in the first few weeks/months and now don’t. I don’t know about the cold foot though. I’m recovering from surgery on the other foot (2 weeks) and my foot is pretty warm. However, I am in T3xas and the outside temp is pretty warm so I’m not sure if that’s a factor. Most doctors just see patients for a few minutes a few times after surgery. I think your physical therapist will be able to help a lot in determining if anything seems out of the ordinary or is concerning.

    (Haha…I just hit submit comment and it says: “Sorry, your comment has been rejected because it contains one or more of the following words: t3xas.

    Please try posting your comment again, but without these words.” But I spelled the state name correctly.

  58. I am a very active person, marathoner, Physical Education teacher,and 55. I am in excellent condition except for the haglunds etc.. Which has hobbled me. I haven’t been able to “push off” for the last year and have tried all other conservative measures to no avail.i miss running so much and I could cry when I see people popping out at the start of our spring here in the northeast with their running shoes on and a hop in their step! So, I have met with a. Physician in NYC. from HSS. I am so frightened about the surgery. Are there any recovering runners ( senior runners my age) who have had the surgery, are glad they did and are back to running and activities? Has anyone used docs from the Hospital for Special Surgery in NYC.?Please advise.

  59. Hello All ~
    I had surgery on January 28th for Haglund’s Deformity with Achilles debridement/repair. I had started marathons just last year and progressed quickly to runs of up to 40 miles until razor-like pain in my heels sent me to a local clinic. That doctor told me I would never run again. After a few more doctors and some physical therapy, I got a referral to see a specialist in this surgery.
    The Orthopedic Surgeon I see treats many athletes. in fact, our main goal with deciding on doing the surgery was to get me back to running trail marathons. I should add that i had this very same surgery at 12 which sidelined a very successful soccer career on a traveling team. I didn’t do more than jog for years.
    My main point here is to pass on is part of his post-surgery treatment plan, which has proven to be successful for the athletes he’s treated and I hope for myself.
    He has a very strict post-surgery protocol that includes absolutely NO weight bearing for 8 full weeks. I came out of the cast at three weeks out and into a boot to protect and immobilize my foot and heel, and I am allowed to stretch it a little every day, but not to move it more than 30 degrees and to avoid attempting a neutral 90 degree position.
    I am at six weeks and feel very strong in that when I do stretch it for just a few minutes every day, the mobility continues to increase in all directions without forcing it and completely without pain.
    In light of the education they’ve provided me,I feel strongly that this is the key to healing well and look forward to walking with the boot and physical therapy in two more weeks.
    I have great confidence in my doctor and physical therapist in their estimation that I could be running half-marathons non-competitively by the end of summer.
    Really the key seems to be to get a really solid healing process completed on that Achilles where it was detached in avoiding later injury or setbacks in the recovery process. I spoke to two semi-pro athletes that work for him who had the same surgery and they said the same thing.
    So ask your doctors - rushing to the weight bearing stage could be crippling and defeat the purpose of the surgery entirely creating other problems or sending you back to square one with a weak non-functioning tendon.
    Good Luck To You All ~

  60. Fascinating, MM! I wonder if the Haglund’s surgery — or having an AT that’s surgically reattached to the heel bone — is different enough from normal ATR surgery (not to even MENTION non-op ATR treatment!) that a very different rehab approach is optimal. It would be great if your OS put his opinion to the test of a randomized trial, or at least published his non-randomized results, maybe demonstrating that they’re better than the published early-WB results.

    Have you seen the studies on early post-ATR-op WB, on this site’s Studies and Protocols page? I don’t find them a total Slam Dunk for early WB, but they don’t seem to give ANY support to your OS’s theory that 8 wks of NWB brings any benefit at all. Again, those are random normal ATRs, not Haglund’s ops, and maybe few or none had the AT reattached to the heel bone, and maybe that makes a huge difference.

    But at the very least, it seems dangerous (& a major nuisance, too!) to apply his theory to post-ATR-op patients. And for post-ATR-NON-op patients, it seems pretty clear that 8 weeks of NWB immobilization is poison, directly associated with the unacceptably high rerupture rates of our parent’s (& granddad’s) “conservative casting” for ATRs. A new metastudy of op vs non-op (Feb. 2012) presents pretty solid evidence for that relationship: rerupture rates are comparable between op and fast non-op (e.g. like bit.ly/UWOProtocol ), but SLOW non-op patients had 8.5 more reruptures per 100 than post-op patients. Again, not Haglund’s patients.

  61. Hi, I had Haglund’s surgery Oct. 17th and am experiencing a very slow recovery. My surgery was non orthoscopic and was on the right heel laterial side of foot, incision about 1 inches. I was in a boot for 4 weeks after and then hobbled around until I noticed that the scar was not healing like the doc said it would and sure enough it was oozing pus and was infected. This was third week of Dec. I was on anti-bios for 4 weeks - a kind that clears up urinary tract inflections. After that I had lots of swelling in the heel especially on the incision side and the scar did not settle down at all. After any sort of stretch the whole heel would swell bright red like a ping pong ball was growing out of my heel. I had almost constant pain most notibly at the center of the heel just above the fat pad. Motion was possible and even enjoyable but I would pay for it after a couple of hours and the pain would be very sharp,very scary. An example of a pre and post surgery symptom was pain in the lower rear heel when I pushed the accelerator driving the car (I use to drive my car for the better part of the winter with my left foot). Recovery was unbelievably slow with no progress for months. I could do PT but eventually failed all my goals. The most freightening part was having to consistently lower my PT exercises to littler and littler. Eventually I gave up PT and went to riding a bike with low tension. I would ride almost everyday for an hour and even rode on the streets. However walking was still very discouraging as I tried insoles and boots and lifts (never ever effective) over and over in very combination. The docs (2 opinions - I have seen through my whole ordeal stretching back over 1 and half years now, 5 surgeons, 1 foot doc, 2 PT’s, and an acupuncturist) now say that the next step is a reattachment surgery which I have been trying to avoid. I really don’t know if the surgery was necessary but I did have an enlarged bursa and now that is gone. Pre surgery I wore a boot for 10 weeks and that seemed to do nothing - and it was very painful so I wonder about the effectiveness of that. I would have like to have gone much, much slower on the intial PT when I did not know what type of Achilles problem I had. I wish I would have known it was insertional right off the bat and rest much more than I did, but rather on advice of one doc. doing non-insertional PT stretching. I think a good treatment for me would have been light stretch with bike work and the bike work before stretch. Looking back I can’t believe trained PT’s had me doing stretches like weighted wall squats without warm up first on the bike. Looking back I would stop a lot of the stretching and go to non load movement. Also post surgery it is important since we are not talking about a big area there to make sure the scar is loose and not attached or swollen too much as you will get referial pain causes you to tighten you calf muscles which only leads to more stress on the tendon. Another very important thing I have discoveried just recently is that as long as you cannot rise up on your toes as you would in a normal walking gait, you will be putting further stress on the tendon as you walk peg leg. This is to be avoided I think as walking like just puts more tension on the tendon and you will be doing yourself more harm than good. I think a lot of this situation occurred with me as I walked durnig the summer in the boot. I think you have to keep the leg/calf/foot active and lengthening but you also should avoid too much direct pull on the achilles as it needs to heal first. I would be very interested in what other think of my observations.

  62. A follow up report….
    It has been 9 and 1/2 months since I had my right Haglund’ s removed and Achilles Tendon debridement and 6 months since the same sugery on the left.
    This entire process, to say the least, has been VERY long but expected. I can say that my right foot is 100% recovered. Only occasionally I have slight stiffness in the Achilles after getting up in the morning or after resting from a workout….sort of normal I believe.
    Now the left foot which has been 6 months……At times I have no pain at all, at other times mild pain. So, almost 2 weeks ago I begain to walk/run with short, slow running intervals. I have done this 5 times. Afterward, my Achilles and heel are a little sore and again the next day as well. So, I say to myself “should I continue hoping that this Pain will burn itself out or should I back off for a few more weks and restart?”
    Since the last time I ran was on May 19, 2012, I am eager to get back at it, way too much lost time. So, right now I am planning to continue the walk/run hoping the pain eases and the muscles become stronger which will lead to more running without the walking.
    I also want to note that I am cycling and ellipticalling fine without pain.
    I hope these words serve to encourage others as time, proper PT, and slowly progressing back will get the job done. These orthopedic issues just take a very long time to heal and then to regain the strenght needed to function properly.

  63. Annie:

    I am 65 and been running with a severe heel tendon problem for several years. I took a year off and tried alternative treatments with no success. Three weeks ago I had surgery. The heel was opened up, the tendon detached, the heel bone was chiseled down and reshaped and the tendon was re-attached. Pain pills for two days and no pain after that. Cruches for an estimated 90 days but I heal fast so hope to shorten that time line. If I could go back and redo the timing I would have opted for the surgery 16 months ago. Looking forward to get back on the road this summer. Go for it!

  64. I am 65 and been running with a severe heel tendon problem for several years. I took a year off and tried alternative treatments with no success. Three weeks ago I had surgery. The heel was opened up, the tendon detached, the heel bone was chiseled down and reshaped and the tendon was re-attached. Pain pills for two days and no pain after that. Cruches for an estimated 90 days but I heal fast so hope to shorten that time line. If I could go back and redo the timing I would have opted for the surgery 16 months ago. Looking forward to get back on the road this summer. Go for it!

  65. Great blog. I am six weeks post-Haglund’s, Achille’s tendon repair and bursa removal. They removed a lot of bone and cartilage. I was in the hospital overnight post-surgery, and had a half-cast put on the next day. Stitch removal and a new cast at 3 weeks — I was healing very well. I get my second cast off next Tuesday which will mean 7 weeks NWB. The pain was minimal after 3 days and I stopped my “little white pills” after 5 days. My biggest problem has been emotional with the NWB. I can’t use crutches so have been using a roll-about. But I was ordered to not shower to protect the cast, so I have been getting sponge-baths from my spouse. Luckily I have been able to work with transportation hassles of not being able to get my scooter in and out of the car. I am a minister and can preach sitting down. My world has shrunk to the first floor of my house and occasional car rides. I am not an athlete but was in the process of a major weight loss program. Luckily I have even lost a few pounds since I have been paranoid about food intake. I can’t wait to get stationary cycling, ergometer at the gym and weight training. I really think we have to bring our patience along when we get this done. I determined to do as the Dr. ordered (I had mine done at Mayo, which is near where I live), so I know he is excellent. But the impatience and emotional part is the toughest.

  66. I´m having my Haglund surgery next week and i am scared to death of your storries. 12 month recovery is a long time. On the other side, I have been in pain the last 1½year and I have realized, Haglund won´t dissapear without surgery.
    For the last ½ year I haven´t been able to wear shoes and now I can´t nearly walk.
    I am from Denmark and doesn´t understand all your acronyms. will you please tell me what NWB, FWB, ROM, OS, PT is?
    What about stretching, is it a good idea? I get som many different oppinions from the doctors.

  67. @ birgitte

    NWB- Non weight bearing. Applying no weight to this foot while using crutches, walking, etc. Only using your healthy foot while in crutches.

    FWB- Full weight bearing. No crutches, ability to stand on boot feet in a healthy way.

    ROM- Range of Motion.

    OS- ? Sorry, I’m not sure what this is either..

    PT- Physical Therapy.

  68. OS is otrtho surgeon

  69. I just found this blog yesterday, and I am thrilled with the content. I have had Achilles tendonitis for the past several years with a couple of “huge” (as my podiatrist put it) heel spurs. I have never heard the Heglund’s condition mentioned, but the surgery sounds like what the podiatrist said he will do for the tendonitis.

    I first went to the podiatrist about my Achilles pain in 2009. I went through all the treatment….PT, boot, night splints, etc., but I really got no relief from the pain. He then told me I needed surgery, but I decided against it and never went back until just last month. I finally realized that this wasn’t going to get any better and it was becoming very, very debillitating and causing some serious quality of life issues. So back I went to the podiatrist and he immediately said (again) that I needed surgery.

    I don’t know anyone personally who has had this type of surgery, so it is great to hear about others’ experiences. I am going to go to an OS that specializes and feet and ankles for a second opinion to make sure the surgery is necessary. Who knows, I may feel more comfortable having him do the surgery….don’t know about that yet. I’m trying to mentally prepare for the long recovery. Ugh!

    Thanks again for all the information. I would love to hear from someone who is 12 months post-op to make sure full recovery is in the cards!

  70. Anna,

    I had the surgery for a similar injury May 20 after three years of Achilles issues. The doctor cut off a huge chunk of bone, repaired the torn Achilles, and inserted four screws.

    My doctor could not guarantee a 100% back to running marathons recovery. She did however say that biking and hiking were probably a sure thing.

    Have you had a MRI? I would definitely recommend an OS for this type of injury. Ask a lot of questions.

    Like you, the bone spur was affecting daily activities and quality of life. Walking, going up stairs, gardening, driving, and lifting were all painful. I am feeling positive about recovery! Next week, I am going to start putting weight on my leg to get off the crutches. Physical therapy is helping my range of motion. I’m taking it day by day.

    Hope this helps. There are others on the blog who have recovered successfully from this type of surgery.

  71. Hi all, I was currently in the process of joining the army but started to get pain in both my heels. I later found out I was haglunds. I have been to see a doc and they are doing the surgery on one foot at a time. my op date is mid august and im nervous as hell… It has been my dream as a child to join the Army and since this I feel like I have hit a brick wall. The doctor said that he doesn’t feel wouldn’t need to remove the tendon to remove the 2inch pieces of bone. My main worry is. will I be able to run again ?and also how long do you feel it would take until I will be fully recovered ?

    thank you

  72. I am not alot of help in talking recovery as I’m only one week in recovery. Can only say do not be afraid. Surgery was ok with minimal pain afterwards. Intending to do as I’m told despite the frustration. Have first appointment post surgery on Tuesday, there I will find out the extent of the problem and care plan involved. Wish me luck!

  73. Hi, I am now 5 weeks after my surgery and I can only say the same as Francess, dont fear the surgery. I nearly had no pain and only got pills the first two days.
    Via arthroscopic surgery the surgeon removed a large piece of the heel bone. Released achillles tendon, shaved it down and removed the bursa.
    The operation was 1½ hours, I followed it on the monitor and was in local anesthesia.
    After 3 weeks without any NWB i started at my PT and everything seems fine. I train every day, especially agility and movement in the ankle joint. A little more weight on the leg every day, now about 25%.
    But be patient, this is not 6-8 weeks, rehabilitation period is probably closer 6-12 months.
    If you realy have pain and have a Haglund, don´t waste time, don´t fear the surgery. Good luck to everybody.

  74. @Joshua
    At my operation they did not need to remove the tendon from the calcaneus and reattach. There was plenty af space to remove the heelbone deformity.
    I just had a lot af scar tissue they had to loosen and “shave down” at the tendon, before they was able to remove the the Haglund.
    I think the rehabilitation is much easier if they keep the tendon intact.

  75. Hello, thanks for your comments. Im also only 20 and from what my surgeon said he is shocked to see me in there getting the surgery at my age as he said he ha never seen someone of my age in the surgery with this problem. Im going in the surgery tomorrow for a pre op assessment so should find out more about tomorrow. Im expecting surgery in about 3 weeks.

  76. Its been 7 weeks since they removed the bump and part of my heel bone. I start physical therapy tomorrow. Just got the cast off on Monday. The side of my foot is still numb and when I put a little weight on it or extend it out straight, I have tingling in my side of foot that is usually numb. Is this normal? How long does it take once you start physical therapy before you can walk without a walker or crutch?

  77. Fitness Genie,
    Had the same surgery 10 weeks ago. The numbness and tingling are typical. My PT described it as the nerve endings getting back to normal after inactivity. I was NWB for six weeks. It took about a week to shed the crutches. PT is really helping, ROM back to normal except when my foot turns up. You’ll be amazed at your jump in mobility during this phase. I am up to 3 mile walks in the boot and am using a spin bike daily with a little resistance. Soreness and swelling at the end of the day are also normal per therapist especially if you are working full time. (I went back to work the week after surgery) If I wake up in the morning with soreness, I ease off for the day. So far, this strategy seems to be aiding recovery. Icing is also part of daily routine. Good luck in your recovery!

  78. Had my first PT appt. He has me doing stretches and moving foot in circles to increase ROM. Im still scared to step down into my heel since it is tender. I can tolerate weight on my toes. Still a bit of swelling so dont want to push it. Should I still use the knee walker or just go for it and use the walker? Not too stable on the crutches.

  79. I’m 65 and not athletic at all. I’m tired of pain when walking and I want to continue to travel internationally for a lot more years to come. I’ve had custom orthotics (from podiatrists) for years. I finally decided to consult an orthopedic surgeon (specializing in heels and ankles) who was recommended by my dermatologist.

    For people like me, I’d suggest a physical therapy appointment BEFORE surgery to learn how to use the crutches. My vanity was a bit hurt when the therapist suggested I might want to use a walker after surgery because I wasn’t very steady on the crutches she had me practicing on. I’m so glad that I borrowed a walker and used it for the week that my foot and leg was in a splint. It gave me confidence that I’d be safe as I walked around in the house. When using crutches I learned a little “ditty” to remind me how to go up and down stairs. “Good leg goes UP to heaven. Bad leg goes DOWN to hell.” I’m still whispering it to myself since it’s only been 2.5 weeks since my surgery.

    Good luck non-athletic friends!

  80. Now it is 9 weeks since I had my surgery. I can walk slowly now (some rigid) and do my PT exercises every day. I think I’m making great progress.
    I have a big problem, one of the main reasons why I got the surgery, I still can not wear shoes with heel caps. My skin and the entire heel area is very sensitive.The doctors said, before the operation, it was because of the highly inflamed bursa and Haglunds but now it is removed, and I have the same pain?
    It’s summer, and I can use sandals and “Birkenstock” slippers, but it’s hard to do proper cycling and other exercises without heel caps. And autumn and winter is coming too …
    Do you have any suggestions and is there anyone here who has the same problem?

  81. Just got the surgery done yesterday and was home within 10 hours of arriving at the hospital. Im currently in a cast from the knee down and have crutches. I can safely say that the pain is not at all bad as I expected and have only had one paracetamal. Im going back in a couple of weeks to get the sutchers out and get a walking boot. so im hoping that this wont be a long recovery.

  82. 8 days post surgery, 31 years old, had right heel fracture and surgeon removed calcaneal exostosis, shaved heel down, and was more involved with achilles than previously thought; pretty sure we had to anchor (re-anchor?) the achilles. At any rate, no real need for the pain killers since day two or three and I want so badly to put weight on my foot but my achilles feels short/tight and weak when I put even the slightest pressure on it. No cast, just walking boot (and crutches). Anyone remember this stage of their recovery? Limited to no swelling, getting stitches out in a week (hopefully). I know I won’t be playing basketball for a few months still but I want to be at least PWB where I can get out of the house and do something (upper body workout at gym, etc).

  83. Update: Week 14
    Never got a blog so I thought this may be useful for those of us who have had Haglund’s surgery and repair. In my case, this was a running injury. The tendon was partially torn last August. I had to wait until finishing college up in May to have surgery. This has been a long journey!
    Walking has been going well. I’ve progressed to five mile hikes with some incline. Stationary biking seems to loosen up the AT quite a bit. I’m starting to stand on my bike with more and more resistance. My PT has included the stair climber for short periods as well. In the past week, I’ve lost my limp for the most part and seem to be walking much faster. Planning on going for a couple of steeper hikes this weekend. Can’t wait to start running again! The swelling and pain has decreased a lot in the past couple of weeks; being active (within reason) seems to be helping recovery.

  84. Cuda,
    Follow up…….it has been 14.5 months since my rt. Haglund’s and Achilles’ tendon surgery and 11 months since the left was operated upon.
    I started running late March with a gradual build up from walk/ run to run only. I built up to 3 or 4 days a week of running with a longest run of 12 miles. Also, I did several successful Brick work outs with the longest of 24 miles on the bike followed by 5 miles of running.
    I was doing well and could not have been happier as the heel and Achilles pain had totally resolved, and the mild stiffness I had in the Achilles had settled down as well.
    THEN I had a bike wreck 4 and a half weeks ago which caused iliopsoas tendinitis, left side.
    I could not be more angry with myself. I was doing so well. Now I am rehabbing this injury.
    Anyway, the point is that you will recover from heel and Achilles’ tendon surgery with good return to physical activity. It just takes TIME and PATIENCE.

  85. Little update, got the surgery on the 19th august and got my cast and stitches of last night. I have been put into a walking boot and have been told I should be able to walk without the boot in about 3 weeks. my foot is quite swollen and also feels weird, I cant really move it that much too. I hope it wont be too long as I need to have my right foot done also.

  86. It has been 11 weeks since I had the surgery for removal of bump, deattach achilles and partial removal of heel bone. The incision is not completely heeled and it is very tender. After being on my feet (I work retail) for a couple of hours I am in lots of pain. Im taking morer pain pills now than I did after the surgery. Is this normal or what should I be doing besides my PT exercises to get rid of this tenderness and speed up the incision healing time. Tired of hurting.

  87. Hi Karen, we are approximately the same place in our rehabilitation. I had my surgery on June 20.
    I am also frustrated,worried and in lots of pain. The first weeks after surgery went well, I thought “okay, no pain… 3 months and you walks perfect”.
    When I started at work after 7 weeks and walked regulary the pain started in earnest.
    I am also taking pills almost every day now and sleeps 1½-2 hours after work, totaly exhausted. The calcanius bone is extremely sensitive, I almost can´t wear shoes (not heel caps at all) and even socks hurts. Achilles is thick and sore. I am training by a physiotherapist once a week and are in gym with weights and elastic bands (light)) twice. Cycling and rowing is fine but as soon as I get weight on the foot, walking, standing, it hurts. Ballance exercises are very difficult and I still can´t stand on one leg. It is also very difficult to walk down the stairs.
    It is hard to know if you train too much or too little? My PT says ballance and strength is the most important, but it hurts. Next week I’m going to 3 month review with X-ray and ultrasound. I fear inflammation.
    Maybe it is “normal” with the slow and painful rehabilitation? I need good answers from the doctors next week.
    Sorry for my spelling :-( I am Danish

  88. I went through a similar phase in my recovery. My work required that I was on my feet all day long. My foot would get profoundly sore and by the end of the day I was a wreck. But slowly, with each passing day the pain seemed to subside. I’m now at week 12 and I’m mostly pain free. It still gets sore but less than it was 2 weeks ago and much less than 3 or 4 weeks ago. So hang in there, if you have no complications you’ll notice your improvement. Another challenge is working out the scar tissue, that too will come with time (and effort).

  89. Hi all, this is my first post. My husband has this condition and has a doctor’s appointment next week. The surgery….yikes! Don’t know if he is up for this. He has been plagued with pain from this “bump” and even sidelined from work and golf for weeks at a time off and on for the last 5 years. My question is what type of doctor preformed your surgeries ? Podiatrist or orthopedic surgeon? My husband went to an Ortho doctor in June and he really didn’t seem too interested in his pump bump. But my husband woke up Friday morning and could not walk or find a comfortable position. There was no injury or excessive walking in the days leading to his pain. He works a very physical job. Any thoughts?

  90. Hi Mimi,

    I had tendonosis of my right achilles (microscopic tears from overuse) for about 14 months before I suffered a partial rupture this summer simply walking around. I don’t remember doing anything specific but all at once I could not take another step. I had surgery to fix it about 30 days ago and may start physical therapy after I see my doctor this week.

    I’ve heard of people suffering with tendon issues for years and it’s very difficult. I’d advise your husband to find the best surgeon he can — one who’s done this procedure many times and has had high success rates.

    I had an orthopedic surgeon who specializes in ankle/tendon issues do mine (I live near Philadelphia, Pa.) I saw a podiatrist for over a year for my tendonosis and was very disappointed with his care. As I approach my 30 day post-op mark I am glad I had the surgery and glad I chose a good doctor because it feels like finally — FINALLY — I am getting better.

    I will tell you that the first few weeks post-op were difficult because I’ve been on crutches — the first two weeks non weight bearing on my operated foot. Now that I’m almost one month post-op i am able to put weight on my operated foot and am looking forward to starting physical therapy.

    Like many who’ve suffered with Achilles tendonosis/tendonopathy, I did try a non-surgical approach for over a year and, while I’ve read it does work for some people, it did not work for me. Five years is a very long time to feel so badly with an injury that has a very good surgical success rate. (i’ve read 85 percent or greater).

    While recovery can take months, this is a procedure that your husband really must consider, especially now that he’s become disabled by his condition. If he finds a good doctor and gives himself time for recovery he can get better!

    Best of luck!


  91. So now it has been 4 months. Tomorrow I am having a pet bone scan because of the pain after surgery. Still have scab on incision. Having to wear open backed shoe but even those hurt the heel. Just want to get back to normal. I am stiff and rigid when attempting steps. Balance is not real good but I do get along well with dealing with pain at same time.

  92. Hi I had revision and debribement with reduction of haglunds done on 8th October. I had similar surgery 7 years ago but back then my achillies was disconnected and reattached and was off my feet with crutches for some time………
    This time round I was in and out of surgery same day, a thick support bandage on and told could partial weight bare as tolerated, given no crutches even though I am of a large heavy sized person and told to rest it up all the times when sitting. 10 days on I have coped with the hobbling at very small intervals, but my biggest concern is reading others mail that I should not be weight baring.
    I was told stitches would be removed 2-3 weeks post surgery, yet my dressing 10 days on has not been removed to even see if the foot is heeling without infection (This is not normal to me but it was what I have been told).
    The foot is getting worse to walk on as it appears to be getting stiffer and giving me more pain when at rest, but maybe because I am on my foot more now but still resting it up a lot as directed. I am putting this down to the fact that the stitches are probably getting tighter and hopefully nothing else.
    I was told that it should be fully functionable for work in 4 weeks, and this is with the consultant knowing I work 13 hour shifts at time, on my feet all day. (I am not seeing how this is possible at present, but hoping his optimism is right).
    Enjoyed reading everyones blogs here, and look forward to some more soon.
    Thanks and Regards Moira. x

  93. I am a real person, and definitely not a spam script.

  94. Moira, I had very similar surgery and I’m at 9.5 weeks. I can not imagine standing for 13 hours. After working my part time job just in the mornings and I sit more than half the time, I immediately have to come home and prop up my feet til the pain subsides. I think it would be impossible to stand that long at 4 weeks. I also got my stitches removed at 2 weeks but they changed the dressings at 5 days! I was completely NWB the first 2 weeks. My stitches got infected at 6 weeks and I had to go on antibiotics and my body rejected the Vicryl sutures. I still have a suture abcess lump that apparently will go away on its own. I’m now in shoes but still hobbling. It’s a long road to recovery. I started PT last week and I think it is helpful. I do all the exercises and stretches they gave me on my non PT appt days. Good luck in your recovery. Hope all goes well. Oh and I had to keep my foot elevated almost all the time the first 4 weeks.

  95. This is a great blog to read. I appreciate reading all of your stories. Hopefully mine can help you out.

    I’ve had this surgery on both heels. My first one was in late December 2011. I was 35 at the time. I was in a cast for 33 days. After that, I started walking in a boot for 2.5 weeks. Around the middle of February, I was placed in a shoe. By march, I started to do stair master work and hike. By the end of April, I was back in shape. However, I did not start running until that fall. As of now, I am extremely happy with the results. This was on my right foot.

    On September 20 this year, at 37 years, I had this done on my left foot. There was a greater spike in the bone that grew than the first one. It’s now day 37, and unfortunately, I am recovering slower. I’m in a boot, but only pwb now. It hurts too much to walk. This may happen next week. I am a little scared because the process is slower. The pain is mostly a dull pain on the outside of my ankle. Hopefully, this is normal.

    I had the same doctor do both operations. Any feedback would be greatly appreciated. Thanks

  96. Pete, all I can really say is “Hang in there.” I know how much my spirits were buoyed by my faster and more painless progress during my second ATR rehab, compared with the first. So I can just imagine the bummer of having the second “identical” rehab go slower and hurt more. With luck, it’s just part of the random variation — not just between PATIENTS who are “all different”, but between LEGS that are, too! — and it will all come out fine when everything finishes healing.

    One thing I’m pretty sure about: Speaking from >30 years older than you are, and having gone through two similar rehabs pretty successfully not that long ago, I’m pretty sure it’s not advancing age that’s slowing you down! ;-)

  97. Hi. I had my haglunds surgery 6/12/13. Just about 4.5 months ago. Achilles tendon debridement, and reattached in 4 suture anchors. I know I have to be patient… but still in chronic pain and MRI still shows retrocalcaneal bursitis and I now have insertional tendonosis. I don’t know if I overdid it in physical therapy, which I’ve been doing for 4 months. I got a second opinion from a highly regarded orthopedic surgeon at Hospital for Special Surgery and he said it’s too soon to do anything but it’s possible he may need to remove the sutures. He says be patient and it’s too soon to make any decision. Any thoughts?

  98. Hello, I had a Haglunds procedure 3 weeks ago and a section of bone removed. I had my cast off and stitches out after 12 days and was told to go and start gentle walking. A week on, I can weight bear with foor out in front, but can not get it straight, inside arch is not on the floor anymore and I can not curl my toes. I am not due to see physio for another month so wondered if this is all normal? Thank you!

  99. These posts have almost made me change my mind about having surgery in December. I have Haglunds with a couple of loose bone fragments that need to be removed. I’m still able to work out (i just limit my running quite a bit) and walk normally. If it gets too sore I just take it easy for a few days and ice and use ibuprofen. These lengthy recovery times described here are nothing like what my doctor described.

    “The incision is protected with a bandage or dressing for about one week after surgery. The stitches are generally removed in 10 to 14 days. However, if your surgeon chose to use sutures that dissolve, you won’t need to have the stitches taken out. You should be released to full activity in about six weeks.”

    Geez, this blog makes it seem like it will be at least 6 MONTHS before I can get back to normal.

    Should I avoid surgery until I have exhausted all other non-surgical methods of treatment? My doctor went right to the surgery option, which kind of concerned me considering I’m still able to do things normally 90% of the time (except for running).

  100. Just an update from Denmark. I got my Haglund operation on 20 June 2013. Quite a pain-free surgery, crutches and no weight on the leg for 3 weeks. Started work in early August .
    On September 9th, I wrote here again. It was really bad for me, I had a lot of pain was very tired and sad. I got an appointment with my surgeon, got x-rays and ultrasound scanning. Calcaneus was very nice and looked normal, no bump. Heel bone healed and perfect. Achilles was fine but still thickened.
    My pain caused bursitis and inflammation. I got a ultrasound guided cortisone injection, crutches (again) and absolute no weight on the leg for two days . 2 x 500 mg paracetamol morning and evening and no training for a week
    It is now two months ago and I feel great. I do my physiotherapy and strength/fitness training 3-5 times a week and my bad leg is almost as strong as the healthy now. I can walk 6-8 kilometers. My ankle is still a little stiff, I have scar tissue that tightens and is sore but it gets better and better.
    I do not regret my Haglund surgery ( right now) but I realize you’ll never be complete fit, must always take care of bursitis, tendiopati / tendonitis . Always remember to make ballance exercises, agility and strength. I still have problems with shoes and heel caps but it will hopefully improve by time .
    Patience , patience , patience . It is much better for me now after the surgery.

  101. Pete: Don’t worry. I was NWB for six weeks. After that, it took about ten days to wean myself off the crutches. I had the same surgery and the doctor said she cut off a “huge chunk of bone.” In the boot, I committed myself to slowly start walking, increasing distance and speed over time. Follow your PT’s advice and work on your range of motion. In a couple of months, you’ll be celebrating your hard- earned mobility!

    Doug: My doctor advised me that it would be a year or more before full recovery. At three months, I was feeling better than before the procedure, however. Many patients use crutches for six weeks and are in a boot for a month post-surgery.

    Birgitte: I’m glad you are feeling better! Working full-time wore me out for about three months after surgery. Little by little, life gets better. Working on getting stronger seems to be key to a successful recovery.

    Week 23 update: Last weekend, I ran a 5k! My doctor gave me the go ahead to start a run/walk program in mid-September since I could do a few single heel raises. Joined a gym and started doing some weights and core exercises three times a week. Also doing a fair amount of spinning and elliptical to get cardio in w/o being on my feet. Try to go hiking in the mountains about once a week. Doctor wants me to wait to try any trail running.
    Can honestly say that this surgery was the right choice. Will never take mobility for granted again since it’s truly a gift!

  102. Hi guys,
    this is a really interesting forum to read, also slightly nerve wracking seems as I haven’t had any surgery yet!
    I’ve had the lumps on the back of my feet since I was 13, and now I’m 15 I’m considering having the calcium buildup removed. Really hope it doesn’t hurt too much, I’ve read such mixed responses to the surgery- some seem to be saying their recovery was quick and the surgery was painless, while others stating that it hurt like mad and took over 12 months to heal! Does it depend on the size of the buildup? I’m not sure how big mine is, as it’s never been compared to anyone elses?

  103. Hello,
    Thanks everyone for sharing your experiences. It is good to know that I`m not alone with this problem(the Haglund deformity) and that there is a possibility to get some help even though it implies a long recovery.

    I`m 38 and the pain started around 12 years ago with a bad pair of basketball shoes that would push on my tendons. The situation degraded to the point where I have not been able to run in the last 2-3 years.

    I had an MRI and the result is that I have bursitis and partially torn tendons on both feet. I’ve consulted different doctors and did physio therapy but all the conservative treatments failed. I finally met with a surgeon last week who didn’t want to remove the bony deformity because he said it would weaken the insertion of the tendons. The secretary of a second surgeon just wrote to me today to tell me that my case doesn’t need surgical attention…

    All that to say that I’m pretty depressed by my situation…I want to consult with another doctor because I am suffering. Does anyone know a good surgeon in Quebec (Canada) that could help me?

  104. Carl, I don’t have an answer, but I’d suggest finding a good SPORTS-Medicine clinic. They often understand an athlete’s “need” to regain sporting fitness, and not just the ability to walk to the car and back. Worth a try. If there’s a university near you, their trainers and PTs might be able to refer you somewhere helpful.

  105. Amy,

    I had mine on 6/29/13, and it was the worse thing I have ever done. I go Tuesday to an infectious disease dr because a pet scan shows I have osteomylitis (infection of bone). I have been complaining all this time and nobody thinks its a big deal. I have lots of swelling and tenderness on the outside of heel and the back and lower part of heel. Hope I get some relief soon.

  106. Anyone who hates crutches should try a knee walker. Changed my way of getting around. I love it

  107. Rj Renea. Jan 11 2014
    Thanks Your post have been soooo helpful to me! . I had surgery for removal of Haglunds Syndrome jan 8 2014. Removed a lil bone and also a cyst! I’m 4 days in and struggling with elevation. But a Friend just brought me an elevation wedge, so this will help!
    I had Vicodin - which does nothing for me… So in taking Nothing and the pain is Enmm … Manageable.
    I got the knee walker- life saver
    I got the extra long cast shower cover - life saver
    I got a folding chair for the shower - sanity saver
    I got the polar ice machine pump - cooler that attached to a wrap for ankle and circulates cool ice water. Amazing IF YOU HAVE THE RIGHT PAD! The company my Dr used did not have the correct pad attachment!

    I have pain in the heel likely at surgical site but maybe that’s normal? IDK
    I’m casted and NWB - I have my flw-up visit 1/13 - hopeful to be out of cast & into boot. I’m looking forward to 4months from Now! My goal to be back on Pavement. Can’t wait to gear up and head out my front door for a run!

  108. @Martha, if you’re still here, sorry nobody answered yr Q. I think the biggest diff betw quick & slow Haglunds-op rehabs is probably whether or not the surgeon has to separate the AT from the beel bone. If not, the rehab is often quick. If so, the rehab is similar to the post-ATR year-long “marathon”, maybe even slower. That’s the simple cartoon-style answer, of course. The long answer says we’re all different and none of our body parts comes with a guarantee, and medical cures don’t either. Hope that helps. We’ve had some you gsters with ATRs and with AT-lengthening ops, but I don’t think we’ve had (m)any with Haglunds. For the other ops, I haven’t noticed any consistent diff between young and not-so-young. Nobody does any of this for (short-term) fun…

  109. Hello. I am 17 years old and am having surgery to remove the bump on the 11th of Feb (he called it a pump bump). The surgeon said that I will be on crutches for 2 months and may be put in a cast for 2 weeks post surgery if he has to move the achilles tendon more than expected. From reading these posts, do you think that this is a reasonable recovery time? I have my A level exams coming up in may/june so need to be better by then!

  110. I had surgery in August to remove the pump bump and it still has not healed! I was told it would be all healed up after 3 months. Now I’m hoping maybe a year? Walking is still painful, 5 months post surgery. The first month was the very worst though. Good luck!

  111. Hi,
    What a great source of information on Haglund deformity problem! Thanks to everyone for sharing your experience.

    I am 45 and been running and playing tennis quite a lot. Unfortunately I had to stop my activity 1,5 year ago due to problems with AT. I visited several ortho doctors an I tried PT for 3 months. PT helped to strech AT but didn’t solve the painful problem. Than I was told it’s HD and it won’t heal without surgery, the heel spur has to be removed.

    So, I had my surgery 2 weeks ago. Fortunately there was no need to AT debridement and reattachment. I discussed with my surgeon and insisted on him to try the endoscopic way w/o long cut. They promised they start by arthtroscopy and if possible avoid the cut. Finally, they made it , there are four 1cm cuts (two each side) and just a few stitches. No cast, I walked with crutches just 4-5 days. Today I can walk already FWB.
    So, I’m very happy it went this way, I trust recovery time won’t be too long.
    Good luck everyone!

  112. Hello All,
    I had Haglunds surgery the day after Christmas. Two weeks in splint and now in a cast. So total of 6 weeks NWB. (right foot).
    Cast is to be removed next Tuesday and I will be put in a boot.
    I am hoping to be able to drive but not sure if I can take boot off just to drive. The pain from surgery was over after 1 week now its just the mental grind of sitting in a house and relying on others to drive you.

  113. Had my surgery today for Haglund deformity, micro tear at, and debridement Good news is he only had to cut half of the tendon to repair it. I also had a nerve block and can”t feel anything, which is unnerving. (Pun unintended) I think I would say no if asked again to do a nerve block. Dr told me no wb for six weeks. I go back next week for my first checkup. He said to expect full recovery from 6 mos to two years. Since I’m 57 and overweight I’m not going to hold out for the six months, but I’m hoping the one year is more in line than two years. I am anxious to get this over with. I do have a couple of questions. Did your dr prescribe antibiotics (mine didn’t, just wondering if that is usual.) Also do I need to ice my toes? I have a huge wrap and split cast on my foot, all you can see are my toes. Thanks for the help and any insight you can provide me.

  114. @Taeggy
    You should only have antibotika if you get an infection. Watch out the wound the coming weeks, it may not be red and hot and you should not have a fever.
    It is always good to cool/ice your ankle but you are in a cast now and it is not so easy. The most important is, in my opinion, to regain good movement in the ankle joint again. Tilt your toes and later in the process, flex the ankle and move the ankle joint as much as possible.
    Get a good physical therapist. Be patient. You will have good days and bad days.
    It is 7 month since I got my surgery and I (52 years old) am nearly recovered. I still can´t run but I can walk and bike, work and don´t have pain any more.

  115. Taeggy: My doctor instructed me to place ice under knee and elevate leg above heart. You will have quite a bit of swelling at the outset, icing helps quite a bit. Swelling is normal for the first three months post-op. Antibiotics were not prescribed. The nerve block is the way to go. You may have some pain coming off of it, but it really helps to have it during the first couple of days. The recovery is long, but it is worth it in the long run!

    When I was in the boot, I took it off a few times to drive to the swimming pool a couple of miles away last summer. Your leg is weak, so go slowly. Regular long distance driving did not happen until about 11-12 weeks after surgery. I can sympathize with the cabin fever. It drove me crazy! But, check with your doctor before driving!

    I am a little over 8 months post op. My leg is about 75% at this point. When you are non-weight bearing for 6-8 weeks, it takes a long time for your leg to recover. I have continued to go to the gym twice a week to lift weights. This has helped quite a bit! Ran a 10k race a couple of weeks ago and am happy to say I placed 3rd in my age group! It took about three months to feel comfortable running and pushing off with the bad foot. I take a lot more rest days and am still building mileage up. Not bad for a 48 year old lady! I’ll keep you updated. Have a half marathon scheduled for March.

  116. BRIGITTE, thank you for the info.

  117. Thank you Big Ivy for the info. It really helps. I’m four days now post surgery. The heel pain still ranges from mild to moderate, but it is tolerable. The most annoying thing is the foot and leg cramps I’m experiencing. Since my OS said nwb for 6 weeks I am trying to figure out how to stop the cramps without putting pressure on my toes. Has anyone else had this problem, and if so how did you resolve it? I see the OS on Wednesday and if all is going well he will put me in a cast for two weeks. (He also said no driving for three months because I could rupture the AT completely.) After that he said I would go into a pivotal cam cast that will be adjusted over a few months. I’m just worried that the cramps will continue while I’m in the cast and boot and won’t know how to stop them. This website has been a godsend to me; I’ve learned a lot about the trials and tribulations that others have gone through. I will use many of the suggestions once I am able to start walking. I look forward to sharing my experiences as time goes on.

  118. I’m going to be undergoing an upcoming Haglund’s surgery sometime in the next several months.

    Does anyone know of way to check an individual Orthopedic Surgeon’s past history specifically related to Haglund’s?

    I know there a lot of very talented Orthopedic Surgeon’s out there, but Haglund’s is a very specialized case. I want to find a surgeon that has a strong case history of delivering successful results with Haglund’s.

  119. Have really enjoyed reading everyone’s posts - to be honest it was rare to find anyone who understood what had happened.

    My right foot popped walking across a road and as I wasn’t aware what happened kept exercising until the pain was unbearable the lump on my heal was huge and very painful - I also managed to shatter the bone and the Achilles tendon required attachment - the up shot after surgery seasons 1 - 4 of breaking bad and three months of recovery - the hardest part is the first month then it’s about not over doing it - surgeons code for sit with leg up and rest - the left heel - well I didn’t do anything other than get out of bed when it went - so I had surgery two weeks after coming of crutches and walking free of the moon boot for two weeks - the left leg wasn’t as intense - I didn’t require a second cast and went straight to moon boot - although the swelling around the ankle took forever to subside.

    The time frame from first feeling the pain and having two lots of surgery was two years - I am now one year clear of the second lot of surgery - only since Jan this year have i felt confident to push off my feet - I am struggling to get into running and it’s just not happening - I go for walks pain free and play basketball with no issues - I think the issue maybe the shape of my heel after surgery has changed and I am trying different running shoes - the sports stores have been great helping out with this - I experience cramps in my shin area I have never had before - I have decided to use exercise bike and lose some weight before trying to run again as I believe this maybe an issue - I had an excellent result and outcome - my message to everyone is take it slow and perhaps accept there will now be limits - one thing that I haven’t seen in posts is the comments made by the surgeon who did my operation - he said there is a high probability of the Haglund’s returning in eight to ten years - basically the message was you can walk, swim, ride bike and run - moderation is the key.

    Good luck to everyone - and enjoy breaking bad in your recovery time

  120. I had my Haglund surgery and tendon reattachment on 10/24/13. I was nwb for 6 weeks then on crutches for another 4 with a slow transition to a walking boot during that time. Started fwb at around 10 weeks. I started PT 3 days after surgery to facilitate the healing of the wound with increasing activity leading up to 16 weeks. I was having increased pain in my heal and calf area similar to pre surgery condition. PT was discontinued and a EMG was done to determine possible nerve damage. Now I’ve, at 20 weeks, just had 2 injections in my L5 S1 area to alleviate the pain in my calf. At this point the pain in my right heal is worse than it ever was before my surgery. But I do have good days. I took my first walk of a mile 2 days ago and I have been able to ride my stationary bike for 25 miles at a time. After reading these entries from everyone else who has had this procedure I can come away with two conclusions-everyone heals at a different rate and we all must be patient. I’m a soccer ref and was hoping to be back on the field this season. No go. Now my new goal is the upcoming fall season. Great blog. Hang in there everyone!

  121. I had Haglund surgery December 9. Healing is a s l o w process. With the haglund deformity, I was still able to cycle at least 100 mi a week, do plyo and spin classes with pain mostly in the evening. After surgery, now I really know what pain is and its most of the time - not just in the evenings. I know I’m getting better - at least people say I’m walking better, but every step hurts and its so frustrating waiting to heal. I’m almost 4 months into recovery, but still unable to walk without pain. Working on evenly distributing weight when I do heel lifts in PT. Working on my “patience” as well. Uggh.

  122. I had Haglund surgery, 19 October 2013 (local Podiatrist), left heel, and all went well for next 12 weeks; 6 weeks nwb & 6 weeks walking boot. No pain. Recently, the swelling/ pain has re occured. Temporary relief with RICE. Pain is worse than before surgery. Haglunds deformity, Rt heel (awiting surgery), same issues, but I can live w/pain after stretching. Changed physicians (Foot Orthopedic Surgeon) and was told I need ankle/heel re construction; i.e., tendon transplant. Same recovery time frame. Requested a cortizone shot and approved, the pain disappeared instantly! First time pain free in five years! Anyone with similar conditions/issues?

  123. I am 26 and 3 weeks post op for removal of haglund’s deformity (plus a little bit of heel bone) with partial detachment of AT. My doc has been amazing. The surgery went very well and I am healing quickly. I was put into a half-cast for the first 2 weeks, NWB Boot for 1 week and scheduled to be WB Boot for another 3 weeks. Today is the day I get to start putting weight on it, ditch the crutches and start walking. Only that isn’t as easy and happy as it sounds. I am struggling so much. It is super painful to put any weight on it. My balance is way off and I can’t move without falling over. Sadly I am still using my crutches while trying to teach myself how to walk in this thing. Anyone else have a hard time transitioning from NWB to WB?

  124. Vam: Try using a NWB “knee-on” scooter for a few weeks.
    Works great on hard, level surfaces. I ditched the crutches and used the scooter almost exclusively for six weeks.

  125. doglased: Thank you for the advice. It turned out my boot was not inflating properly. It’s fixed now and today was the first day I was able to walk (hobble would be more appropriate) around without crutches :)

  126. Hi everyone. It has been so helpful to read your comments. I am a very athletic 51 y/o ultrarunner with bilateral hagland deformities and insertional Achilles tendinosis. I had surgery on the right on November 8, 2013 (hagland excision with Achilles debridementt and reattachment), and after 6 months I am able to run/walk 6 miles pain-free, and it is getting better in a weekly basis. Now I am planning to fix the left next month. Hoping to be back in the trails by the end of the year. It is a long process, but worth it if you want to continue with an active lifestyle.

  127. Steve01, if you’re still following this blog, may I inquire as to the OS that you used in the Philly area. I have been advised that I need similar surgery and am looking for a second opinion.

  128. Hi. I’m interested in hearing from people further out in the recovery process. I’m a 30 year old female who had haglund’s surgery with debridement & repair 9 weeks ago. My surgeon said the debridement was “incredibly minimal” and originally told me I could be running 3 months out. But at 9 weeks I can’t even walk in my shoes I have shooting pains on the outside of my foot and don’t have any push off and can’t do a heel lift. For people like this, when did you get back to running? Or–more importantly–just walking pain free, or at least manageably?

  129. I had surgery for Haglund’s on April 17th. They found a hard mass during surgery and had to remove it. Thankfully, it came back benign. They also filed down the bone, repaired the tendon and anchored the tendon back down. I was in a post op cast for 1 week, a hard cast for 3 weeks and have been in a boot for 2 weeks now. I go back in 2 weeks to supposedly get the boot off and not sure from there. My boot is built up in the heel and have been allowed to put weight down on my toes since I got my boot on 2 weeks ago. My toes stay a little purplish and cold. Has anyone else had these symptoms?

  130. Hi there,
    I just recently found out I have haglunds deformity in both of my feet. We are starting with cortizone shots but I tend to look ahead and was wondering if the deformity ever came back for someone? My doctor doesn’t want to use more than three shots per site for my whole life! I am overweight but not morbidly so. I know that losing weight can prevent further growth but I do not know how to do so when I can’t run or be on my feet excessivly. Any suggestions?

  131. I am also over weight and just had the Achilles’ tendon future op , forecast was 8 weeks sitting on my bum doing nothing so decided to lose weight, have tried many diets in the past and never worked. This time I decided to cut out meals and snack, it has worked really well. When my family sit down to eat I don’t join them but later eat a small salad with some protein. porridge or toast for breakfast, maybe a small snack of cheese and fruit at lunchtime, fruit when hungry in between and an occasional treat like chocolate, I have found it really works, I am not hungry don’t have to follow a rigid diet some genius wrote, just listen to my own body. If. I am hungry before bed I have a glass of milk and a biscuit. I think the trick is just cutting out big meals which of course include, pasta, potatoes, rice or bread, red meat and sauces. It has worked for me lost around 10 lbs in 2 weeks. Hope this idea helps.

  132. Hello everyone,
    I had higlund’s resection and an achilles debridement on June 19th I was in a cast for 2 weeks now I am back in a boot with crutches. I have fallen on my foot twice since surgery, my Dr says I have not ruptured my Achilles with the falls. However it’s almost been a week since I have been put in a boot with crutches I still am not able to put any weight or walk on my foot. I was not prepared for this recovery. Is the about right? I know everyone heals differently, but I have pain at all I only took pain meds for 1 day. Just can’t put any weight on it. I will start pt next month. I just want to walk and wear a pair of shoes again.

  133. Roberta,
    I had the same surgery as you did (also on June 19th). I was in a removable splint for three weeks… Until the stitches were removed. No weight-bearing (used crutches and a roll-about) for the first 4 weeks. Started using the boot last week, with three pads (heel lifts) to cushion the heel. My foot doctor/ surgeon stressed that I GRADUALLY put weight on my foot over the next 4 weeks. It’s tempting to rush it, because I’m so anxious to get back to running and biking! 10% weight-bearing this week, 25% starting week 5, etc. My goal is to be in normal shoes and walking normally? By mid-August. PT starts next week. If you have access to a pool, it might help to start walking (baby steps) in chest-deep water….gradually going to waist-deep as tolerable. Hang in there! The hardest part is WAITING to get back to normal!

  134. Hi!
    I popped my Achilles while playing tennis the beginning of June. I had the surgery on June 20th and I am still in a cast and on crutches. Apparently my doctor is a bit old school. I finally get to upgrade to a boot this coming Monday. How long was it before you were able to walk without crutches? The cast really doesn’t bother me but after almost 2 months on the crutches I am starting to really hate them.

  135. jblain, as an avid tennis player myself, who also suffered my ATR while playing tennis, I can appreciate your situation. There is quite a bit of variability in rehab protocols, so you really should ask your OS for his/her protocol for you. I can tell you that post-op I was in a splint for 2 weeks, a cast for 2 weeks, and then got my “boot”–at which time I began PWB status and worked to FWB (no crutches) over the next 2 week period. -David

  136. That sounds about right. Just started partial weight bearing a few days ago, with the help of crutches. Seriously considering ditching the crutches and using one of those 3- prong canes.

  137. Becky H,
    Wow sounds like you are doing good! That let’s me know there is light at the end of the tunnel. I am in a boot but nwb I see my Dr next week. So I am hoping he will allow me to start pwb. But I don’t honestly feel I can at this point. I Start pt soon. I hope my recovery is as speedy as yours! Keep up your hard work. Do you have any pain putting weight on it?

  138. I’m in my early 50s and have been having Achilles and heel pain for about 3 years in my right heel. I have “complicated” feet due to an accident in 2007 and toe surgery resulting from the accident in 2012 and I’ve over-pronated all my life, apparently.
    I had shock wave therapy on my right heel before the surgery in 2012 as I was so worried about being able to mobilise after the surgery. The shock wave therapy gave me about 6 months relief from the heel pain in 2012.
    Since the pain returned in early 3-12 I’ve had extensive physio and NSAI treatment. I eventually went for investigation and diagnosis last year with a foot and ankle surgeon. This established I have a Haglund’s deformity and large Achilles bone spur. The only options I have for treatment are surgical - to remove the Haglund’s and the bone spur and I’m due to have the surgery sometime within the next few weeks.
    This will involve detaching my Achilles tendon. I’m feeling very anxious about this and have delayed the surgery as a result. However, my consultant is a foot and ankle specialist and my physio says he gets good results.
    I’m hoping to make contact with others in the UK who are having or have had this surgery and get some pointers as to what to expect and what I can do to get a good outcome for myself.
    I’m overweight, just beginning the menopause and have very well managed T2. I’m usually in good health and generally very active (pain and stiffness permitting). Anyone else here had surgery under similar circumstances? Is anyone else in the UK?
    Thanks for this blog, it is really helpful to read through other people’s experiences and find out about how you recovered

  139. Roberta,
    How is week 5 going for you? I’m at about 25% weight- bearing ( right on schedule…yea!). Was able to hobble around with only one crutch for the first time, yesterday. Felt ok at the time, but had heel pain during the night. Back to icing 5 or 6 times a day. Does your doctor have you doing contrast soaks at night? Those have helped with the heel pain and healing of the incision site. Post-Op appointment and x-ray tomorrow. Hoping the doc will clear me to DRIVE again…. hate depending on family to take me places!

  140. Becky,
    I am doing great! I am walking without my boot and without crutches around the house. But crutches anytime I leave home. I went back to work. Started pt yesterday. I get very swollen by the evening. My Dr said I am doing better than I think I am. I still am taking it slow. No I never heard of contrast soaks, what is that? Once your driving you will feel so much better. I did. I am anxious to go to the store all alone. I haven’t used my scooter I had to stop since my Dr appt on Monday. I am slowly getting rid of my boot it was causing me hip pain. I feel better in my Shoes. How did your appt go? I hope your pain is decreasing. Are you going to start pt? Yay we are making progress!

  141. Had my surgery done in April 2014. Procedures performed - Resection Haglund bony prominence; Achilles debridement; Muscle and Achilles tendon repairs and Bursectomy. Right heel.

    Had complications with disolvable stitches, allergic reaction which formed an abscess. Went in to theater again to have it cleaned - Achilles tendon synovectomy; Stitching of soft-tissue injuries - Deep laceration;
    Major debridement of wound, sloughectomy or second.

    Four months down the line and I am still experiencing extreme pain after a day on my feet and even wearing open heel Crocs.

    Pain is getting better when I am trying to walk normally, flexing the foot rather than trying to keep it straight whilst walking. Pain experienced is in various area of the heel and sometimes feel like stabs and sometimes like burning and or electrical shocks.

    Being to the gym and did cycling and walking on the beach in loose sand (killing me) but will get better. The specialist said that it will take up yo 12 months to be pain free and have normal function back.

    I am using heat packs and heat rub at night before going to bed. I am also making an effort to stretch as much as possible without recurring injury.

    For all of you that had the surgery, keep strong and stretch, it will get better.

  142. Roberta,
    The fashionable boot comes off (for good), tomorrow. This past week has been a transition week, walking around in normal shoes for awhile each day. Taking short walks around the neighborhood, increasing the distance a little everyday…. I’m up to a 1/2 mile SLOW pace, now. Started PT last week. Range of motion is great, and rarely have any pain (mostly just soreness if I’m on it too long). Back to driving and swimming…yea! The nightly contrast soaks really help with the soreness. One container of room- temperature water, and one container of cold water (at least calf-deep….I use coolers). Soak your foot for 10 - 12 minutes, switching back and forth between the two containers every minute. I was doing this 3 or 4 times a night, when my foot was sore or swollen. Much more comfort than from the ice-packs!.
    Glad to hear you are back at work…. Progress!! I retired a couple of months before the surgery, but have started looking for part-time work (sick of laying around the house….. I feel like a slug!). We’ve made it 8 weeks, good luck on your continuing recovery

  143. Hi — I just wanted to (1) share a warning and (2) ask for feedback. Warning: I had moderate-severe achilles tendinitis for six months and saw a surgeon who diagnosed me with Haglund’s deformity and told me I would be running in three months after surgery. It’s not almost five months and i’m still in a walking boot. I can’t walk pain free, I have shooting pains all alongside the ankle, and it feels like I have a rope pulling on the inside of my foot. I’ve seen the surgeon again multiple times as well as two others who tell me “nothing’s wrong,” but it sure feels like it. Has anyone else had this? Do you get better? I don’t know what to do. 18 months ago I was biking 50 miles in mountains, swimming competitively, and running. Now I can’t walk and I’m not getting any closer.

  144. Hi
    It is now over a year since I got my Haglund surgery (June 2013). The first six months, I believed in the project but now I have realized that my right foot will never be good again, I will always have pain. My doctors also says, that I have tried everything now ( they are very tired of me), Maybe it will be better… maybe not :-(
    I has been running for many years, trekked all the world, climbed mountains, done a lot of funny sports but it’s over now. I can bike but I am not able to do a walk. I am 52 years old.
    Now I only work 80% and may soon sell my apartment on the 2nd floor because I have great difficulty with stairs.
    I am training strength 2 times a week, go to a physiotherapist every 14 night, and bikes 60-70 kilometers every weekend, but nothing realy helps. Only cortisone “helps” 4-5 weeks. But we all know it is no-no.
    I have read the whole thread again and see, we all have the same problems. It is somewhat incomprehensible to me, all our doctors says it takes 3-6 months and that we will be running again.
    Maybe it’s just us with all the problems who are writing here? Where are all the good storries?
    My skin and heel area is so sore and painful and I can only wear Crocs. It is very difficult to keep the optimisme.
    Good luck to all haglund/achlles people.

  145. 7 months post Haglunds / Achilles surgery! If I could go back in time, I would NOT have the surgery. 7 months and I can only run every 3 days, to give the pain and swelling a chance to settle down. The 1st step out of bed every morning is a challenge. I have returned to yoga class and that helps stretch the Achilles.. My healing journey is long….. I had PT for 5 months and finally the only thing that help provided some relief and get me past the pain was a PT procedure called “Dry Needling” it IS what got me back walking/running, even though it’s still very painful, it is tolerable. Basically I’m still icing, baby-ing, and resting my Achilles, which is the same thing I was doing prior to the surgery. ONLY HAVE THE SURGERY AS A LAST DESPERATE OPTION. My Achilles scar is horrible and the scar tissue is pretty bad too. My inside ankle still swells a lot when I’m up on my feet most of the day.

  146. I fully agree with Birggite and Renea. This is one surgery I will not have performed again. I have the same problem with my left foot, luckily not as bad as the right foot.

    We might be too impatient and need give it more time. If there is no other option available and one can not walk it will be a problem . That was the reason for going for the first op. Age 59, did a lot of sport,rugby,cycling , hiking etc.

    Now had to slow down to a snails pace. Only doing the occasional short walk and gym session.

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  148. Thank you for this blog! I was diagnosed with Haglund’s finally in June ‘14. After $$$ in PT, changing shoes, following all Dr. orders, and three different specialist’s, I am in agreement with myself to continue to live with the pain. As I am 60+ and still very active with kids in school, I do not want to give up the mobility that I have. I use a Tens unit, medicated lotion, and a pain reliever, over the counter. The most relief that I did experience was with acupuncture. He also told me to reduce “carbs” which really does help.

  149. I use Essential Oils from Whole Foods or Campbell’s. The lavender roll on helps with the swelling and the Peppermint Roll On helps with the pain - ALOT. I’m 8 months post surgery (side incision, no Achilles removal or debreement) and running 4-6 miles at a walk-jog 50/50 ratio. I also wear compression socks during the run (no calf sleeves bc they keep too much fluid in the heel/foot).

  150. Hi
    Has anybody in here tried PRP treatment against the inflammation?
    I am visiting a klinik next week and they will see if it is an option to give the achilles tendon a boost of my own growfactor.
    I have nothing to loose (except money).

  151. Birgitte, I had 3 PRP injections early in my non-op treatment for an ATR. i have no idea if they helped or not, and the evidence I’ve seen is either weak or negative. it did cost a bunch, though not too much if it made a significant difference. There are a few blog pages here that deal with PRP injections repeatedly. My recollection is that more people found them very painful (I didn’t) than clearly helpful, but you can read them for yourself.

  152. I had surgery for pump bump. Detached achilles, cut off bone, reattached tendon. It’s been a year and a half and I still have pain. Extreme pain. I can’t bend down well, or do stairs well. And have to rest a lot to eliminate the pain.

  153. Haglunds Deformity Surgery with re-injure:

    On 11/24/14 I had a large heel spur removed with Achilles removal, shave down and re attachment on my right foot. It lasted 90 minutes with general anesthesia. Recovery was going fine and surgery went seemingly perfectly.

    Three days later, I hit a divot with my knee scooter and was tossed off and landed on my right foot. I felt tearing, popping and pulling on the back of my foot and up my lower calf.

    I next saw the Doc and he was unsure of damage and I pushed to check with an MRI and that MRI showed that the tendon was 90% detached again, which is the reason the doc couldn’t tell by feeling it.

    On 12/2 I had the second surgery and this time the tendon had some tearing, so that was repaired and the tendon was re-anchored with stronger anchors and bone cement as well. That surgery was a little over 2 hours.

    Currently I am NWB and do not know what kind of delay this accident will lead to. I was told that I would be back in running shoes around 12 weeks. I am terrified that I will have complicated ever getting back to normal.

    I am struggling with sitting down all the time. I am struggling with not being useful and not being at work. I am nervous about the knee scooter, since it really let me down. I have an iwalk 2.0 on the way. I’m just trying to get through this. If it ends with me walking normally and without pain, it will be worth it.

  154. Good luck, and Watch Your Step — and your Rolling, too!

    I don’t think you should lose much more time than the ~10 days between your surgeries. With luck, you’ll be following a fast protocol like one of the three successful (post-ATR) ones at achillesblog.com/Cecilia/Protocols , which will mean you aren’t risking falls on crutches, scooters, or iWalk for longer than around 4 weeks (from op #2) — when you may be starting FWB, which is a MUCH safer way to get around.

    Some OSs send their Haglund’s patients down the slow road, but some do that to their ATR patients, too, with absolutely no evidence to support it.

    Apparently the hospitals are logging an increasing number of injuries among kids who are riding scooters, too. If you’re not nervous when you’re getting around NWB and PWB, you’re doing something wrong!

  155. My OS seems to be more aggressive and while I don’t remember his exact timeline, I know he wants me back in running shoes around 12 weeks. My foot is pointed downward at a steep angle, since the second surgery, and I assume that will add some time on later as I gradually add more weight.

    The hardest thing I am running into, honestly, is inactivity and cabin fever. It’s close to mental agony. I don’t know how pregnant women do bed rest.

    It is amazing how you take walking for granted.

  156. Hi all!
    I had my first PT 12-9-14 which was excruciatingly painful for me… I have been in severe pain for a little over a year… This first dr I seen kept giving me injections for pain… I sought a second opinion and that Dr said he would have sent me to PT and never given me injections, which could have ruptured my Achilles… At the PT appointment the Dr told me I would have to have aggressive PT to even see if it will help… 4 weeks of 2 PTs a week and even then it’s not even guaranteed to help me… Both drs are doubtful that PT will help very much… I’m only 25 and have haglunds in both of my feet. I was a very active person and since the pain started I rarely left my house for anything but work… Now I am off work for 6 weeks pending results of PT. Not only was I diagnosed with haglunds I was also diagnosed with Achilles tendonitis.

    Are there any stretches that work particularly well for people in here? Everything I do is painful. Even walking is painful for me.

    Thank you

  157. Hillary D, as I probably said somewhere above, I’m a huge proponent of non-op treatment of ATRs, but the experience of the Haglund’s people here seems to suggest that most people who really suffered with it and delayed surgery, wished they’d done it sooner. Not all, and the exceptions include some people who haven’t recovered well. But I’ve seen few if any reports here of non-op success stories for Haglund’s.
    If you become an exception, please post the details!

  158. Hillary D - I have Haglunds and used to limp from the pain. I’ve had it for many years and am very active. I finally saw an OS (he is my OS for ATR injury) and he suggested surgery or to try the backless shoe route. I had to trial different things before I found some that worked for me. If your bump is at the back of your heel, have you tried wearing shoes without backs all the time (like clogs or other styles to go to work)? In really cold weather, I wear shoes half size larger instead of backless shoes. For fitness, I looked at various types of sneakers. You may need larger size sneakers (maybe half size), perhaps with one or two gel heel lifts to elevate the bump above the part of the sneaker so there is no scraping during physical activity. All my sneakers have heel lifts. You may need to have a heel lift in the other shoe so that you are even. I bought a lot of different style heel lifts before I found some that worked for me. It took months before the pain subsided and manageable. The pain can come back if I wear smaller shoes. One other note … I read one runner’s blog about cutting out the padding at the back of the sneaker. The person was cutting the padding for tendonitis. I have tried this for my current ATR injury so that the back of the shoe so it does not scrape against my surgical wound. I don’t know if any of this will help, but I hope you feel better soon.

  159. I have tried inserts and different types of shoes. I’ve had the haglunds for as long as I can remember. I think it started when I was 15 but the pain started about 14 months ago and has only gotten worse. Right now I’m on anti inflammatory and pain meds. I feel I’m passed the point of trying anything due to the amount of pain I’m in nothing seems to help except for laying down .

  160. [...] What to expect in recovery from Haglund’s deformity surgery – Your recovery time depends greatly on which procedure your surgeon performed. The classic ‘remove the tendon, scrape down the deformity, attach the tendon …… [...]

  161. My foot doctor/surgeon said that it takes about 9 months to get back to “normal” following Haglunds surgery. I’m sure that age and fitness level also play into the time it takes. I am a 57-year-old female who enjoys trail-running, biking, and swimming. It has NOW been 9 months. I wondered if I would EVER be able to run, again (without pain). Happy to report that I’ve been able to hit the trails, again….. At a much slower pace. Still can’t go down stairs without heel pain, but am optimistic that it will eventually subside. Gel heel-lifts and insoles have helped a lot! Would only go through another Haglund’s surgery as a LAST RESORT!

  162. I haven’t read all the answers to your question above, but I think 9 months should be no problem for most patients whose AT was left attached to the heel during surgery. Those whose AT was detatched and reattached would generally get a LOT of improvement after 9 months, I think.

  163. I am a 58 year old woman who has suffered from Haglunds with a large bone spur and chronic rupture of the Achilles’ tendon in my right foot for over eleven years. After trying two physicians and many conservative treatments over a number of years including wearing a boot, resting it, physical therapy, and finally a brace for several months, I resorted to surgery. I will note that the brace resulted in a total remission for three years, but not ultimately, a cure. I have come to believe that for people like me with multiple issues and a long history of trying to fix them, that finding a good, experienced orthopedic foot surgeon is the best solution. I realized that I was becoming progressively incapacitated and giving up activity after activity. I reached a point where day to day living was excruciating. When first diagnosed, I played tennis several times a week and walked seven miles twice weekly. I haven’t done these things for years now. This health problem has changed my life completely.
    Making the decision to have surgery was very difficult. I found the best surgeon I could and took the plunge. He took the hallucis longus flexor tendon and performed an achilles tendon graft after removing the bone spur and much of the bone on the back of the heel. He also had to perform a Strayers tendon release on my gastrocnemius muscle due to the extent of my tendon shortening. I am only seven weeks post surgery and still non-weight bearing. I know that I still have a long, hard road ahead, but strangely, I know that the problem has been corrected. I feel it. I can’t wait for rehab. I’m really excited about my future for the first time in several years. I don’t plan to play tennis again, but I would like to walk and to hike.
    My question is, has anyone out there experienced numbness or nerve damage after surgery? I could not even feel my toes after surgery. Now I have gotten almost all of the feeling back, but. I have an area that feels like a burning, nervy feeling in the area below my knee on the inside that feels like it may be an over stretched tendon or something. I’m hoping it will resolve with time like the rest of the numbness in my leg and foot. I have noticed that the numbness resolved as the swelling in my foot diminished. I am a little bothered by it, because it feels different than the rest of the numbness I experienced. Any ideas?

  164. Lisa, I hope you change your mind and return to tennis, and I suspect you will.
    Damage to nerves - especially the Sural - happens occasionally with these surgeries. In ATR repair, it’s more common with minimally invasive. I’ve never seen stats for complications in Haglund’s repairs.
    I wonder if there’s any evidence showing benefits for the long NWB immobilization you’re getting. If so, I haven’t seen it. Even fast rehabs mean one leg is NWB and immobilized for the longest time since we were in the womb, so lots of us get numbness, cramps/spasms, mysterious feelings (painful and painless) and more. Most of them clear up as soon as we start standing and walking again .

  165. I had the 2nd surgery (achilles debridement w mop like tears after a Haglunds surgery on 11/24) on 12/2 and since then I have been aggressive with my diet and being sure to take every possible supplement which could possibly help. My main diet has been green smoothies with plenty of flax, aminos and whey proteins.

    This past week I was cleared for PWB. Most of my exercise is via a stationary bicycle now and I am trying to do hour long sessions at least. The scar is healing up nicely though the back of my heel (where it was peeled open) is still very sensitive to pressure. I am expecting full weight bearing sometime soon and to be back in running shoes in January.

    I am happy to have an aggressive OS. No setbacks so far with this second surgery.

  166. I had my surgery 8 months ago. Removal of spur and bursa and 40% debridement of AT.
    Pain was excruciating days 3 to 7. Worse pain ever experienced!! Also numb toes for first 3 to 4 months.
    Now at 8 months still unable to work as job involves 8-9 hours standing per day. Still swelling, burning sensations and pain on standing long. Pain still wakes me up at night. I think it is gradually improving but seriously long recovery.
    I don’t think I would recommend this surgery unless you can bear a lot of pain and frustration. Used to be able to walk 10 miles with ease, now 1 mile is my lot with days of swelling after!!

  167. Jill, that’s a sad story, and we’re all hoping that a bit more Tincture of Time solves your problems. If not, there must be a problem and somebody should be able to find it and solve it. Yes, possibly surgically, though I am jumping ahead a few steps.
    Good Luck!

  168. Is the surgery an outpatient surgery? I have my follow up appointment with my Dr next week to see if he is going to go through with the surgery. Physical Therapy isn’t helping me.

  169. First of all I’m amazed at how many people have gone through the surgery. My surgery is scheduled 1/29. I am most apprehensive and a little bit anxious. I am retired but most definitely a type A personality. I decided that enough is enough with the pain I have endured in the past. I’m hoping that Nextflix and my ereader will get me through this. Also have a cross stitch kit that I bought before Christmas that I thought I’d try. After reading everyone’s comments it seems that the ones who push the recovery time have the most problems. I will try and behave myself and do what I’m told to do. I’m looking into buying a knee scooter to help me get around but they are so expensive. Don’t know where to look for a used one. Can anyone advise?

  170. Pattie G - I rented one from a medical supply store. I paid a monthly fee and rented for two months. Take some care in using it because even though it helps you get around faster and gives you mobility, turning too fast around curves or corners can cause scooter to go off balance. I had a couple of near misses where it almost tipped. I also hung a bag on the scooter handles so I can carry my tablets, books, and paraphernalia from one room to another.

  171. Patti, check Amazon or rent as suggested.
    A knee scooter has so many advantages over crutches I cant count them. You must have one.
    I had haglunds surgery 5 weeks ago and doc says I am doing well.
    Just starting to walk with crutches and partial weight and it is not easy. The knee scooter has served me very well and makes daily things so much easier it is just hard to explain.

  172. I agree, the knee scooter is a must and the iwalk 2.0 is a luxury, so ultimately unnecessary.

    I am at 6 weeks since surgery and I have been walking (with a limp) in sneakers for 2 weeks after a week of PWB on crutches. Everything is flying along.

    Good luck and be aggressive with your diet. Nutrition matters for your healing.

  173. Had my surgery 9 months ago, Resection Haglund bony prominence; Achilles debridement; Muscle and Achilles tendon repairs and Bursectomy.
    I am now almost completely pain free, walking long distances and being on my feet about 6 hours per day. Climbing stairs is 100% but going down still a bit of a problem.
    To those who had surgery, hang in there, it gets a lot better after a couple of months. Work requires the use of safety shoes (steel toe cap) and it still hurts a bit but getting better.
    To those still going for surgery, follow the doctors advice, don’t try to do to much to soon and stick to the post op treatment as described by the health practitioners.

  174. Dawid, if you haven’t seen, and tried, my trick for walking downstairs 100% normally, search for it. If you can’t find it, ask again.

  175. I seen my Podiatrist 1-14-15 and he wants to do a “bone scan”. I really think he’s trying to avoid the surgery. I know he’s trying to follow the proper procedures before he can do the surgery but I’m very frustrated.

  176. I am a 60 year old woman, 50 lbs overweight. Had the Haglunds Deformity removed and side tendon repaired. Surgery 2 weeks ago (Jan. 6) w/ NWB cast. Staples removed yesterday everything looks good. Now in a large heavy boot for 4 weeks. Do I wear this boot all day even when I’m just laying around? Do I sleep in it? I’m walking around the house in it with some pain using the scooter to help. My foot doesn’t go flat. I do have some pain and numb toes like everyone else. My Surgeon didn’t give many instructions or I didn’t hear them. No PT until I go back in 4 weeks! I feel like I should be stretching, moving it or something or else I’ll get scar tissue build up. My AT is very tight so I am trying a little stretching. My husband is mad at me and says I am over doing it… So what should I be doing with it? Please help!

  177. Female, 47.
    I began having pain in my heal after walking last February. I figured it must be the worn out tennis shoes I was wearing at the gym. It continued to get worse. I then decided that the only way to get it to go away was by wearing shoes with no heels to prevent irritation.

    By May it hurt any time I walked, then a lump started growing. I went to the foot and ankle specialist, and he x-rayed the leg. My AT had pulled off a piece of my heel bone the size of my thumb nail.

    He gave me an injection in the heel and put me in a boot on strict NWB for 2 weeks. By day 5 I had to remove the boot because the pressure on my heel was so painful. We scheduled surgery.

    Surgery was Oct. 17, 2014. I went back 2 days later, he looked at it and applied a new cast. A week later he changed the cast again. I went through 4 casts in the month I was NWB, and I noticed the last time he made sure my foot was completely flat to fully stretch the tendon.

    By the end of that month I had completely shut down. The only thing that got me through it was reading this forum. I didn’t eat for days, I avoided drinking very much because the bathroom is upstairs and F them stairs! I slept in my living room on a futon. My son set me up with my coffee and pills each morning, and anything else I needed. My daughter cooked dinner for us. It was HELL!!!

    After that I went back into the boot on crutches. I was to go down to one crutch after 4 days, and lose both crutches after a week. I lost them both after 5 days, and put them as far back and out of sight in the garage as I could. If they were wooden I would have burned them!!!

    I put up with the boot for about a week, and ditched that too. I moved my foot around as much as I could while it was in the cast, doing circles and wiggling my toes. While in the boot I started pointing and flattening the foot, back and forth, circles.

    I started swimming, and practicing walking on it without a limp in the shallow end. I had been trying to walk on the treadmill to build my distance back up, but then I read not to try walking until the limp is gone.

    I am now at 15 weeks post-op, and the pain is still bad. My ankle doesn’t swell, but if I’m on my feet for too long my foot puffs up. I’ve been judging things by my foot swelling. It had been really bad for the first 1 - 1 1/2 months, then seemingly overnight the swelling went down by ~ half.

    I was put on Metacam the beginning of this month. It didn’t seem to help much, so I was taking Ibuprofen on top of it. Then I started working last week. I worked 6 hours a day for 6 days, came home practically in tears and called the Dr.’s office. I’m now on Indomethicin, but I’m afraid to take it before work because the first pill made me extremely dizzy!

    I started doing searches on here a couple days ago because I found it hard to believe no one else was mentioning the PAIN! And now I see that having the Haglund’s surgery seems to cause a great deal more pain than the AT surgery. I guess it does make sense now that I think about it. He rounded the edges of my heel bone while he was in there fishing the piece of bone out that had been broken off.

    I’ve begun working on building up my calf muscle now, hoping that will help with the limp. At least this thread has given me something of a timeline. I have 4-5 more months of pain and limping and it should start to smooth out. I can walk again, my heel is fine with normal shoes … I can do this!

  178. Aerona sounds like you have really worked hard to get your foot back to normal. Sorry you are having so much pain… Maybe the reason I haven’t had much pain is because I’m not doing anything with my foot! I guess I better start working it. I am just afraid I will tear something else.
    Thanks for inspiring me to get up and move it. I am at 3 weeks recovery

  179. I was told today by the podiatrist that I have retrocalcaneal extosis and will most likely need removal of the bone bump as well as detaching , debridement and reattaching of the acchiles tendon. He said he may need to borrow tendon leading to the big toe!? I have had this problem long term , have been a distance runner (not now) but the past year or so can no longer walk, only limp in my tennis shoes. He didn’t really answer my question about being able to jog or walk fast after year long recovery, I wonder if i’m too old for a good recovery or the Achilles is too wasted? he hasn’t done the MRI yet, I’m 54. Very worried, I am alone with no living family left. a year recovery by myself??? I don’t know. thank you everyone for listening.

  180. Wow you’ve got a problem… I wouldn’t want to do it alone
    You have to stay totally off your foot and keep it propped up.
    You need a friend who could come stay with you at least
    A week maybe two. That is a serious operation. I had the
    Bump removed and s tendon repaired but not
    The Achilles. Get a second opinion about the toe part…

  181. Look at my blog tjw1: it is not a pretty picture. I started at 51 and I am 54 now. I read that the odds are on your side. Why, it did not work so far for me. mistakes some of it. I would carefully selected a doctor and stay with them the whole time. I would stress again and again, how important running recovery is for you and how difficult a non active recovery period will be for you. I would describe again and again where, type, feeling and anything else you can about your pain to your doctor, In fact, I would go on and on,and fi he or she looses interest, then think about another doctor that cares or is not so busy. Also interview some PT’s and find one who has experience with this recovery, for some reason, even though this is suppose to be not that uncommon a procedure, I could never find one that could tell me they had a successful treatment with it.

  182. I am 3 1/2 weeks post-surgery (removal of bone spur that was growing into the Achilles and bone chips from a previous injury; debridment and repair of Achilles’ tendon; anchoring of tendon to bone). My first 4 days were the worst and I was pretty helpless for the first week. Things have been improving since and I feel like I might have turned a corner today. Making it through the first 4 days would have been awful, had it not been for my husband.

    Is there a home visitors program where you live? Ask your doctor who you should contact for some initial assistance. Occupational therapy/home visitors might be paid for by your insurance and (if you are old enough) later you could see if you could get food from Meals on Wheels.

    Two things that helped me tremendously have been a wedge that I bought on the web (slanted end toward body, let foot hang over the end) and a knee-roller scooter. I have also bought a cane-like contraption that is also helpful (www.kneecrutch.com). I am much too clumsy to use crutches or an iWalk.

    Best of luck and take your pain pills!

  183. Hi all,
    I had surgery to remove the haglunds deformity (or pump bump as my surgeon referred to it) about a year ago.
    To begin with, recovery was good…in a cast for 2 weeks and after that no boot required just back into trainers and the use of 2 crutches.
    I was advised to have PT about 6 weeks after surgery, all was good until one session where pain suddenly increased again.
    Since then, things have just not been as good as they were. Scar still purpleish and bruised and I have a sharp pain when you press just to the side of the scar.
    Saw the surgeon yesterday and he said tat he wants to investigate further but is pretty sure that there is nerve damage so surgery will probably be required to remove the raw nerve ending…had anyone else experienced this problem and if so, is the recovery period going to be long again as he said that he will have to re-open the original scar?

  184. I am a 45yo woman, and run x country as an age-grouper for my country. After 20 months of limping because of heel pain that wouldn’t get better with multiple injections and SWT, I had the following surgery to my right foot on 1 Dec 2014:

    - ankle spurs shaved back from both ankle bones;
    - ankle cartilage tear damage shaved back on outer ankle bone;
    - “chronically inflamed heel bursa” completely removed;
    - heel spur substantially shaved back; and
    - AT 10% detached to facilitate the heel surgery.

    I took 75mg Voltaren the day after surgery and that was it for pain killers.

    I was NWB for 2 weeks in plaster. During this time I did 2 different exercise routines, alternating with a rest day between, mainly involving core/upper body, but also quad strengthening. I did my first routine the Thursday post op (I wasn’t able to do much, but was better than nothing). Then every 2nd day till the plaster came off.

    I have a high pain tolerance, and was in high to moderate pain for most of the 2 weeks, but not enough to “mask” with the pain killers. I want to feel what’s going on, not hide it.

    The plaster came off and all 10 stitches were taken out on 15 December 2014. I was FWB from then, but in an airboot & crutches till I could walk again with the airboot. I ditched them both on 16 December and only wore the airboot if I went out in public, more to keep it protected from being touched.

    From this point, my husband did physio massage on my right ankle every night for 40mins - using paw paw ointment for the wounds, and arnica ointment for the bruising and swelling. I believe this has been critical to my successful healing. Where he was unavailable, I would do it myself.

    On 16 Dec I did 10mins constant low resistance spinning on the spin bike. No pain. Some swelling around the outer ankle bone towards the heel wound.

    On 17 Dec I did 30mins constant low resistance spinning. No pain. Continued swelling.

    On 19 Dec I did 45mins constant spinning, steadily adding resistance. No pain. Continued swelling.

    On 20 Dec I did 60mins constant spinning, also adding some standing sets. Minor pain while standing. Continued swelling.

    I wore flip flops for all of these spin sessions.

    I then saw the physio who did lots of manipulation and told me to continue doing what I was doing, using pain as my guide. He wasn’t worried about the swelling - it was the same pre-op. I also saw the surgeon who said my wound looked better than another patient he’d done a month before me. I put this down to the paw paw and arnica.

    From that point on, it took me about a week to work up to 90mins of full on spinning, with normal resistance and lots of standing.

    My husband cut out the back part of an old pair of cycling cleats so that I could wear proper shoes to spin in.

    I was also doing leg strength work every 2nd day - eg, lots of squats, and assisted lunges. By 25 December I could do burpees (nice xmas present).

    I continued with this rehabilitation, seeing the physio once a week for him to manipulate and rub. The swelling would rub away.

    I returned to work (which involves a bit of walking over the day - about 7km) on 5 January 2015. The swelling and pain increased immediately. It was hard not to limp - in fact, I couldn’t walk without limping.

    I wore K Swiss cushioned running shoes, with my usual orthotics for heel lift.

    I continued with strength work (lunges, squats, burpees - basically the HIIT stuff you can see egs of on YouTube) - using pain as my guide. I would regularly try and jog, but knew on the first step my foot wasn’t ready.

    At 6 weeks post op though, I jogged 100 yards, pain free, with no increase in swelling.

    At 7 weeks, I jogged 2x 500 yards, no pain, no extra swelling.

    At 8 weeks, I walked and jogged around a 6km x country course. It was slightly more swollen and painful 24hrs later, but this died down the following day.

    At 9 weeks I was jogging 2-3km on trails easily, pain free.

    I plan on returning to jogging completely next week (from 10 Feb 2015). Based on pain, I will jog every couple of days to build up the strength in my foot.

    The main pain I feel now is in the plantas fascia and AT. The pain and swelling in my ankle and AT increase at night, but are all gone when I wake after a night’s sleep.

    At 10 weeks post op now, I can’t say if the operation has been a success - my surgeon told me to aim to return to jogging at 12 weeks, but that he “fully expected me to prove him wrong” (sic). I’m thinking I’ve done that!

    I have gone through very serious injuries in my past, and am an aggressive rehabilitator - I am confident I will be running pain-free within a few months from now. I plan on representing my country again by the end of the year.

    I’ve written this to show people that whilst this is fairly major surgery, YOU can make the difference to your recovery by how you recover and rehabilitate. It doesn’t have to be a horror story. I read, I think on this forum, that a guy was able to jog again at 6 weeks - I used that as my motivator. If he could do that, I’d beat it.

    Self massage of the heel & ankle is vitally important. As is getting back into exercise and range-of-motion stuff, using pain as your guide, as quickly as possible.

    I hope this helps someone reading it. I will update again in a month or so.

  185. Sher Dorling…WOW…thanks for sharing your point of view. Great write up. I’m glad you are happy with your rehab and that it’s working for you. I wish for you that goal of running pain free in a few months and representing your country! YAY you!

    I think there are lots of others with that mentality. I also know others like me who use as a guideline the fact that the tendon is not fully healed until sometime between 12 - 16 weeks, which is why certain movements are not recommended. For us the chance of re-rupture is not acceptable…so we avoid those movements until after 16 weeks… and that’s OK too.

    I am having a good recovery at 13 weeks because I’ve given myself what I personally need which is a moderate rehabilitation. I found I can’t use pain as my guide, but need to do things incrementally. You’ll find that all over the blog as well as what is working for you which is to just go for it based on pain…but remember pain is different for everyone.

    I found the advice to plan my rehab incrementally when I “overdid” it in PT. It didn’t hurt that day I added new standing movements, but the next day…OUCH….I was out of it for a week! Sometimes pain doesn’t show up during the exercise but much later. What works for one doesn’t always work for everyone. I really am glad you’re so excited about using pain as a guide because that works for you! What works for me is incrementally adding new movements/reps/sets and waiting before doing that again to gauge my reaction.

    Oh and I totally agree on the self massage! I never tried paw paw and will look into it. I couldn’t agree more about early ROM and a good rehab plan. I don’t advise running before the tendon is fully healed but that’s just my opinion.

    There is room for all of us here…YAY US!

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  187. Had haglunds and tendon debridement on left ankle 14 years ago. 6 weeks in cast and 6 in walking boot. Ankle heeled fine and have had 100% use. On Dec 31, 2014 had to have same on right ankle. Technology has changed in 14 years and the procedure is less intrusive. Outpatient procedure, 2 weeks in splint and then two weeks in boot (NWB for total of 4 weeks) then 4 weeks WB in boot. I am at the 3 week WB point (only 1 week in boot left!) and all has gone very well. Did not need pain medicine at all, sutures removed after two weeks. Used a Knee walker (bought on Ebay for $100) during NWB period and it was a game saver. I’m 57 years old and crutches were just a pain. All is going well and I expect to be back in the gym at 8 weeks doing Stationary bike and low impact exercise as well as PT. Probably won’t get back to higher impact items (basketball and racquetball) until the 3 to 4 month post op period and then only gently at first. I’m excited about the progress this has made and knowing how well the previous surgery went, very optimistic that I will be 100% by mid summer.

  188. Thanks for sharing Lynn…I love happy stories! So glad you are optomistic…great idea buying equipment on ebay! I’d say based on my experience your timeline is right on! Best of luck to you.

  189. 3 weeks Post Op and I am in a boot with a wedge. Right now I feel no pain but I can only go but so far with the exercise band. I go back next Wed to get the wedge taken out and hopefully go to 1 crutch and some WB.

  190. Hey Siege,

    I’m 5 weeks post op and had one of my wedges removed last week. I continued walking with 1 crutch until 2 days ago. My ROM is getting much better so I believe you will get there anytime soon.

  191. This is amazing to still being updated with stories!

    I’m one week post op. I had a HD on the lateral side of my left heel. The OS tried to remove it without interfering with the achillies, but he had to ‘lift’ a small portion to fully clear the bump.
    He said he’d rather do it fully than half-assed, so I can’t really complain!

    I left hospital with a leg cast and my foot set, toes pointed down.
    I was told partial weight bearing with crutches until two weeks post op when the cast will get changed for another one where he will reset my foot at more of a 90 degree angle…..no clue if I’ll be PWB or FWB then…..only six days to find out! :)

  192. After reading all the posts I will try everything to avoid surgery. I did not read very many, if any, success stories, just a lot of pain after surgery. Wearing slip on shoes without a back have helped (found at LL Bean ,also Nike sneaker 801). Maybe in the long run I’ll have to bite the bullet but for now I will try my best to avoid surgery.

  193. Stephen, I’m 4 weeks post op now, two more weeks in a cast then I get my leg back!!! It’s sore, but I can see the light.
    Partial weight bearing throughout (basically for balancing on the spot), it has, and does suck, but I want to enjoy my life running again, not limping and waking up every day thinking about it!

    So…..How bad do you want it to go away, that’s the question. If you can handle three months of your life with some difficulty, then I’d say go for it!

    Nothing worth having is ever easy!

  194. Well I got the bone scan done 2 weeks ago and now my left heel is worse than the right. This past Sunday I went swimming and tore my Achilles tendon jumping into the pool. Waiting to hear back from insurance to get my surgery. Hopefully when they repair my tendon they will remove the spur from my right heel.

  195. So glad I found this blog. I’m a 64 year old woman who had surgery to correct a Haglund’s deformity three weeks ago. I am in my second cast and will see my doctor next week. I believe I will then get a boot. I have been using a knee scooter to get around the house. At this time I am finding that being housebound and unable to do much is the hardest part of my recovery. I am trying very hard to stay positive and be patient. Reading everyone’s stories has been helpful.

  196. Juile if you haven’t figured it out yet you can search for any topic here via the main page google search box top right…for example type in “haglund’s deformity” and you’ll get links to every blog with that title or those key words…I mention it because it will give you lots of reading to take up your time.

    I found that moving into the boot phase really made a difference in mobility and I hope you will find that true also because being housebound can be difficult. Once in the boot FWB (and it can be as early as 3 weeks if you’re ready) I was able to move around well and could walk faster than I do now at 19 weeks and in two shoes. So I like to tell people to enjoy the boot phase because walking faster will take time once in two shoes again.

    I’m glad you found us. Best wishes to you!
    (I’m 52 recovering from a ATR)

  197. Like a few others, I got almost no information from my OS about what to expect from the recovery. I had the surgery done in Germany where surgery is done very often and early and recovery is dragged out for a very long time (in my opinion, as a Canadian)

    Yesterday after the surgery I was told that I will be off work for 3-4 weeks. I have only booked 10 days off. Am I crazy to think I can be back at work after 10 days?

    I am PWB (up to 20kg) starting immediately after the surgery in a removable walking boot with crutches. I will start physio next week, 4 days post-op. This I am glad about from reading the other entries here.

    I have also been given blood thinners to take every day until I am back to FWB. This is to prevent clots. I have to give myself an injection every day. Anyone else had blood thinners? Is it really necessary? And necessary for 4 weeks?

    I was told that I don’t need to take antibiotics. I just assumed that antibiotics were a given after any kind of surgery. Comments?

  198. So I am at the point where the Haglund’s has become annoying. I have had it for about 2 years now. I am a runner and I love running 5k’s and occasional half marathons. I have had 2 injections to relieve the pain so far within the past 6 months. But they only last for a month or so before pain and burning comes back. I been going through the measures of preventing surgery with PT, heel lifts, icing, stretching. The problem I have is my calves are always tight causing the tendon to have a constant stretch pulling against the bone on the heel. The Dr. said he could go with shaving the bone on the heel down or extend the tendon. Does anyone know which would be the better of the 2 suggestions? I commute to my work via bus and ferry during the week. Once off the ferry I have a short stint of a bike ride. What is the time frame on when I could possibly return to work? Work is involved working from a desk.

    All this being said I just want to start running again without having the pain/swelling/burning following my runs.

  199. Robin…You can type “work” as a key word into the box on the top right of the main page and see if any blogs come up that discuss working with this injury. It is my observation that a few seem to work that early but not many. Most seem to take more time off. You don’t really give us enough information such as how you get to work, what you do once there, how you move over the day, how “safe” an environment it is for someone without full normal mobility etc. Keep in mind you will need to elevate above your heart so even if it’s a desk job you’ll need to elevate up on the desk not under it…you will need to ice regularly for some time, how long depends on your body. Will you be able to do that at work? Moving around with this injury is tiring, exhausting in those early weeks even though most of us were athletic in the first place…I personally am of the mindset to give the body all it’s energy to heal for the first two weeks at the least…I personally needed 3 weeks. Partial weigh bearing is great to help the tendon heal but you don’t want to overdo it that first month. If you walk a lot in your job (or stand a lot) or walk getting back and forth to it …just know you won’t be walking normally for quite some time.We have a few baristas now posting and both are doing short shifts only and they are at 12 weeks and 10 weeks I believe. I do PT 2 x a week and go to the gym 5 times a week, not working makes that super easy, so if you can put work off it will give you more time for PT. My part time job involves standing all day with young children underfoot so I haven’t gone back and I am at 20 weeks. I understand some think they must work or the world will end or something, while others truly need to work to survive and I totally get that, the lucky ones areas those who have a job they can do without really impeding their healing or they work from home…It depends is what I’m saying.The chance of re-rupture is high those early weeks…be aware all I’ve said and If you can do it go for it, if not don’t.

    I did blood thinners for 3 weeks via a shot also. I was in a high risk category was why. I took antibiotics for 3 days post surgery and no more. That’s me. I think most OS handle it differently.

    Jeff …you can put “Haglund’s Deformity” in the search box on the top right of the MAIN page and you will get very blog with that key word in it. You can then read lots of stories about others with this issue. You may or may not get a response here to your questions as there are more people on at this time recovering from ATR than Haglunds, and these side comments on old blogs sometimes get missed or not answered at all. Also see work comments above to Robin…

  200. Donna thanks for your comments and advice. I work as and ESL teacher for adults, so the chance of getting tipped over is very slim. A normal day for me is 1.5 hours in the morning plus transit time, now everywhere on bus, and 3 hours in the evening. So not particularly long.

    I was not told to elevate or ice at all, so I’m surprised to see that elevation must be above the heart. I knew that Elevation is important, but the height I didn’t know. So frustrating.

  201. You’re very welcome Robin. I too am an educator (retired from a career teaching HS science and later as a professor of education. Now I sub part time k-12, tutor, and take occasional contracts at a community college) I ruptured my Achilles teaching 3rd graders how to jump rope! HA HA….at any rate, yes ESL adults should work out good because they won’t mind if you stay off your feet. The bus may be tiring though, and dangerous in terms of possible mishaps…so be careful there OK. Don’t elevate or ice? RICE is pretty common for controlling swelling as standard medical practice, weird they told you not to. Above the heart is considered best practice. Swelling is different for everyone in terms of how much and how long, and what brings it on, however, one thing is for sure no one seems to escape it, to some degree we all experience it. If you find yourself needing to ice a lot you may want to invest in icing system that will work for you while at work. Best of luck to you. Consider starting a blog too!

  202. Just updating as promised. I’m now nearly 4 months post op, and after spending a week on a cycling training camp in Europe, I returned last week and won a regional x-country championship age-group race, without any pain.

    It’s not all a bed of roses though - the back of my heel and achilles has been inflamed and sore this week, and I’m still not 100% ready to go for a long training run in general. I imagine I would have recovered quicker from the race if I wasn’t on my feet for 13hrs at work every day this week, however I don’t have that luxury now. I will continue to x-train on the bike and by doing HIIT, and leave the running to competition days only.

    Probably unsurprisingly, my surgeon declared that not even his pro-footballers or National Ballet dancing patients had managed the recovery I have had - in his words, I “have re-written the book on recovery”.

    So if you are reading what I have contributed, then my experience is most likely the exception rather than the norm. I had an exceptional surgeon and physio, and a dedicated husband who cared for me and my foot for 5 weeks post op while I rested and rehabilitated. Not everyone has that, and no two people will ever follow the same path with this surgery! It does help being able to read others’ experiences though if you’ve had, or are considering, the surgery.

  203. 3-15-15 Tore AT
    3-23-15 AT surgery with graft
    3-25-15 released from hospital a day after I was supposed to be due to severity of pain. The Demeral and Morphine injections were quick on quick off so finally I was given Percocet for the pain 3-24-15 mid day and by the next morning the pain had subsided. The only thing that bothered me was the blood rushing to my leg after laying for so long in the hospital bed. I also had a lower back injection kind of like an epidural before surgery and that helped a lot since I do not like being put to sleep by the mask.
    3-26-15 seen my OS and had bandages changed. He said everything was looking great no draining and no bleeding. I see him again next week for another bandage change. The only thing I’m upset about is that he did not remove the haglunds deformity on the foot he operated on which I figured he could have done. So I’m sure sometime in the near future I will be having surgery to have HD on both feet removed.

  204. I had my first Haglund’s Deformity Surgery (spur removal) performed on left heel in Oct. 2013. Normal recovery; six weeks NWB followed by six weeks in walking boot. Within six months of surgery, pain and bump returned so I decided to seek a foot OS (specialist) for opinion and pain relief. My first Haglunds surgery performed by a Podiatrist. I requested a cortisone shot, OS agreed and the pain “instantly” went away, but I knew the pain relief was only temporary. OS recommended second Haglund’s surgery on left heel which I agreed. The second surgery was much more extensive and required some reconstruction of AT. Same recovery period. Six months later, the pain is gone although I have some numbness in foot. Bottom line. Seek out a good OS before Haglund’s surgery.

  205. I had my procedure on 12.18.14. Procedure consisted of an Achilles debridement and Haglund’s deformity. My background is an ex-collegiate football player. 36 years old. My passion for the last 12 years has been playing competitive softball on the weekends. For the last 2-3 years I dealt with heel pain after playing softball until it got to the point where I couldn’t take it anymore. Most pain came the next morning when I would get out of bed or after sitting for an extended period of time. A sports medicine performed my surgery. I was in a splint for 15 days and my foot was totally immobilized. From there, I was in a walking boot for about 5 weeks. 2 days into the walking boot I had totally ditched the crutches but definitely still felt some tension when walking. At the 6 week mark I started PT 3 x week. I’ve definitely noticed improvement, but I thought I would be further along than what I am. My calf is still extremely weak. I am walking on the outside of my foot which I think is causing calcaneus pain. I also have a super tender spot to the touch on the inside of my heel. My doctor and therapist insist that the tender pain will go away but we shall see. Coming up on the 4 month mark.

  206. Thanks for sharing Jarrett…if you’d like some response you’re likely to get it if you start your own blog…best wishes to you!

  207. I must say that I am very pleased with my surgery to remove Haglund’S deformity. 4 weeks in a removable cast/walking boot PWB, with physio twice a week.

    After the 4 weeks, straight to 2 shoes, FWB and continued physio. This was excruciating the first 2 days, but the pain decreased fairly rapidly.

    Today, day 9 with 2 shoes, I was able to walk 3km, around the city with absolutely no pain :) (wearing sandals with heel–no contact with wound and shortened achilles)

    Still some swelling, numbness and stiffness, but all in all, recovery much faster than I’d expected. Hope to be back to running in a couple of months more

  208. I was ‘diagnosed’ with Haglund’s Deformity in my right heel…and I am attempting to ‘avoid’ surgery due to my ‘career’ as a fitness trainer/instructor requires me to be able to ‘go-go-go’ at 110+% ‘almost’ everyday!

    I have been ‘dealing’ with it on a daily basis for quite some time, but as the years go by my ‘bad days’ have become somewhat tolerable ‘worse then bad days’…..& my fear of ‘having to face a surgery option’ are looming over me like a dark cloud on the horizon.

    My biggest worry is that my recovery will be very painful and lengthy and that when it’s ‘all said and done’ I may be no further ahead with ‘what I’m dealing with’ when the ‘recovery’ is complete…..I worry that I may be even worse off then pre-surgery and that I won’t be able to return 110+% to my career in fitness….

    SO…my question is….IS it better to go ahead and go through with surgery….OR…is it better to just deal with the pain on a daily basis??


  209. I have suffered with Haglunds since I was ~10 years old (21 now) and it has come to the point where I am seriously considering surgery due to the chronic pain I regularly suffer with. As a background…

    Pain varies day to day, one day I can be pretty much pain free and the next day I can be struggling to walk due to my achilles being so tight and my heel bursas being so inflamed. I walk on my toes to alleviate the pain, although I have orthotics in my shoes so I am usually able to walk flat footed when I use them.

    I have been told I developed Haglunds as a result of the bone structure in my foot and I have spurs on both of my heels which makes it incredibly uncomfortable to walk when i’m wearing shoes.

    I have had x-rays and an MRI scan which have confirmed Haglunds deformity and I will be having my first round of steroid injections next month. After this I will most likely be having surgery, as the steroid injections are pretty much a stop gap rather than a long term solution.

    I have read some amazing recovery stories in this blog from people who developed Haglunds through a sports injury, which makes me think if they can do it then so can I. But as I have had this problem for over 10 years, and I will need both feet operated on, it seems like such a long process and i’m worried my recovery will be slow.

    I am not so much worried about the pain post surgery, as I like to think I have built up a high pain threshold over the years, but it’s the long grueling recovery that I know I could face. I haven’t really seen any posts of people in a similar situation to myself and I want to know how the healing and recovery process was for them?

    If the operations are a success though, I will be pain free and be able to walk flat footed which is something I have wanted for years!

    Can somebody offer any advice?

  210. To Joe and Janelle,
    My reason for going ahead with the surgery was that excess bone isn’t going to go away on its own no matter how many cortisone shots, physio appts etc. that I would have.

    I worked for 20 winters as a ski instructor and was forced to give up the ski teaching due to other health problems (rheumatoid Arthritis (also a factor for haglunds)) My life post-skiing looked pretty bleak at first, but I don’t even miss it any more–There is more to life than your first sport!!

    I now work teaching english as a second language for my people-contact and spend more time on my bike and walking/hiking for the excercise part.

    Although I reported a few weeks ago that I was almost completely pain free, I would have to retract that statement–I think that was a bit of beginners luck. I DO still have pain in various Locations and strengths, but all is bearable with the thought in mind that it IS getting better. I notice continual improvements in strength, mobility and endurance.

    My advice is to get a good recommendation from your GP and a good physio for after. Go for the boot from the beginning, try to maintain as much mobility as possible.

    And be Patient!

  211. I had surgery in 1998 for Haglund’s deformity of the right heel. The doctor moved the insertion site of the Achilles tendon aside, removed a lot of bone, replaced the insertion site, and casted it for three months. After I got the cast off, I still had pain and the inability to wear regular shoes. The doctor advised me to avoid surgery on the left due to lack of success on the right. In 2009, I began to have problems wearing flat clogs and needed a higher heel to prevent pain from stretching of the tendon. In 2010, the insertion site popped off/detached. It evidently didn’t heal properly from the first surgery and the need for higher heels was a result of the weak healing. The insertion site had to be sewn back in with wire because they didn’t know what else to do. 3 months in a cast again. It was better after but I still am unable to tolerate pressure on the back of the heel. But at least after the second surgery I was able to tolerate sheepskin lined boots in the winter. I had to go around with wet feet all winter before because I couldn’t tolerate any pressure there.However, now I am having more pain and enlargement of the left heel and thinking I will have to go through this ordeal again. And this is after twenty years of wearing fairly flat clogs to avoid stress on the tendon. I’ve never worn pumps or high heels and no one else in my family has ever had this problem, so I don’t know why I have it. And the left one worsened in spite of over 20 years avoiding stress and pressure to the area. In any case, don’t expect miracles from conservative or surgical treatment. I had physical therapy, injections, medication, etc. before I resorted to surgery. I expect I will never be able to wear regular shoes ever again, even for special occasions. My future does not include pretty, chic, or fashionable footwear or even pain free weightbearing. Sorry for the pessimism, but this has been my life with Haglund’s.

  212. I hate to be the bearer of this kind of news, but when I had mine done it took me over 12 months to start feeling relief. I must have forgotten how bad it was because I’m having my other one done tomorrow!

  213. Hello everyone. I’m 2 days post op of the haglunds deformity and Achilles’ tendon. I had had the pain for about 2.5 years before I went and saw a doctor. I stand on my feet for 12+ hours a day working in the operating room. I had finally gotten to the point I could no longer put my foot completely flat on the floor with out excruciating pain. My doctor went ahead and gave me the heel lifts and the night splint to stretch my tendon, go figure that didn’t help. So in order to get the inflammation to come down and my tendon to relax he castes me for 4 weeks, then put me in the cam walker for 6 weeks. After all the inflammation had gone down we went ahead and started 3 months of physical therapy (which helped for about 2 months after). But go figure once again I was back in his office with excruciating pain and an X-ray and MRI later found that the damage to my tendon done by the bonespur had be Moreno extensive than we had originally thought. So Friday I went in for the detachment/debridement/re attachment of my Achilles’ tendon and removal of the bone spur. All my blocks have worn off around Saturday night and now the percocets have become my best friend. If anyone has any other advice to help with the pain or rehab I will gladly take it. Thank you.

  214. I had a complete Achilles rupture while playing touch football on Father’s Day at age 40. I was fairly in shape and worked out about 3 times a week at the gym but didn’t play any sports.

    One trick that has helped control the swelling is to ice the top and back of my leg near the knee as well as under the cast.
    I am trying to wean myself off the percosets now and my last one was over 12 hours ago so I might as well stop them.

    I do feel the blood rush to my legs every time I stand up. It is an odd feeling and i am also used to working 12 hour days. I actually feel pain in the incision more than the tendon and so I try to have my leg on one side or the other as much as possible. Good luck.

  215. Johnjk: thank you for the advice, I have been icing it on the back of my knee and that has helped with the swelling. The one big problem I am having is right when I wake up and for a split second I forget I’ve had the surgery and go to pull my toes up to try to flex my ankle/stretch my calf. The pain that I get from that is indescribable and I know there probably isn’t anyway to stop it but if any one had any idea. I greatly appreciate it. Thank you,

  216. Hi, I had my Haglunds Deformity surgery one month ago, June 16. It has definitely not been a walk in the park. I found this blog the day after my surgery and found it rather discouraging. I wish I would have found it earlier as that would have helpted in my decision making. As of right now, I wish I would not have had the surgery. The weekend before I was on a 4 day motorcycle ride with my husband and so of course the day before the surgery my foot felt great. I just turned 54 and ran four marathons along with many other 5k, 10k, and half marathons during my 40’s. My dad kept telling me that if I didn’t stop running, I wouldn’t beable to walk by the time I’m 60. I guess I should have listened to him. He has now passed away and I’m sure he’s up there shaking his head and saying ‘I told you so’. There is no good time to have this surgery. I live in MN and so the winter would not be good trying to crutch aroud in the snow and ice. But the summer humidity is causing my foot to swell and causing so much pain were the sutures were. The first month it felt like pins and nails poking at my heel when I had the cast on. I needed to take two oxycodone every night in order to be able to sleep. I got the cast off last week and am now in a walking boot. That did help and now only feels like pins and needles along with very sensitive burning sensation on both sides of sutures. Needed only one oxy at night. Last night was the first night I didn’t take any oxy. I only wear the walking boot when I’m up and around as it hurts. I had to give up my scooter this week too. So now am crutching around with some weightbearing. I am hoping that down the road I will be glad that I went through all of this. I’m feeling so helpless as now it is even harder to do any daily tasks without my scooter. And on top of that I have a torn rotarty cuff so maikes it even more dificult on crutches. Guess I should have had that surgery first. My surgery was the full remove the acchilles, shave off bone, bring down tendon from big toe, and also bring down tendons from calf muscle. I do get some encouragement from those that say to be paitient. I am trying, but still have a long way to go it sounds like.

  217. Hi everyone, I had arthroscopic surgery on June 1, 2015 for Haglund’s Deformity without removal of Achilles. Definitely wasn’t a walk in the park. The pain after surgery was a lot more than I expected. I was in a cam walker for 5 weeks, and it was feeling a bit better but still a lot of discomfort when walking. Now at almost 7 weeks post op, It has become touch sensitive again and hurts like hell when walking. I’ve had several ACL Reconstructions to my knee, and they weren’t as aggravating as this surgery. Not sure what my next options are, or if this is normal recovery.

  218. Hi all!
    I am 19 years old (from the UK) and had surgery to remove the haglunds deformity 5 days ago. The surgeon said that he had to move the Achilles more than expected and so he has had to anchor down the tendon with a metal screw. Was expecting it to be quite painful after surgery but so far I have experienced very minimal pain (hope I haven’t just jinxed it!!).
    I’m in a back-slab cast (which is so heavy so very exhausting, anyone else experienced this?) for 2 weeks NWB and then a boot for a further month with physio starting in 6 weeks time. Haven’t been told too much about the recovery period but hoping for it to not be too drawn out.
    Great to read all your experiences although slightly disconcerting to see so many of you have had negative results. I’ll keep you posted on my recovery and would be great to hear of your experiences!

  219. Sorry to report that recovery is quite drawn out (9+ months), Hayley, but the good news is that you are on the road to recovery and will be better off in the long run.

  220. 9/16/2015 I am 7 days post op from Hagulands deformity and I am nwb and have had the partial cast removed and a pad over the stitches with a wrap around the ankle. My problem is the pain from the nerve on the outside of my right foot. I had a tkr done 10/2014 on my right knee, and the pain in my foot is worse! My Dr. said it would take awhile for this to go away. Has anyone had this pain like this? It burns and make it hard to sleep because just moving my foot up and down feels like fire.

  221. I have had a lump on the back of my heel for about a year, with some pain and lost of stiffness. Did the recommended stretching exercises. I am not a runner. I had a bunion removed on that foot two years ago and went back to that doctor who took several x-rays which showed very clearly the bone growth and he recommended surgery (insertional Achilles) and took a long time explaining just what that would entail (6 weeks NWB, etc.). Kind of freaked me out so I went to another doctor and he said to take pain meds and do physical therapy and we would see. He gave me a referral for 10 PT appointments and spent about 3 minutes with me. I am 61 years old and not very active. I have no idea what to do now.

  222. Hi Annie,

    I just had the surgery for removal of the bone growth and insertional Achilles . The bone on the back of my heel had grown very large (bigger than a golf ball) and I got to the point that I really couldn’t walk. It started out smaller and grew over the years. I am 55.

    I am 7 weeks post op and starting PT today. Honestly, I would only do this surgery again if I was unable to walk without a lot of pain and a big limp.

    I was 6 weeks in a cast NWB, I didn’t realize that I would have to keep going back to the surgeon for recasting and placing my foot at different angles, it was hard for me to find someone to take me and my knee scooter. Not to mention trying to get groceries ,etc. It depends though on if you live alone or have some good helpers.

    At 6 weeks he took off the cast and put me in a “walking” boot. I can barely even stand up with crutches. It feels like there are huge rocks in the bottom of my heel. Now at 7 weeks it still feels the same way. Not much walking going on.

    Now I have to pay for a ride to get me to PT with my knee scooter and crutches.

    this is to say, the recovery period is much more difficult than I thought even though I had read what was involved. It’s going to take me a lot longer than 7 weeks to be FWB without crutches. So the 6 week thing is just the beginning. He did tell me the recovery process is one year.

    I hope it goes well for you with whatever you decide. Keep us posted!

  223. Really glad I found this blog. I am current pre-surgery and trying to decide.

    I have been diagnosed with Haglund’s and I have been having increasing pain and soreness. My ankle swells after running or playing soccer even after extensive PT. My surgeon has given the same 6 weeks advice and I believe that he may have lead me down the primrose path here. I wanted to be back for ski season in late December but that seems totally unrealistic given all of the stories here.

    Has anyone out there had a happy and successful recovery? Or are these blogs for those of us who feel the need to warn others (much appreciated) about their pain. I truly appreciate the information but am hopeful (like everyone) that I will be the exception and not the rule. Just wanted to know if these sad reports were the “exceptions” or “the rules”.

    Thank you in advance.

  224. Eeek…..just saw this site while surfing about Haguland’s Deformity and I’m a bit freaked out now I have to say. I have those ‘bumps’ on both of my heels….recently diagnosed with Achilles Insertion Tendinopathy. It seems that I’ve tried everything to deal with the pain (physio, acupuncture and even “shockwave therapy” which was expensive and relieved the pain for about a month before it was back with a vengeance). Surgery on my left foot is scheduled for Nov 3rd. I thought I would be able to get the other foot done a few months thereafter but reading the messages about recovery time is making me think it will be a bit longer than that. Thanks for sharing this info - it’s enlightening and I’m at my wits end dealing with this problem. Hoping the surgery is effective, there is no pain and back to work in a week (lol)…..

  225. Andrew,

    Hey, I see that you are trying to decide about the Haglunds surgery. I am 38 and like you played soccer from 21-32. For starters let me tell you, soccer shoes are about the worst footwear in relation to Haglunds. Cleats caused me to have Haglunds about the size of a marble on the back of each heel. The Haglunds caused me to have to discontinue soccer. I have been playing basketball every Monday for the past 6 years for 3-4 hours and have always just had the mindset of dealing with the Haglunds since I always assumed to resort to surgery as a last resort. At the end of August, that choice was made for me as I had the proverbial “kick in the back of the ole leg”. I had an acute rupture of the Achilles. The force actually broke off part of the Haglunds. My OS was not going to remove the Haglunds, but changed his mind when he went in and saw that only 20% of the Achilles was attached to the heel bone and the rest had pretty much attached to the Haglunds. There was also considerable micro tearing in the Achilles due to the Haglunds. I am now starting my fifth week post op and will be getting my boot tomorrow. I would have gotten sooner, but I had a slower wound heal due to the size of the Haglunds that was shaved down. I am pleased to say after day 14 when I had the initial splint taken off, there is no pain. We shall see what PWB brings. The moral to my story is, if you have any type of bulge back there, it is not going to go away since that is a calcified growth. If you remain active, it will more than likely grow in size and it will probably hurt or rupture your Achilles at some point.

  226. By the way if anyone has any questions, please ask. This site has been very helpful and I will be more than glad to help anyone who is about to go through this.

  227. My brother just recently had his arthrosocpic surgery done to fix the haglund’s deformity (excision of haglunds deformity) on both feet. He has literally struggled walking for the past 8-10 years and finally decided to get treatment now. Both foot were affected with the HD. The OS also mentioned that his tendons were badly damaged but didnt merit getting it reattached. He had the surgery about a month ago and is now on aircast. He started using the aircast bootwalker last 5 Oct (today is 8 Oct) wearing one additional wedge on each foot. He continues to struggle walking because he says that there is pain at the soles of both foot. Ive been reading the thread and i can’t seem to find a patient with similar treatment who has succesfully recovered.
    Anybody else experienced this? I am getting impatient and discouraged for my brother. Thank you everyone and wishing you all the best health.

  228. JM,

    I’m not really understanding why surgeon would not have repaired tendon if he said they were badly damaged. How big were your brothers Haglunds. As I said earlier, mine were the size of a marble on the back of each heel where the Achilles went in. Is the pain in the soles of the feet towards the toes or the heel?? If your brother had both feet operated on the same time how long has he been off of them. I went into the walker boot yesterday for just one foot (see above). If your brother has been off of them for approximately a month, the pain in the soles is going to be there for a little while since all of the muscles in the bottom of the feet have been dorman and not used. Ask away my friend. I’ll help you anyway I can!!

  229. I was just informed that I have a Haglund’s deformity and a bone spur at the insertion and I have very tight calves. I’ve gone the traditional physio, Rossiter therapy, resting route like all of you-and big surprise, didn’t work. My OS tells me I am not injuring the tendon by running or being active and that it is up to me if I want to pursue surgery or not, if I can tolerate the pain -which is variable. If I’m not injuring it by being active, why is the pain getting worse over time? I haven’t seen anyone discuss here the additional procedure that my OS told me he would perform-lengthening the tendon by cutting at the soleus/gastroc connection and letting it heal? Anyone have that experience?

  230. Thank you David G,

    My Haglund’s has not yet stopped me from being able to perform activities. Agree with you that it won’t go away and that I will need surgery eventually. I’ll try to do it before it becomes a major problem as that may help my recovery.

    I coach my children in ski racing in the winter so the fall would be a very bad time for me to have the operation. I’m planning to revisit in the spring.

  231. Sue,

    That is a load of bullhockey that your OS told you. The Haglunds is more than likely keeping your Achilles inflamed. The constant inflammation leads to tendinitis. Running will aggravate both the Haglunds and Achilles when it is inflamed

  232. Andrew,

    God luck to you. My only suggestion if you plan on surgery is to try and do it when it is cooler. I had my surgery 8/31. I would have died if it was going into the warmer months since my toes felt like they were on fire and we’re going to blow off for the first 18 days

  233. Sue - I know this is a few days old so I hope you get it. I tend to agree with David and would hope you seek a second opinion. There may be a couple of things happening which could be related but the lengthening surgery mentioned seems a bit hit and miss. Cutting the tendon and letting it heal may cause some lengthening but the amount is important and of course it would be both tendons. This method does not seem to fix the amount surgically and would no doubt rely on the angle of the foot to produce a gap which the body will fill with collagen. A short AT could be causing insertion problems and extra rubbing but you would have been aware of this your entire life if it had been a problem. The haglunds and spur could also be indirectly shortening the tendon as it has to go around them. This will cause problems and usually it wears the tendon away. Some people have had no problems with Haglunds surgery and others have. Much depends on the skill of the surgeon and the amount of damage to the tendon. Many people wait until the pain is too much and maybe that is the problem. There are many here who have been through it and it will be up to you to search them out. They may not be visiting regularly but if you leave a message on their page they will get it if their email account is still active.

  234. Just found this site and very glad I did. I have Haglund’s for about 6 months and debating on surgery. Some days not much pain, other days are bad. I have had a torn achilles on that same heel, that was repaired and not caused problems until now. I had no idea the procedure and rehab time for Haglund’s was so extensive. We are taking a cruise of Hawaii and was thinking to get it repaired before trip - but now rethinking the time frame. Had both knees replaced at same time 6 years ago and I think that rehab time was probably better than Haglund surgery! I think I am going to try the pain management clinic for ultra sound treatment. I have tried the cortisone shots but they don’t last for long!
    Any suggestions for pain management or good shoe brand that you have had some relief from would be appreciated.

  235. Pat,

    I found a gel heel pad called the Silopad Achilles heel pad. My Haglunds causes bursitis and soreness and I find this pad helps to protect the tendon. For walking around I wear New Balance walking shoes and have orthotic foot-beds.

    I’m trying to avoid the surgery and these have helped. I also do a lot of PT to strengthen the Achilles and loosen the muscles further up my legs.

    Good luck. You’ve been through a lot.

  236. If the haglunds is such that the Achilles must be detached and reattached in order for sufficient bone removal to take place, I would try to avoid surgery as long as possible.

    I was told 6 months to be walking normally and one year to full recovery, I can tell you after over 13 weeks post operation that they aren’t kidding. and as my surgeon told me “there’s no guarantees, but it usually works well”

    I had the operation after 30 years of pain during sports and walking and finally getting to the point of needing a walker for everyday life.

    The bump did grow over time and got huge. I used heel cups and orthotics everyday. It grew anyway. Good luck with haglunds.

  237. My ortho is a specialist in foot and ankle problems and he was the only Dr. to finally diagnose my problem ( which I have had for the last 2 years). We tried the backless shoes, the PT and the walking boot since July 2015. By the time of my surgery, it was all I could do to make it through work, where I stand on concrete floors 8-9 hours a day at a print shop. I could barely walk by after noon and could only sit and ice my foot all evening. I stopped walking the dog, fixing dinner, cleaning house, exercising. Finally had surgery because, as someone here pointed out, the bone growth won’t go away on its’ own.
    I had my surgery October 5th, 2015 so I am about 5 weeks post-op now. I had a Haglunds deformity which was growing through the Achilles tendon and shredding it with every step. There was calcification of the tendon, insertional tendonitus, a chronically inflamed bursa and several smaller spurs on the bottom of the heel. The Dr. told me that the damage to the tendon was turning necrotic, so it was a good thing I had the surgery when I did. He split the tendon and removed the bone spurs. He had to partially detach the tendon when he cut away the damaged portion so there are 3 posts which will gradulally disolve over the next year. I was supposed to be in a half cast splint for a week, but I couldn’t stand the pressure it was putting on the incision, so I
    ripped it off after 4 days. Then I was put into another one which I managed to
    keep on for 2 more weeks (all NWB). At four weeks out, I was put into a walking boot and released to PT. I have had two sessions and look forward to the foot massage, but the plantar fascia has tightened up so much it looks like a pencil with bumps and is extreemly painful to touch.
    I am worried about going back to work and being able to stand all day again. I took money out of my retirement account to pay expences and part of the medical bills, but it is almost gone now. I wore the boot all day today and was walking abound the house a bit without the crutches doing small chores without pain, just stiffness, however my foot is killing me now. I think I pushed it too hard, but I am concerned that if I don’t push some I won’t be in shape to
    go back to work before Thanksgiving. My boss wants me to be FWB by the time I come back, but I don’t have any idea how long that will take. Any advice from those who have had this surgery and have to work standing all day? Were you able to do full or part days? has anyone gotten the plantar fascitis problem after starting PT and what did you do for it?

  238. Hi Everyone, I have haglund deformity for about a year now and I was thinking about having surgery. But after reading all the problems everyone is having I’m having second thoughts. It just might be less painful living with it for now. I have my good days and bad, but it depends how much I’m on my feet for that day. I turn 65 Jan.1st and trying to enjoy retirement. I play pickleball (youtube it) 3 times a week to help keep in shape. I’m sure glad I found this web site.

  239. No rupture here, but after bone spurs from repeated activity related abuse when I was younger, and about 10 years of AT flareups, I broke the spur off on my right foot this summer. Significant swelling and sever pain, could barely walk. Surgery was performed on Sept. 10th. Two weeks in post surgical cast on my back with foot elevated above my heart (had a device that circulated cold water through the cast that I think was a life saver). Stitches removed and went into a hard cast for two more weeks foot elevated above my heart. After four weeks went into a walking boot with PWB. Went back to work in a wheelchair after begging my Dr. and had a complication. The walking boot caused the incision site to partially reopen. Back to foot elevated for three more weeks.

    Now 10 weeks post surgery and I am about twenty percent and can hobble around without crutches for very short periods. Go back in two weeks to see if I am ready for PT, but not planning on being 100% for a complete year.

  240. I am 24 days post surgery for haglunds deformity must add that my surgeon performed the surgery without touching the AT..
    Recovery protocol is NWB 3/4 weeks in an aircast boot until sutures removed in my case this will happen on 26/11 after which I will transition to weight bearing whilst still in the air cast for a further 3/4 weeks.
    Pain has been absolutely minimal, also due to lots of icing for the first 3/4 days. This week I can feel that the wound is heeling as there is a lot of itching and stabbing pain in my toes.
    For what its worth I rented a drive knee scooter hoping that will eliminate lower back and hip pain issues whilst being unbalanced however it doesn’t, also very hard on the bended knee, the upside is that you are able to do stuff as your hands are free.
    Wondering if anyone can detail the transition from NWB to FWB - how many days did it take ?

  241. I am 16 days post op. Had both haglunds and a big bony spur on the bottom of the heel. Only the haglunds gave me pain. Consultant did keyhole surgery to remove the Haglunds but left the bony spur as no symptoms and he would have had to detach the Achilles which would have extended recovery massively.

    Two weeks on crutches, elevated foot with NSAIDS for swelling and aspirin for clotting. In aircast boot now for a further two weeks, but in one week’s time will try barefoot round the house. Really happy with the op - so pain free that I used none of the codeine based drugs they gave me. Don’t feel I could walk without the boot, but it’s alright with it on. Seeing Physio as soon as I can to start rehab.

    Stitches came out two days ago and I am writing this in the iPad as I have my first bath for 16 days - bliss

  242. I’m 63 and scheduled for surgery for HD on Jan. 14. Am starting to freak, reading all this stuff. I’ve had 4 total hip replacements and 2 dislocations (one in a remote part of Iceland), but this pending foot surgery is scaring me more than any of that. I compete in dog agility, I cross-country ski, and ride horses…and love to walk. I am wondering if this is the end of all that.

  243. Jan M - I did not have HD surgery but I have read many accounts from those who did and although there are some who had trouble there are also many who came out just fine. Much depends on your doc. If you have confidence in your docs ability there is no reason you will not be able to go back the all the things you enjoy. Without the surgery things will get worse and you certainly will stop doing these things.

  244. Jan M- your recovery depends on your surgeon and the method of doing the surgery. My surgeon was able to remove the haglunds bone by chiselling it out and as such didn’t have to touch the AT, hence my recovery is easier and pain free. I spent 4 weeks NWB and 2 weeks FWB hoping to go back to shoes in 7 days - surgery was 1 November.

    FYI - when my surgeon recommended surgery I went for a 2nd opinion and that Dr’s procedure involved removing the AT which seems to be the general way of doing HD.

    I am 56 and usually fairly active like you, that as you know aids your recovery process !

  245. I had three opinions for haglunds surgery, two said they would have to detach the AT to remove the huge bone on my heel, and one said “no problem”, he could just move it aside and get it out without disturbing the AT,

    I went with the more aggressive procedure of detatching the AT at the insertion to remove the haglunds along with debridement of the AT, luckily they didn’t need to do a tendon transfer as well.

    There have been a few times during this very long recovery that I wondered if I shouldn’t have gone with the doc who wanted to just “stretch” out the Achilles rather than cut it.

    that being said, so far I am really glad I went the way I did. In my case, the bone was very large and doctor said it was very important to remove as much bone as possible for optimal results. I am still healing but to be honest I can’t believe how good my heel feels.

    recovery time and results definitely depend on the doctors way of doing the procedure as well as the location and size of the haglunds deformity.

  246. Well 63 days after my left Insertional Achilles repair with bone spur removal Oct 29, I had my Achilles repair to the right today Dec 31. Thanks to all the meds and pain from today’s surgery, my Left is pain free. Hopefully that will continue, but I’m sure it’s the meds and right foot confusing my left foot, ha-ha.

    Anyways… Been through rehab three days per week on the left since the cast came off my left Nov 16. Started walking without crutches full time by Nov 30. Walking in shoe full time by Dec 14. I took me countless hours and headaches finding the right shoe for my feet. For me it was the Brooks Adrenaline GTS 15. Found and tried them on at Dicks Sporting Goods, and played the online ordering and return game until I found the perfect Brooks. My nurse before surgery ask how my left foot is doing… I said, its had its days up to date. Some days I feel like this may work, then others wonder if this was the fix or not. My nurse said she was wondering because she has the same in both feet. So I told her about the Brooks, of course everyone is different.. But I was amazed to find a shoe I didn’t need to put a heel raise or arch insert in the shoe. I bought 2 pairs, one for house shoes, other for outdoor. Just if Brooks made a steel toe work shoe..I be living in a perfect world!

    So I have been asked before why so early for the 2nd Insertional Achilles repair. The Dr told me the least two months I could do the other foot, but of course I had to feel confident.

    I have been walking with a limp, but not too bad. I still can’t walk long distance or too much along with standing for a period of time. I’m sure this is all normal and all in the healing process??… I continue the therapy exercises, ice, elevate, rest the foot. Hate the heel to toe exercises but been getting better, still not able to lift off the left repaied foot, but its still early.

    So I have been able to walk good enough to feel confident to go ahead with the right Insertional Achilles repair. Either way my right foot still hurt continually, even if the left may or may not be getting better, although I think it is, Also will this impact the healing time for my left foot now using as primary wb foot? I wasn’t sure, and yes was concerned about it. But at the end of the day. Before the left and right Achilles repair, I was in horrible, draining pain… Nothing worked. I was miserable at work, home, even on vacation. Life was not enjoyable. So what do I have to loose. I’m either going to be fixed and live normally.. Or be back the way I was.. I’m betting on getting back to life..oh yeah!

    I was very thankful for finding this blog, it at least gave some since of timeline for this procedure. Although I’m not a runner, I do have kids and grandkids I so want to walk, run, and play with..

    To the start of a New Year pain free 2016 Happy New Year everyone!

  247. Hi,
    My haglund surgery will be 1/15/16. I have had the best success with On shoes. The back is soft, but w a supportive sole. I run in mine. They are sold online and in some running stores.

  248. Sunny, as as runner myself and 5 weeks out from haglunds surgery, I’ve looked into these shoes! What model do you use

  249. I use the On cloudsurfer. 3 years with Haglunds and those shoes were the only pair I could run in. Cheers to succesful surgery and running again!

  250. I am three weeks post-op. The doctor had to partially remove my AT to remove a broken bone spur that was 1 cm long. I am curious if everyone has had the tingly sensation in their foot and toes after surgery. The doctor used my tendon from my large toe on my achilles tendon, then attached the tendons from my other toes to my big toe. I am concerned that I have very little feeling in my foot.. Please let me know if others have had this same sensation. It feels like my foot is asleep. HELP!!! I am very concerned.

  251. Susie - surgery of this type can interupt nerves and it usually repairs over time. Nerves grow about 1mm every day. I crushed my median nerve many years ago and could not move my left hand or feel anything and now I am back touch typing. Sometimes the sural nerve near the AT is affected and it will cause a numbness in the foot. I cannot say for sure that all will be well but many have had the experience and recovered.

  252. I just turn 56 a few days ago and for my birthday present I got a colonoscopy (passed with flying colours) and an OS evaluation for Haglund’s deformity. Please do not laugh……!!!!! I competed in cross country, track and field, and tennis most of my life. When my “running” days were over I decided to play golf seriously at the age of 30. Now I can not run, jog and barely walk. After an 18-holes round I feel pain on both heels. I have a pre-surgical appointment today with a foot and ankle OS. The radiographs revealed a osteophyte and calcification of the retrocalcaneal bursa. Apparently there is a partial tear of the AT on the medial aspect. I am very optimistic about the technical aspect of the surgery but are skeptical on the rehab. If the OS removes bone from the heel and treats the AT partial tear most probably the PT will cause an intense pain. I will keep you informed as the treatment progress. Please include me in your prayers….

  253. The foot and ankle OS examined carefully both the radiographs and my AT area. He started a conservative tx with a combination of anti-inflammatory patches twice a day, power stretch of the calf and ice pack after stretching, a night splint to rest the AT, avoid heating pad therapy for a period of 8 weeks. If there is no substantial improvement he can always do the surgery. I will keep you informed as the therapy progress. Rafi

  254. Hi! I have been dealing with Haglund’s Deformity pain for just over a year, and after 3 months of physical therapy, night splints, wearing a boot during the day and regular stretching at home, I am not getting any relief for it. My orthopedic surgeon finally told me that my options are to either live with the pain or go ahead with surgery, which has been scheduled for May 4. After reading all of the stories here, I am starting to re-consider.
    My doctor told me that he would have to detach the AT, shave down the bone, re-attach AT and then I would be in a cast for 6 weeks and a boot for 6 weeks, then I would be able to walk normally in regular shoes. I have a husband who can help me at home (but he works nights).
    I am just concerned that if I change my mind about having the surgery, that my pain will just get worse. It’s been really hard as-is. Some days I’m okay; it’s just a little tender, but other days I can hardly put weight on my foot. I want to be able to exercise, but that is where I am having the most difficulty right now; it will hurt for several days if I even try. I have 2 months to decide, so I am wondering if anyone can give me some input.
    Also, how would you describe the pain, post-op? Is it horrible? And I was also wondering, since summer is around the corner, what are my chances of being able to go swimming with my son? Thanks!!

  255. Monica I was EXACTLY in your shoes a month ago… should I or shouldn’t I have my surgery. Same type of pain, same type of options.

    What I did find out, if i didn’t have the surgery, I would only get worse and the risk of my tendon shredding or rupturing anyway. Or not be able to do anything except watch others have all the fun.

    I’m almost 4 weeks post-op. The pain was manageable if I kept foot elevated and pressure off the ankle/heel for the first week. Then didn’t need much in the line of pain meds.

    Biggest issue is the not walking and NWB non weight bearing. I suggest you search around here on other posts. There is alot of good info to help you.

  256. Monica, I also was where you are 2 months ago. I’m not a spring chick (except in my brain!) I’m 63, and I TRIED NOT to have the surgery and almost cancelled it several times but I go to the OS tomorrow (can’t come soon enough!) for my first post-op and stitches removal (I hope). I’m 2 weeks post op today. Pain level has absolutely been MINIMAL (tho I have had FIVE joint replacements, so in comparison, this surgery was a piece of cake!).

    Now the down side is NOT the pain, it’s the PAIN OF the INCONVENIENCE!! I am extremely sick of the walls in my house, and I have a love hate relationship with my knee walker. Since I’m kneeling on my knee replacement, my knee is sore so I try to just stay PUT wherever I am. I have watched 28 hours of House of Cards, about 16 hours of Fixer Upper, 9 movies and am on my 3rd book! My sweet husband has done a LOT for me WHEN I LET HIM! I’ve only been anywhere out of the house 3 times in 15 days. I’m self employed so I’m “managing” that… sort of. My customers have to come to me to pick up their products or I mail them, but I am not seeking new traffic until I have a better idea when I will be PWB.

    Well, I will make a side note here…I used crutches instead of my knee Walker when My husband got me out of the house to visit our newest grandbaby 4 days ago….lost my balance and no one was close enough to catch me and naturally but unfortunately, my survival mode kicked in and I AUTOMATICALLY put my operated foot down for several steps to break my fall. Now THAT HURT - like an 8 out of a 10 and I had to take 1 pain pill a day for about 3 days, but I’m good again now.

    I know with the knee & shoulder replacements that I have had, they ALWAYS told me it’ll be a full year before I am healed, so I kinda know what that means. For my joints it just continually got better as long as I did what the Pt and OS said! And I am ALL GOOD!

    So, even tho I am stuck in the house and can’t do what I want to, and even though this is my 3rd surgery in 6 months, I am STILL glad I had the surgery 2 weeks ago, I KNOW it will be better and like others have said…it was only gonna get worse without the surgery.

    I KNOW it’s a long recovery, I knew it going in, I HATE being stuck in the house - it’s just too much trouble to go many places, but I suspect in a few weeks (optimistic, I know!) I’ll be WISHING for some boredom!!!

  257. Monica - I too was in your shoes. I’m 40 years old and my Haglund’s has gotten progressively worse in the last 5 years. I went to PT last year which had no effect, so this year I went to another doctor who not only re-diagnosed me with Haglund’s, but noticed a ruptured peroneal tendon that I’ve been living with for likely a year and a half. That, in addition to pretty much shutting down my running and exercise due to the heel pain in 2015, I opted for surgery last January. The doctor also sold me on “in four months you won’t even look back.” The doctor detached the achilles, sawed off the bony growth, and reattached (45 min surgery), then fixed the perineal tendon (another 45 min). The nerve block in the knee lasted 3-4 days post-op, coupled with percocet, I felt no pain the whole time, just numbness. The only pain was the occasional accidental toe-tap on the floor trying to get off my couch (close call, don’t do that). I only felt tightness for one evening after stopping the pain meds after about a week. I am now 8 weeks post-op and went from a splint (10 days), cast (3 weeks), boot with removable heel wedges (4 weeks), and today graduated to an air cast w/ one crutch, and may be able to drive to work tomorrow! (yes, right foot)

    Before surgery I read every single posting about this condition and recovery that I could find on-line, and as helpful as everyone’s feedback is, a lot of it brought me down. I just keep telling myself to TRUST MY DOCTOR and don’t overload yourself with these posts. I am definitely on the back side of this thing, and I have no intention of missing a Vermont Beer/Bike expedition this summer! I do not know how well the next few weeks or months will be for me, but I have hit the boot to brace milestone and physical therapy is feeling awesome! I can’t wait to see where I am at 12 weeks. So, if you opt for surgery (glad I did), STAY POSITIVE!!! Listen to your doctor, and I’m sure you’ll have a successful recovery.

    I will add this…learn to use crutches properly. My shoulders were in a lot of pain bc I used them wrong at first (good videos on You Tube).

    Monica, I hope this helps you and anyone else considering the surgery.

  258. 5 weeks post op! I am 62, play tennis( badly!) Love to dance and walk my 2 dogs. I, too, was given the option of change your lifestyle and live with it or have the surgery because it is not going to get any better and will get considerably worse. As it is my aim to still play tennis when I am 80, and since the dog walking is not optional- the decision was a no- brained.
    So far have been 5 weeks NWB, 2weeks in a back slab and 3 weeks in a boot. The pain has been minimal and manageable. The frustration has, at times, been overwhelming. Thanks to wonderful friends I have been given a change from my own 4 walls and my dogs have been walked daily.
    Last week I started flexing exercises and the ankle is moving better. My worries are that the swelling is present everyday( only goes down overnight) and the pain is actually increasing! Have started a little PWB and start physiotherapy tomorrow, when I hope to get a clearer indication of what time span I am looking at. I am not too bothered how long it will take - I still have my aim in mind and achieving that is what matters. I am just at the stage now that I need reassurance that it is actually progressing as it should be and that one day I will get my nice trim ankle back!

  259. I have a haglunds deformity on my right heel and going through PT, stretching, shock stuff and now on new NSAID. I go to a podiatrist and we talked about surgery but I’ll wait hoping the NSAIDs work. Of interest is my sister had HD on both feet and had them removed by moving tendon over. She did fabulous and is pain free both feet. Her only regret was waiting so long since she Is very active and this really messed up her lifestyle.

  260. Thank you guys so much for the advice and support; I did not come back here to see your responses until now. I did have the surgery done two weeks ago. They did three different procedures. They did the Haglund’s excision, debrided the tendon, and also lengthened it. The pain was actually quite bearable, to my surprise (even the surgeon told me before I went in that it’s not the most painful procedure, there will just be some soreness). I just had the stitches removed yesterday, and I was very surprised to see the incision to the back of my heel, along with an incision just below my calf. I was completely unaware they were going to do that, although it had been sore there and I couldn’t understand why, I just thought it had to do with the tendon. Does this make sense? I would have asked the surgeon about it, but he wasn’t in; I just saw the NP and the lady who put on my hard cast. Thanks again!!

  261. I am 2 weeks post op tomorrow from Haglunds surgery. Stitches come out in 2 days. I was concerned reading a lot of these posts pre-op because my doctor told me 2 weeks NWB followed by 6-8 weeks in a boot followed by PT. The NWB time seemed much less than what many others have said. I had very little pain for the first 10 days but in past two days have experienced short sharp sudden stabs of pain in my heel. Must be nerve related. Wondering if anyone else experience anything like that?

  262. Hi fellow Haglunds people. I’m due for surgery in August. I have a ‘big’ holiday booked for November for which I’ve only paid the deposit so far. I know that everyone’s recovery will be different, but would appreciate some advice from those of you who have already been through this; is there a reasonable chance I’ll be fit enough for a transatlantic flight and a fairly hectic 12 day holiday, or should I cut my losses and cancel now? I’m a passably fit 57 year old. Thanks in advance.

  263. I injured my right achilles in May 2014. I have HD in both heels but it’s only my right foot that has had any problems. I think it was largely down to wearing ill fitting basketball boots and a particular incident when I jumped awkwardly that caused the problems. Looking back now I was a complete idiot. I decided that I could walk it off and went out that night into town etc etc. Next day I couldn’t walk properly and had to walk flat footed. I still tried to play basketball and didn’t go and see a GP until 2 weeks after the incident, the whole time walking flat footed. Anyway after seeing a GP, then finally a PT then a foot specialist then back to PT then back to foot specialist for MRI then to surgical consultant I finally had some surgery in January 2016. They didn’t detach the achilles and used keyhole to go in from both sides and shave some bone off. I was NWB for probably 3 days then PWB for 2 weeks then I could walk about and wear lose fitting shoes. I have been on another course of PT and as of today feel i’m kind of back to where I was just before having the surgery. I can walk about, jog a bit but can’t sprint or jump. I play badminton casually and try not to use my right leg much but wouldn’t be able to play basketball at the moment. The PT doesn’t know how to get me to the point of being able to sprint or jump as technically speaking I can physically do this but it just hurts… a lot. I have an appointment with the surgical consultant in 2 weeks and he will probably suggest another operation but this time detach and remove all of the excess bone (there still appears to be quite a bit there). The nightmare continues and after a light badminton session I’ll be walking flat footed for a few days afterwards.
    I don’t know whether I should just push for the ‘proper’ surgery this time or whether I should continue with PT since i’ve already an operation, although I’m pretty sure there is still too much bone in the way of a full recovery.

  264. Richard, before I found this great site, I started a Haglund surgery recovery blog at nomorepumpbump.wordpress.com. From my research prior to my January 2016 surgery, I felt the complete shaving of bone, detachment and debridement of achilles and removal of bursa was my only hope of being pain free. There are a few blogs like mine out there plus this site. I am happy with the outcome so far. Best wishes.

  265. Hey Richard,

    Sorry to hear about the continuing pain, haglunds is so much trouble.

    I had a first opinion from a podiatrist who wanted to “stretch out” my Achilles and chop off some of the bone from my very large right heel deformity. He made it sound like a walk in the park with a relatively short NWB period.

    I was a little suspicious and went to a foot and ankle ortho surgeon who I liked a lot better, he did an extensive Achilles detachment, debridement and took off all the extra heel bone. he told me that the surgeon can’t be afraid to “get in there and remove as much bone as possible and aggressively debride” otherwise people can have not so good results with a lot of residual pain.

    I’m glad I went with him although it has been a heck of a long recovery. had surgery in August and just now am starting to forget about my operated foot. I am pretty much pain free and feels like a new foot.

    best wishes for your continued recovery whether it means revision surgery or a little more PT, hang in there.

  266. Hi Hillary-
    All I can offer is its hard to say! I am same age as you and had the Haglunds surgery 17 days ago. I’ve just been given the green light to do slight weight bearing with the boot. I am trying but I’m so scared I wind up only putting my toe down and of course still with crutches or walker. But I think I am on track with what my surgeon predicted which is 6-8 weeks in a boot after 2 week total NWB. I’ll do some PT after that so that being said -you have 3 months…is there any chance you could move the surgery up? Because if you could I do think you’d definitely be ok. Also noteworthy is the almost total lack of real pain that I have had! I had a couple of days of random shock like pains which came and went in a second. My dr attributes to raw nerve endings. Still have swelling…that’s about it. Good luck to you!

  267. Hey everyone
    I struggled with severe Achilles tendonitis for more than a year prior to finally having an X-ray. Surgery to remove a haglunds deformity and inflamed bursitis was completed 8 months ago. Long , slow , frustrating recovery. Still unable to run and intense activity causes post-workout pain. All post op tests and MRI are clear. Not sure if I trust my MD anymore
    Any advice?

  268. I’ve been gone through surgery to remove the haglund deform on my right foot on 26th May. Not involve any AT repair.

    Accidently FWB on the 14th day post surgery for 3 days. After that back on crutchers.

    Today is 3rd weeks (day 21), and i feel great. No pain…and the ankle flex veri smooth. Last night i walked without crutcher and the foot respond very well. Anyway, today i’m back with NWB as adviced by the doctor.

    I’m active runner. Ran about 17 full marathons event so far. Can not wait to run again.

  269. Lisa, first of all sorry for my english. I think we are on the same boat, i had an operation in April 2015, but the recovery is still pretty much in progress. I still have some pain on everyday basis, I manage to run about 2 miles before pain gets much much worse..So, I was in touch with my MD, but i didn’t decide to visit him, we are in touch through email.

    So, i’m not sure either, what to expect in next months. It happens that in some days situation is much better, but then the next day is even worse than before. So, i am confused to..

  270. Hi. I had haglunds deformity debridement and tendon detached and reattached on May 16th. 2 weeks in back slab before stitched removed. My further 4 weeks in full plaster ends on 3th June and I have been told I will then have a boot? I have been NWB al this time. I have a physio appt on 5th July. I just wondered what I can expect in regard of the boot and the physio? I have done exactly
    what I have been told to do so I feel I have given myself the best chance I can so far but would really like to get back to some sort of normal activity if I can. I go on holiday in September and wondered what sort of fitness I can expect to have at that point? Plaster off on 30th June not 3rd!

  271. Hi Sue-
    Your surgery was the day before mine! I was only in the Fiberglas cast for one week. I was NWB for 2 weeks. From week 3- now I am allowed to try PWB while wearing a boot. This week I have finally seen progress with that. But I am still putting most at front of foot afraid to put heel down…it’s a slow process. My dr told me it’s not a race- listen to your body. Worst part so far really is dealing with the swelling. Anxious to see how you do once your cast is off.

  272. I had my 2nd Haglund’s/AT surgery on May 11, 2016. First surgery was Dec. 2007 and was never right. This time I steered away from the big box Ortho’s and went instead to a Rear Heel Reconstruction Specialist in the Richmond, VA area. I have to say, the surgeries have been VERY different. 1st surgery, 8 wks NWB barrage of casts that started with my foot pointing straight down, to eventually a 90 degree cast. Then, a boot for 2 months. No anchor to the tendon.

    2nd surgery, detached, CUT DOWN of Haglund’s, reattached and anchored tendon. Dr. said he cuts down and doesn’t “shave” the bone. (The other dr was supposed to have taken much of the bone, but obviously didn’t.) This surgeon couldn’t believe that the other dr didn’t anchor the tendon to the bone. 3 weeks in a 90 degree cast, then removal and asked to exercise foot (up and down motion) for 20 minutes. :) Hurt like heck, but felt kind of good, too. Another cast for 2 weeks, still at 90 degree. After week 5, put in a PWB boot for what will eventually be 4 weeks. Then, PT. Dr. said to expect to be September before I can tell a marked difference and good be December. Was hoping to do the a 5k in November, but will just wait and do the one in March.

  273. Hi all! I recently received a second opinion regarding my Haglund’s deformity. My first doctor recommended detachment of the Achilles, removal of bone and spur and then Achilles reattached to heel bone. My second opinion isn’t an advocate of detachment of the Achilles and recommended entering through the side and removing the deformity. What’s the best approach to take? Pros and cons of both methods?

  274. 12 days into the op. Can’t get comfortable, can’t sleep. Feel worthless.

  275. Depends on how many years you have been suffering - and how degenerated/thickened your achilles tendon is. In my case, I suffered for 10 years with it - taking every conservative viewpoint known to man kind - “avoid surgery at all costs” - and I kept suffering and suffering until my wife just forced me to have the surgery. The orthopedic surgeon went in there and said my tendon had significant degeneration - and the surgery needed to be done. Knowing what I know today - I should have had the surgery about 7 years ago. I was having “flair ups” about twice a year. So after the 6th flare up - maybe if they had just removed the bone - they could have not had to debride the tendon. After 10 years - oh yeah - it needed to be fixed - the calcification in there was just too much. So your own number of events will dictate - if this is your first flare up and first diagnosis - just go in through the side and take out the bone. If you’ve been dealing with this for a while - there is damage to your achilles and you should have it debrided.

  276. Craig - hang in there. I’m almost 8 weeks post op and significant improvement in the past two.

  277. Stacy, the second method is much easier to deal with because the surgeon nearly doesn´t touch your tendon. Thus, recovery time is much shorter - like 6 weeks / 4 months until you can walk more or less normally.
    It depends on wether or not your tendon itself needs to be repaired (small ruptures, scale deposits). Just let the doctor show you the x-ray or whatever picture he has taken and ask him how the tendon itself looks in it.

  278. to Hilary with August 16 surgery,
    The big question, and a big differing factor for all on this thread is… are you just getting the Hagland’s procedure? Cuz thats just shaving the bone. That will be painful and should heal in 2-3 months. But if you’re getting the full AT repair, the surgeon is SEVERING your AT, shaving the heel bone like the bottom of a Xmas tree, the re-attaching the AT, the biggest tendon in your body. My doc was overly optimistic. The most realistic post-op estimate I found was 6 months to completely heal. 18 months for full recovery. I had the combo on Feb 23 2016 and I’ve had to go back to the air cast 3 times, 6 months later. 3 steps up, 2 steps back..

  279. Chris, I am curious about your recovery. I am having Haglund’s and bone spur removal, AT Repair w/bone marrow transfer, possible tendon transfer from foot to AT. Lived with it for 8 years, got to the point I could not walk and if I did, I was up one day and then completely off it for 1 or two days. Surgery is 8/22 and he told me at least 6mos to one year recovery. Any items you found helpful during your recovery? How soon were you up and moving around on crutches or scooter?

  280. I’m 3 weeks post Haglunds surgery for a bone spur removal on the calcaneus. I’m NWB for another 3 weeks and using crutches and a knee scooter to get around. Pain from the surgery is bad but manageable with Motrin every 4 hours. However, the foot pain combined with sciatica has me up every hour or so. I haven’t slept a normal night since the operation and I’m really feeling extremely depressed and regretting my decision to have this done… I know it will get better but I feel like death at the moment. I know in the end it will be worth it - to not have that daily achilles pain… but it feels extremely dark and depressing in this space. Has anyone dealt with Sciatic pain while recovering from Haglunds? I found stretching exercises and I just started those yesterday but I’m interested in anyone else’s experience.

  281. I have had surgery on my left foot 5 years ago. I was in pain for almost three years than decided to get surgery done. I am glad I got it done I have no pain on my left foot. I had same problem on my right foot. I got surgery done six weeks ago. Tomorrow I will have my cast removed and than walking boot for another 4 to 5 weeks. Recovery is long but it is better than having to deal with pain everyday. My orthopedic surgeon is an excellent doctor. He explained me everything and according to that my recovery is going.

  282. After dealing with the pain of what I was told by two leading orthopedic foot/ankle specialists (from the same big box “…Institute”) was Achilles tendinopathy (no MRI used in either diagnosis), I insisted on an MRI, which showed bursitis caused by Haglund’s Deformity. First approach was to aspirate bursa and inject it with cortisone. This provided short term but complete relief which seemed to be less effective the second time. Finally, on July 28, 2016, I had surgery to correct the HD and a bursectomy. My doctor went in the side and did not remove the AT from the bone. After an initial period of healing (3wks), the area became inflamed and the wound looked ready to explode. The doctor drew a lot of yellow puss and sent it off for cultures to determine if there was any infection. I was also put on anti-biotics. Two days later (early Sept.), I was on the table again having it cleaned out and re-stitched. The cultures came back negative for any type of infection, and after consulting with another doctor in the same practice, it was suggested that I was experiencing an “inflammatory response to bone wax”. Google search ‘bone wax’ for more info on what it is and how/why it is used. After another few weeks of seemingly good healing, the same thing happened again. I just had a third surgery on Oct 13th to clean it out again. This time, I am in a half leg cast and taking it very easy. There is the possibility that I contributed to the problem by not taking it easy enough after the first two surgeries. I used to be very active and felt like a caged animal. This time, I will not rush it. I kinda wish I could go back to the beginning and just have the bursa aspirated and injected again with cortisone, even though it doesn’t last long (in my case). Now it’s too late and I am praying that this was the last surgery I’ll need on this foot, God willing. Only time will tell. Good luck to you who have HD and/or bursitis in the Achilles heel… It’s a real bummer to deal with in the best of cases and a nightmare in the worst. There is a reason that people refer to the biggest weakness in just about anything as “the Achilles Heel of…”. Basically, you are semi-crippled.

  283. I had surgery on October 14th at 6 am. It was Left Foot Resection Retro Calcaneal Spur, Resection of Inferior Spur, Transposition Achilles Tendon w/ reattachment using Stryker 5.5 screws. I was sent home that morning NWB with a splint, and Tylenol 4 w/codeine for pain! I had to call my surgeon within a few hours to ask if ok to increase meds, he approved to take 2, that still did nothing. Dr changed it to Vicodin 10/300, but it was still did nothing….The pain was so severe that I was having anxiety attacks. At one point my husband loaded me up into the car to take to ER. Where the ER Dr added padding to the splint, gave me an injection of Dilauded and an extra Rx for Ibuprofen 800mg. I was finally able to get a little relief! I went on for a week…NWB and in the splint. I am now in a Cast & still NWB. The pain is starting to get bad again. I have had stomach issues resulting from the pain meds, so I cannot take them. The Dr says he WILL NOT remove the cast to even check the wounds, where I feel the pressure. I am beside myself as to what to do. And it’s only been 10 days! I am to remain in the cast that I feel is rubbing on the incision site, for another 10 days. I am not sure how to handle it. Any assistance would be appreciated!

  284. Sue Canfer, Your surgery recovery mirrors mine. I see my physician to remove hard cast next week after 6 weeks. I understand that my boot goes on at this next APPT. What was your next step? Are you able to walk now? (My surgery removed bone spur with debridement of tendon with reattachment) I have had very, very little pain (during) or since surgery.

  285. Surgery: Achillis tendinitis LT, ankle equines LT, exostosis LT, Haglunds LT heel
    Date of surgery: August 8, 3016

    I had the able surgery on my left foot. It has been almost 3 months since my surgery. I am now in PT. my doctor says it will be between 6-12 months before I get back to normal. I am really scared because I tend to over do it.
    I can only do so much before I start feeling sharp pain on the bottom of my heel.

    Is this pain normal?


  286. Hello Everyone,
    Tomorrow is day zero! I am having a Haglund resection on my left heel. I am a 61 year old runner and running coach. I run everything from the 5k to the marathon distances. I have run 5 marathons while having the bone spur, but until this year it’s been an annoying injury I would like to see gone. Now however it is one that keeps me in constant pain and limping for days after any substantial run.

    Here is my question: Should I explicitly ask my doctor to be very conservative with the procedure, only debriding and reattaching the actual tendon if absolutely necessary? I am hopeful that will be the case since the MRI doesn’t show any actual tearing of the tendon, just severe inflammation of it and the bursa due to the spur.
    Also, any hints on how I can continue to work from home (as in sit at my desk and use my desktop) while in the middle of the initial recovery? Is simply sitting down at a desk considered PWB?
    My Dr. has told me to expect a 4-6 month recovery time with 4 weeks in a cast to begin with. Sounds like some have done it in that short of a time, but many are a lot longer.
    I already have crutches and a knee scooter at the house waiting to use. Sounds like I might need something to allow me to shower/bath and keep dry as well. What do you recommend for that?
    Thanks for all the info in this thread!

  287. I am 6 weeks post surgery (Haglunds removal with detachment/reattachment of the Right Achilles tendon). I am 50% weight bearing in a walking boot after splint (1 week) and cast (17 days). The cast drove me nuts and seemed too tight. The pain was tolerable throughout. However, when the cast was on I experienced numbness and a feeling of pins and needles in the toes (especially the big toe) and top of the arch of the foot. The numbness was maddening along with the associated limitations. That said, my recovery seems on track, but I still have numbness in the areas described and also tenderness on the outside of the right calf where the sciatic nerve runs to the foot. Has anyone experienced the same numbness and tenderness and if so, how long before they subside? Thank you for any feedback.

  288. Hi everyone! I had a removal of the calcaneal spur & debridement & reattachment of the Achilles on Tuesday the 1st. I went to a foot & ankle surgeon after suffering with pain for about 5 years. I had gone to an ortho doctor to correct a sesamoid issue in 2010 & he made me orthotics which I think made the Haglund’s problem worse.
    Surgery on Tuesday went well, doctor said my Achilles was pretty chewed up, so she cleaned it up & got rid of 3 1 inch spurs on my heel before reattaching with an Arthrex speed bridge. She also reattached my tendon higher up on my heel, as I was also complaining about tight calves & hamstrings. Sent home in a bandage & told not to touch it until my follow up. Spent the first few days taking it easy & keeping up on my pain meds. Yesterday I laid off the hydrocodone & haven’t regretted it yet.
    Doctor told me to stay off of it for the first 3 days, then weight bear as tolerated. Used crutches & the tip of toe method for getting around until yesterday. Then I put a post op shoe on & starting hobbling around without crutches. Still not a lot of pain, besides a kind of burning in the heel, which I would think would be expected. Follow up is on Monday, where they’ll remove the bandage & give me a walking boot. She also said I’d be back to work (pharmacy technician, on my feet for 10 hours/day) in 3-6 weeks & be back to working out in 3 weeks. As it stands today, I feel like the timeline she gave me is realistic.
    I’m surprised that most of the things I’m reading have doctors putting people in hard casts & weeks upon weeks of NWB. She told me I could walk on it right after surgery, but it would hurt. It hasn’t really hurt that much yet, just a little dull pain in the mornings after I haven’t moved it around while I’m sleeping & the kind of burning sensation in the heel every once in a while.

  289. Alicia, your progress and prognosis are amazing compared to the others on this site. May I ask if you are a runner or not, and your age if i may be so bold? I’m having Haglund and Bursa removal in Dec. with the side procedure; no AT detatchment and have some trepidation. Your post is very uplifting. Please give progress reports as the days go on.

  290. Hi Kevin! Thanks for the response!
    I am not a runner. I use a Cybex Arc Trainer on my workouts so my feet stay stationary because I’ve been in so much pain, but I definitely feel like taking it up now! My foot/ankle surgeon told me I wound up with this delightful problem because of my high arches & tight Achilles, inherited from someone. I’ll be 32 at the end of the month.
    I’m not sure so much about the side procedure, but the AT detachment/debridement and Haglund’s removal went super well with the Arthex speed bridge. It literally has changed my life. As soon as I was 2 days post surgery I realized I wasn’t having any pain in my heel like I was before. And my calf/hamstring is still super loose, not tight at all like it was.
    Kevin, is yours more of a rupture issue or can they tell if your Achilles is damaged?
    My follow up today went well. The bandage was removed & the doctor looked at the stitches, said that I’m healing very well & gave me a cam boot (thank goodness!) to walk in from now on. That post op shoe was annoying. She did say that I may have a touch of pain the next few nights, as bones tend to remodel overnight. Have another appointment next Monday to get the stitches removed & I have to say that I do not regret this surgery in the slightest. First time in 5 years I’m walking (relatively) pain free. I will be needing the other foot done next year however; I have the exact same issue. Knowing what to expect, I have no qualms about having a second surgery.
    I inquired about the things that I’m seeing on this blog about needing a plaster cast & what not. She said that she thinks a lot of doctors still do that, but it’s unnecessary & counter-intuitive to having the foot heal, since there is so much swelling initially. She’s been a foot doc for 30+ years.
    Anyone looking for help with a Haglund’s problem that needs their tendon detached DEFINITELY should look into the Arthrex product and/or find a doctor who works with them. I googled it and as soon as I saw what they did, I scheduled my surgery. I was no longer trepidatious about the procedure. I started looking at this blog a few years ago once I figured out what Haglund’s was & let me tell you, I put off the surgery after reading some of what went on for people. The speed bridge thingie really makes it a lot more simple than some of what I’m seeing on here.
    I’ll definitely continue to post updates about how I’m doing for sure!

  291. The arthrex product is pretty widely used these days by ortho surgeons to secure the tendon and it has nothing to do with extra speedy or super recovery though it may help prevent early reruptures. I had this procedure and it took many many months before I was walking without pain and a limp, the same as countless others. Recovery takes a year or so,, if you are recovering at a much faster rate it isn’t anything to do with the arthrex speedbridge and it isn’t the norm for everyone. The speedbridge thingie as you call it does NOT make it a lot more simple. You are not accurate.

  292. Gutzer-
    Hi there! I’m just speaking from my own experience, as others are. What I was referring to was the use of hard casts & things of that nature. With regards to pain, everyone is different. I’m sorry if you feel that I was inaccurate in my assessment.
    I just talked to a woman at the coffee shop this morning that had an ortho do the same procedure on her in the same office as mine (I went to Podiatry) in April, she was not in a cast but they didn’t use a speed bridge, just screwed the tendon into the bone & she said she still has a noticeable bump with pain. The ortho said the screws may be inflaming the situation & they may have to go back in. I just hadn’t seen a lot about the speed bridge in the comments so I wanted to just tell people what was used on me. Again, sorry if you took offense.

  293. Alicia, gratefully my AT is in reasonably good shape according to the MD. I have a pretty good bump on my heel and it’s sore most of the time, and very tender after a full days work or a recreational run. My doctor says the biggest problem is the chronically inflammed bursa sac which is caused by the Haglund. It is very sore and I’m tired of it hindering my mobility and activity. Anyway I consider myself very lucky that my AT won’t be detatched during surgery. I hope your recovery continues as well as you’ve described here. Your posts are helpful and I hope to read more.

  294. So happy to have found this site when I googled Haglund removal. I had my surgery Nov 9th and get out of the splint and into a cast tomorrow (for 2 weeks) at my first follow up appointment. The knee scooter is awesome!! I crawl up and down the stairs to get to my bedroom, and I use crutches to get out the front door with a small step and then down a big stoop outside my front door. I work retail and did go to work yesterday with the knee scooter, went ok but I’m a little sore, I plan to work every other day if I am able for 2 more weeks. I have not driven yet. I will post in a couple days about the cast and what my doctor said.

  295. Hi Laura. Wow, back to work already. Did the surgeon retract or detatch your AT for the procedure? How about pain meds; are you still taking them? I’m having the procedure right after Xmas and I’m interested in tracking the progess of those who have had this surgery done recently. Thanks.

  296. Hi Kevin, I am pretty sure my doctor did not detach or at least he told me a few weeks ago he did not believe I would need anchors that he should be able to keep it the way it is without detaching. I had a different surgeon on Sept 8 (set up by my conservative original doctor who had never even done an MRI) tell me he would detach, remove bone at the haglund and at the spur and reattach. That had freaked me out A LOT. I started having a little pain yesterday so I took one pain pill last night and I took it a few times today. I hadn’t taken a pill since one on Monday. It seems like when I do different things like go to work or sit in the car for a couple hours it feels sore. The pain I have felt so far has been mild mostly I just had a little discomfort some of that is from the splint. It started hurting yesterday near the site where the haglund was. I was surprised to see my wound for the first time today that where it hurts a bit is not where the incision is. My incision is right up the exact middle. My doctor said today that he also had to remove bone chunks from the tendon, the haglund and tendon had grown together. I was also told by my original doctor 9 months ago that I had an inflamed and squished bursa so she had injected the bursa several times with a homeopathic medicine. I asked my current doc a couple weeks ago if he was taking out the bursa, he was like yeah it’s outta there. I think they always remove the bursa in these situations. The assistant today asked me if I neededanother pain rx, I told her I have some left but that would be nice just in case. I asked her if I should just take tylenol, she said if you’re in pain just take the rx, don’t suffer. I am taking norco/tylenol combo drug they told me to take 1-2 every 4 hours as needed. If I take 2 I feel a little nauseous (they gave me something for that also), so one seems tolerable. I worked today about 6 hours, I am in retail management so I am able to sit about half the time. If it weren’t for the knee scooter so would not be able to work, I didn’t want to go on disability if i didn’t have to especially at this time of the year.

  297. Hello everyone, I had my surgery on November 17th, so I am a little over a week out. I had my first post-op appointment on the 21st. The doctor too off the ace bandage and the padding. He said he removed 2 spurs, haglands and a frayed achillies. The incision is a “U” on the back of my heel. The doctor then put on a back splint and the ace bandage back on. He said my next appointment he will remove the stitches and give me a cast. He said it depends on the healing if I will get a nwb or pwb cast. (Pray it is pwb..haha). I am having stabbing pain on my heel as well going up the right side of my foot. Has anyone ever experienced this, or should I call my doctor? Thank you.

  298. Hi Kathy,
    My surgery was the 9th so I am 8 days ahead of you. I have not had that stabbing pain except when I accidentally put weight on my foot on the 12th. I would call the doctor about the pain. If they gave you pain meds and you still have some I would take them. I think our cases our similar I had haglund removed and a spur and bone chunks in tendon. Also tendon legthened (another cut halfway up calf) and lots of removal of damaged tendon and removal of bursa. My cut is straight, not u shaped like yours. I had a splint first week, cast NWB 2nd week, removed stitches on 23rd and got another cast NWB. I would not be in a rush to be weight bearing if you have pain you may not be ready. I should go to a boot on 30th. I am leary whether it will hurt and I have read enough cases on here that I know to take it easy as the area will still be healing for some time. I have been working Monday, Wednesday, Friday the last 2 weeks and am planning to work M-F this week. Good luck with everything!

  299. Hi there i had my op 3rd november so i am 4 weeks today….. i had the haglund removed and a partial tendon detatchment. I was in a back slab NWB for a week then i went back to see the consultant had it removed and an aircast boot to PWB , I came out with a zimer frame as was easier to manuvoure around the house and have had to shuffle on my bum up and down the stairs. Started physio last week and changed zimer for crutches and showed me how to walk with them….. a little easier and can put a bit more weight on it although its still sore on the heel area and the stitching feels tight when i try and put weight on it without the boot. The consultant signed me off for 6 weeks so i am due back at work 16th December …… i am a bit jubious about this as i am on my feet all day and have to go up and down a 2 step in a very busy pharmacy, i think i need till after new year before returning as i cannot put full weight on it or walk without it hurting anyone else had this experience or am i just a wimp????

  300. I have been diagnosed with Retrocalcaneal exostosis &
    Haglund’s deformity and am grateful for this blog and all the sharing. I am currently giving a non-mobile boot a second chance to alleviate my pain while I contemplate having this surgery. From what I have read here, it is clear that I have to decide whether the painful experiences I have read about here are less than the pain I have now without the surgery. The posts have given me an idea about how the first few months post op will go. I wish there were more posts here about how you all were feeling six, nine months out. People are more likely to write when they are confined and in pain and I am hoping that those who stopped writing returned to their lives and lived pain free. It would be nice to know if this hopeful thought is true…

  301. There are a few Haglund blogs that chronicle the journey. This site is mainly ruptured achilles. My advice is get the surgery sooner than later. I waited 3 years too long. I am 11 months out and running again with no limitations. The first 4 months are very painful, but you can cross train to keep fit. Expect a very long and arduous recovery. I am pain free now and surgery worked. Do your homework by finding an OS who has done several haglund type surgeries and a PT who has rehabbed one. If your achilles needs debridement as mine did, the recovery will be especially long but worth it. My blog is nomorepumpbump.wordpress. Good luck.

  302. I had the operation on 19th October so this is now week 7 and I`m mobile without crutches.
    Movement is a little restricted, and slow walking but I`m back to the gym (admittedly mainly stretching and bike with limited walking on the treadmill - an uphill slope will help to stretch the tendon).
    The big surprise after the op was the frustration. I handled the cast (10 days), stitches out, then the plastic boot (four weeks), but it just became more frustrating when I thought I could move before I was ready. Suffice to say that the stretching is working and pushing just a little bit more each day. My surgeon claims 6-8 weeks before I`m ready to go, so we`ll see how that works. I haven`t yet gone back to the physio so I`ll see how the gym works out first.
    Time will tell, but I would say anyone going for this should spend some time in the gym and / or a physio before the operation - it will help with your recovery and also make the tendons etc heal easier.
    Also - USE THE PAINKILLERS…. they are actually there for a reason and there is no point suffering sleepless nights when it could be avoided.
    It will get better - it just takes time :-)

  303. Sarah, I to had my surgery November 3rd 2016 as you did I had the Haglund Bump removed and AT reattached with the plastic anchors inserted in the bone, I also had a nerve Block from the knee down. After surgery I had a NWB hard cast till my first post surgery visit 5 days later, I was then placed in another NWB hard cast till my second post surgery visit at 15 days at which time I was put in a aircast boot for another 14 days. I was instructed by my doctor that after the 14 days I could take the aircast boot off and put my sneakers on and start putting weight back on the affected foot. I must admit after I put the sneakers back on, I was a bit hesitant to put any weight on it, so I began slowly. I was able to put weight on it the next day but with very limited movement. Two days after putting the sneaker on I put the crutches away. I am able to put all my weight on my foot but still take it very slowly. Before my surgery my doctor had me do PT physical therapy to straighten my calves and AT. I do believe this really helped me. I am back at work but I also sit at desk all day. I go back to see my doctor in 2 weeks so he can track my progress at which time he will decide if I need physical therapy. My best guess is I will. As far as the pain killers I used them for one day after surgery then stopped, I did ask my doctor if I needed to take them he told not if I felt I did not need them then no but keep them close by. I did not need them. I am headed back to the gym tonight for the first time have to go easy for a while. Doctors orders. I have followed my doctors direction to the letter, to insure I did I had my wife attend each one of my post visits just to make sure I did not miss something.

  304. Sarah you are not a wimp we all heal differently, you may require more time. But if your doctor said you can start to put weight on it then do it. Just make sure you have your pain pills available and you may want to put some ice on it if it swell up on you. Wish you the best in your recovery.

  305. Thanks for that David….. i am back at physio this weeks so i will see what they think about returning to work . I’m also supposed to be out of my aircast boot this friday i’m dreading the walking with normal shoes, i have tried with no shoes on and it pulled on my calf . I’m back to see consultant on 12th so we will see what he thinks too. It’s great reading everyones experiences. Sounds like you have recovered well i have read it can take between 6-12 months for full recovery. I al so have a numbness down the scar line and when i touch it i get a pins and needles feeling down the top of my foot hoping thats not gonna be a permanent thing????????????/

  306. Sarah, My scare area is still very tender and I do have a bit of numbness along the outside of my right foot to my little toe. My doctor did tell me from the beginning that I would always have a bit of numbness. I was allowed to take the aircast off after I had wore it for 2 week night and day. I hated sleeping with it on. My foot feels so much better with it off. Seems I could never find a real comfortable way to wear it. The first day without the aircast while using my crutches I was scared to put weight on my foot so I did it slowly. Just stand with your crutches and apply just a bit of weight on the second day I was able to walk on it however very slowly it will hurt as my doctor told me keep the pain pills handy and apply ice. I did not need the pain pill, I took Tylenol instead. The pain pills just make me tired. Make sure you have a nice comfortable sock available. You might also want to have a pair of open toed shower shoes available then nothing will touch your heal, you will need something soft under your foot makes a big difference. I go back on the 14th at which time my doctor will determine if I will require PT Physical Therapy, I am going to ask for it anyway. By the way I am treated by the Navy. They have taken very good care of me. Good luck any question just ask.

  307. Hi all. Very interesting to read your comments. I had my op on the 16th November. Suffered badly with pain in the first 24/48 hours so much so that they took me back in and removed the back slab and gave me a heel block (6 injections) to numb the ankle for a little relief ! On my 2 week appointment the consultant was happy with the healing (a huge c shaped cut) and that the stitches could come out, start to bathe properly but only for 5 minutes a day and apply a moisturiser. However he said stay in the air cast and remain NWB for 3 more weeks up to my next appointment on the 21st December which was a bit of a bummer. I was told all along that this was going to be a long recovery. Has anyone experience of how long before they can drive ? They haven’t even discussed any physio yet and looking at my calf muscle its now all loose and saggy. I run my own landscaping company so wearing my work boots and doing the manual stuff is going to be a while i guess.
    Looking forward to your responses.

  308. Mark, sounds like you had a rough first couple of days. I had my operation on November 3 2016 my incisions also looks like a big L when I went in they gave ma a nerve block from the knee down they said it would last about 12 hours then they said the pain would set in and would be at its worst for the first 24 to 48 hours. The nerve block lasted about 24 hours before I could even feel my toes. When then nerve wore off I had very little pain so I did not take the pain pills. I had my first follow up 5 days later in which they removed the hard cast the doctor said all looked good I ask about the stiches because I could not see them he explained they were under the skin and would devolve on their own. He put me in another hard case NWB for another 10 days but said I could go back to work the following week. But keep in mind that I sit at a desk all day. So after my second follow up I was put in a aircast boot for the next 2 weeks, I was then told after that 2 weeks I could take the aircast boot off and put on a sneaker and start putting weight on it, so that is what I did. I was hesitant the fist day so I only put a little weight on it while still on my crutches. The next day was better by the 3rd day I was off the crutches and walking but ever so slowly still scared to bend it a lot. I go back for another follow up on 14 December to track my progress and talk about physical therapy. I am going to need it no dough about that. Take care.

  309. It sounds like you’re progressing very well David. Congratulations. Did you have your Achilles detatched during the procedure?

  310. Kevin yes they did detach the Achilles tendon, they also inserted plastic anchors in the bone and then they reattached to Achilles Tendon to the bone, I to thought it was odd that I did not have all the pain the doctor told me I would have, So when I went to my first post appointment at 5 day later I ask the question why I did not have all the pain as described, I ask if the damage was less than they expected and his response to me was the damage was exactly what he expected and that everyone reacts differently to pain and that I was lucky. But don’t get me wrong I did have some discomfort but not to the extent that I needed the pain pills they just made me sleepy so I did not take them. I also had pills for nausea and a stool softener which I did not take. I did not need either. I did follow my doctors direction to the letter. On day 1 my wife kept my leg iced every 20 minutes. I stayed on the couch with my leg elevated and slept on the couch for the first 11 days. I have to give it to my wife she waited on me hand and foot. I only got up to go the bathroom. I only hope that when I go back the 14th for my last checkup that all is good. I still am not walking normally I guess that will come in time.

  311. Sounds like you’ve followed the advice very well David. Like you I stayed on the sofa for the first 8 nights and didn’t really sleep that well. I was told on the 30/11 (14 day after op) that I could go out the house for an hour or 2 a day but that is causing my foot to swell and I may be pushing myself too hard. There is little or no pain now just an occasional twinge. Still NWB until appointment on 21/12 which will be the second milestone. Your comments about walking interested me as I look at mine and think are you actually going to work again ! ? When you were told to apply some weight are you actually walking on your heel or on your toes ? Also have they mentioned driving yet to you ? Thanks

  312. My surgery is scheduled for January 10th. I’m hoping someone cancels before then so I can get in. Doc said 1 week in a splint, 1 week in a cast, 4 weeks in a boot. I am currently scheduled to go on a cruise so this will give me approximately 4 weeks before the cruise for additional recovery (10 week total from date of surgery). Is this pushing it, or should I cancel the cruise? Thanks for your help!

  313. Hi Sheri. Based on my experience I don’t think the cruise sounds a good idea. But every op and everyone is different. 10 weeks after op does sound a long time so you could be ok. Hope all goes well.

  314. I realize that the general answer is “it depends”, but I’m wondering what awaits me at my first follow-up visit? I’ve been told I’m getting a boot, but I don’t yet know where I’ll fall between PWB and FWB. I currently have a half-leg splint, wrapped in cloth bandages, to protect my foot. It’s effectively a half-leg cast. There is no visible seepage/drainage from the surgical site.

    I’m 54, 6 feet tall, 40 pounds overweight, but do a lot of walking. I don’t stroll, I “move it” to keep up with my Great Dane. My use of stairs has been limited to one or two flights for the last 2 years due to Haglund’s Deformity.

    I had surgery to correct Haglund’s on 11/28, but the surgeon only had to use the saws-all. No detach/reattach of my AT was necessary. I don’t yet know about debridement of the AT, but I’m guessing that there was some. There are no screws or other foreign parts, beyond stitches. Pain has been minimal, I stopped the pain meds after 48 hours.

    Suggestions for people scheduling the surgery:
    - Get s second, third, or even a fourth opinion. I spent a year researching and discussing options with surgeons. Only time will tell, but I think I found a great surgeon for my particular problem. Example: I have had 9 procedures to fix my right eardrum. The 9th procedure was in 1999, and has been great since then, because I took the time to find the right surgeon who had experience with my kind of problem.
    - Get a scooter, a wedge (to elevate your foot), and one of those “ice bucket/bootwrap/radiator pump” things to use in lieu of other icing techniques. Whoever is helping you after surgery will love that they don’t have to keep swapping out frozen peas/ice/gel packs all the time (someone will be helping you out, right?).
    - Figure out in advance how you’re going to get in an out of the bathroom/shower (or how you’re going to keep clean), and in an out of the house. Practice everything and make sure you have a path for your scooter. Even if you choose to stay home after surgery, you eventually have to get out of the house for your follow-up visit(s) to the surgeon.
    - I also got one of those raised seats for the toilet, but I ended up keeping it to the side. I just use it as a grab-bar to help me stand back up.
    - If you have had experience with painkillers, let the doctors (Surgeon and Anesthesiologist) know what works best for you. I have only had something stronger than ibuprofen once in my life, so the surgeon prescribed Percocet. That dried up every fluid in my body. I could not see well, could not easily urinate, etc. Fortunately, I was able to stop the pain meds within 48 hours.
    - If your surgeon is a good distance away (mine was 7 hours), and you’re tall, then rent a big honkin’ SUV (Tahoe, Suburban Expedition, Excursion) with a bench seat for the 2nd row. My wife drove me home while I sat sideways on the second row with my foot on ice and propped up on the wedge. 4 pillows provided back support and cushioning (my back was against the door). I used a blanket to keep my toes warm. It also helped that the SUV had good running boards, as well as oh-sh*t handles for the second row. I was able to rest my butt against the side of the bench seat, grab the oh-sh*t handle, plant my good foot on the running-board, and then climb into the SUV on my own.
    - Watch the videos on the web if you want to see what happens during the surgery. I was surprised to learn that an inflatable leg tourniquet is used to minimize blood flow/loss during the procedure. The Arthrex web site has a good video. It showcases their “Achilles Speedbridge” product (naturally), but also shows what I think is the current approach of coming in from the side. I am not recommending their product (I am not a doctor), I just found their video, with running commentary, interesting.

  315. Mark, I did follow the doctors direction to the letter and to make sure I did I had my wife at each appointment with me because I don’t always listen very good. But to answer your questions to date I have had sense my surgery 11/03/2016 3 post doctors visits on my first post visit they took off the cast the doctor examined my foot and put me in another hard case for another 10 days, at that visit I ask if I could go back to work or when I could go back to work remember I sit at desk all day. The doctor told me to sit out the rest of the week and I could go back to work but I could not drive. So I was back at my desk 11/14/2016 my next doctors visit was 11/18/2016 at that visit the second hard cast was removed and I received an aircast, I ask how long I had to wear that he told me with my wife present 2 weeks 24/7 yes I had to sleep with it on. He told me after the 2 weeks I could remove the aircast and begin to put weight on it, I was scared to do this. I started very slowly using my crunches applying weight to my foot I did this little by little all day, I began putting weight on it without the crutches the next day limping of course I kept my crutches close by for several days by the 3rd day no crutches. I can walk but not that good yet. I am getting better I do walk on my heel and bend it as normal still have some pain not bad. I do exercises, I just sit and bend it and move it from side to side. My doctor also told me to have the pain pills close by when I start walking that it was going to hurt. I did not take them. I take Tylenol instead. My next appointment is 12/14/2016 hope that goes well. I am going to ask for the physical therapy they will make me do what I am scared to do. Hope this helps Let me know how your appointment today goes. And yes I am driving my doctor said I could after 4 weeks.

  316. Hi David. I’m not back until the 21/12/16. That will be my second visit to see surgeon. By that date I’ll have been in a back slab for a couple of days then the aircast for 4 weeks and 5 days. Same as you were I’m in it 24/7 although I take it off to bathe. It doesn’t look pretty. Sleeping in the aircast isn’t ideal but I feel safer. NWB as I said before which is the nusience now. Fed up of the crutches. Hope I will get good news next week. That said I still get stabbing pains now and then and the area where the screw went in is still black ! My big toe is always numb too which is something I’ll mention.Like you I’m scared to death of walking on it. Hope your appointment goes well and I’ll let you know how I get on. Mark

  317. Mark, yea I forgot to mention that my foot gets numb on the outside to my small toe. I to plan to mention this to my doctor Wednesday. Although that being said he did tell me before the surgery that I would have numbness it comes and goes. I do understand about the protection. I sleep back in the master bedroom with my wife last Saturday and on Sunday morning she said she did not sleep well because she was afraid she might hit the back of my foot, so I am back in the spare room because I worry about that too. The back of my foot where the incision is, is still tender.

  318. Hi I have just been told that I have to have my Haglands removed by surgery reading all the blogs I am beginning to wonder if I should , I am a fitness instructor and have horses and dogs, not so easy to have 6mths off ,not in any pain generally except after my hi/lol class then I will ice up and elevate hard to walk but goes off after a while. It seems I might be in worse shape if I have the operation done as lots of the bloggers seem in a lot of pain before and even worse after but I am ok under normal circumstances , would I be foolish to have it done as if I gave up my hi/lo classes I could carry on as normal without pain and can wear normal shoes .

  319. Surgery date: 11/30/2016 / First Post op tomorrow…

    Haglunds and AT damage. The pain has been with me for at least a couple of years and is in both feet. The big surgery as I refer to it was after a simpler and non-effective Tenex procedure in August where they debrided the scar tissue with the use of a tool and ultra-sound. It kept me off my feet for 2+ weeks and I never felt any relief, actually it made it worse, thus the more complex surgery. Trying to stick to the program, getting around is tough. I will endure pain towards healing as soon as possible, as long as it won’t hurt me further. My goal is to be to be able to enjoy walking with my wife and a game of anything with my kids or friends. I will keep you posted…

  320. Week 6 post op!
    Had a huge setback with a scare & trip to the emergency room on Thanksgiving. I passed out several times & it turns out I had a DVT in my operated leg that broke off & traveled to my lungs (pulmonary embolism) so I was hospitalized for 3 days on a blood thinner IV drip. No fun. They think it was due to birth control & just not being as mobile as I was pre-surgery. So now I’m on oral blood thinners for 3 months. I had planned on returning to work last week anyway (I work 10 hour days in retail pharmacy on my feet), so I went back 2 days last week. My foot has zero pain, other than the incision scab that rubs on my sock sometimes. The only discomfort I’m having (other than my right foot that needs the same AT detachment/debridement) is that my leg is swollen from the DVT; I mean, like 4 sizes too big. I got some compression stockings so hopefully that helps. We’ll find out this week when I’m back to my 40 hour routine!
    A word of warning to all of you having these surgeries, make sure you’re being as mobile as possible even if it’s uncomfortable. You don’t want blood clots!

  321. Christina; I am a strong believer that your recovery is related to physical fitness. I say this because I am 62 years of age and physically fit, I workout at the gym 5 nights a week, I weight train as well as doing cardio. Last year I ran 2 half marathons. Before my surgery I was sent to physical therapy to target my calf muscles and was given exercises to do daily. I fell this was a major contributor to my quick recovery. Also I believe that my doctor is the best. He was up front with me about everything and basically gave me time lines at my pre-op visit.

  322. Alicia; sorry to hear about the blood clots, other than that sounds like you are recovering nicely. Just wanted to say I agree with your comment about being mobile you are right on about that. It does hurt in the beginning but that pain gets less with each day of activity. As my doctor said it going to hurt take Tylenol and ice it if it swells up. As you said the only real discomfort I have is the scare area it is still very tender. That will go away with time. Take Care

  323. Surgery Date: 11/30/16

    Doc said healing nicely… The wound is a lot bigger than anticipated but if that is what it takes, all is good. He said same schedule for the next 2 weeks limited activity, keep elevated etc. He put me in a hardened cast and told me that the reason not to push to movement and weight bearing now is the Achilles to bone healing takes about 6 weeks. Follow up appointment on 12/27

  324. John Viss - you have raised an important point often overlooked by people reading these blogs. The AT at the bone end is a bit like bone and at the muscle a bit like muscle. This site deals with a number of injuries other than a simple ATR and it can be confusing to read about early weight bearing and movement when you have had the tendon rupture at the bone or surgically removed due to Haglunds. Sometimes then tendon is debrided as well. While a normal tendon rupture has joinded in 3 weeks and needs work to align the collagen, if taken off the bone it has to glue itself back on and early weight bearing (before 6 weeks) hinders that process.

  325. Very useful information man. Thanks

  326. Thanks to all those who have posted over the years, lots of good information!!!!!
    I have been struggling with HD and ongoing heel pain for about three years. The first visit to my trusted orthopod had him administering a “shot” followed by instant relief. About 4 months later the symptoms began to slowly reappear.

    Eventually the pain returned to levels reducing my level of physical activity. Second visit to my trusted orthopod had him referring me to a Podiatrist who I saw about two weeks later.
    Treatment regimen was
    Motrin 800mg, 3x daily, a routine of stretching and flexibility exercises and 6 weeks of physical therapy. I was dedicated to my recovery so adhered to the process but to no avail. Somehow in that process I irritated the Peroneal tendon running along the outside of the foot which can mimic a fracture of the 5th metatarsal. On her recommendation I wore a boot isolating the Achilles for 4 weeks. Again, I was focused on recovery so did as instructed. Within a few days after the 4th week had ended the Peroneal tendon had healed but the heel pain. remained.

    I returned to my original orthopod for follow up on another issue but he looked at the heel and said enough and referred me to an orthopod specializing in foot and ankle issues. I saw him two weeks later. He took another set of xrays and when done viewing put me on his surgery schedule. He also provided two exercises three times a day 5 min per exercise and soaking the heel/foot in warm/hot water prior to the exercises which were….
    1st was basic Achilles wall stretch, lean against wall for 5 seconds and return to standing position for one count, and repeat. The second were calf raises, hold for 5 seconds and down for a one count then repeat stretch. I felt some relief immediately after the exercises but within 30 minutes or so the familiar pain began mounting. I will say however during the worst of days soaking the foot in hot water provided immediate relief.

    The surgery was set for some time in Feb. 2017 but scheduling called early Dec. with a cancellation for Dec. 16.

    Surgery was done Dec. 16 with a nerve block provided. and GA. Surgery lasted about 2 hours. The Haglund’s Deformity was removed without influencing the Achilles which was my main concern. Doc says the Achilles was in good shape and required no intervention.

    Post op instructions: crutches, no weight bearing for 4 weeks. I return in two weeks to have sutures removed, original cast removed and install new cast with a different foot angle for two more weeks at which time it will be removed and I can begin the rehab routine. He provided Norco for pain which I have not taken, I do take two Ibuprofen before bed time and I rented a knee scooter which has increased my mobility beyond crutches by 90%. I highly recommend the scooter!!!!

    How it has affected me. As mentioned I have lived with the pain for about three years. I should have paid attention to early symptoms but I thought I could work through it, how many times have I read that from those gone before me?

    It affected my gait and I began experiencing right side mid back pain and knee pain.
    I could no longer hold plank position or do push ups without lapping my left foot over my right.
    It changed how I rode. I went to platform pedals from clipless, and centered the foot on the pedal as to avoid engaging the calf muscle and thereby irritating the Achilles.
    It sometimes worked, often did not, it made me a slower rider, made the experience less enjoyable and preoccupied mental space while on the ride.
    While mountain biking I could not hold the ready position for long or effectively which in hindsight led to two crashes, one of those resulting in a broken rib, I have not been back on my mountain bike since, (late July)

    We live on hill with a long, moderately steep driveway We have steps leading up to the house

    I could not accomplish physical tasks as I had. Taking the trash down the driveway became an unpleasant and painful task.
    Basic maintenance around the house was at the mercy of what the heel would allow
    As the pain mounted on a daily basis I found myself not only physically beaten down but mentally exhausted as well.
    My mental state went from glass half full to half empty and began feeling physically and mentally old.

    I will update in a couple weeks after my return visit but for now..no regrets and am looking forward to returning to my life pre Haglund’s Deformity!!!!!!

  327. Thanks Todd. I’m having the some procedure on 12/29. Haglund and bursa removal (was your bursa removed?) without any tampering of the AT. Your physical and mental state before the operation sounds like me now. I’ve been dealing with this for 3-4 years, but I thought for a majority of that time I had Achilles tendonites. It wasn’t until I had an x-ray in September that what I really had was an unwanted bone mass in the heel region. I’m looking forward to getting it over with so I can start back on the recovery road. It’s emotionally draining and I hope this procedure is the answer.

  328. Hey Kevin..

    It was not until I read my post again and realized I had left out the primary DX, Achilles Tendonitis and retro-calcaneal Bursitis and Peroneal Tendonitis. The later I believe came from favoring the heel and rolling my weight to the lateral side of my foot. Later that DX was changed to include Haglund’s

    and yes Kevin, that was the procedure and hoping your goes as smoothly as mine!!!

    Three days post surgery and I have no pain. I am refreshed, alert and energized!!!!! something I have not experienced in a long time!!!!! I am eagerly looking forward to my post op visit.

    This has been a long drawn out injury. I have wondered over the last few years why it has taken so long for the OK to fix. The second to the last time I saw the DR he said the magic words……”Chronic pain”….which means to me, exhaust all other treatment modalities. Given the option early on of having the surgery without the benefit of hindsight, I would have chosen to exhaust all other treatment options. Benefit of hindsight?…would have had it shortly after the pain returned post “shot”.

  329. Todd, my incision will be on the outside of the ankle between the AT and the protruding ankle bone. It will be a verticle incision. I was wondering how long the cut will be.

  330. This will be my last post, I had my 6 week post op visit Wednesday all is well healing nicely, yes I had Haglund deformity removed and AT attached with 2 anchors. I am now walking on the treadmill at the gym for 30 minutes and 30 minutes on the Stairmaster. I still walk with a limp but getting better everyday. I did try to run but only made it 3 minutes not ready for that yet. I wish everyone well follow the doctors instruction.

  331. David,

    Thanks so much for this post and the peace of mind it provides. My planned surgery is exactly like yours and your swift recovery seems worth the pain in contrast to many of the posts I’ve read here. Everyone is different, but I hope my story will be like yours!

  332. Time to leave the crutches behind !
    5.5 weeks after haglunds removal and AT reattached I have been told to leave the crutches behind and only wear the aircast boot if I go outside for the next couple of days. Yes I’m still limping and when I first get out of bed it takes about 30minutes to come to life but literally day by day it moves more. The whole process has ups and downs but my focus is being able to walk my dogs this summer on the beach without any limp, any pain, and a huge lump on the back of my foot ! For those still recovering hang in there, for those going in for the op my advice is listen to the surgeon. Mine was excellent and everything he said has been true. Signing off from the blog now and good luck to you all Merry Christmas and a Happy New Year

  333. I’m glad I found this site. Surgery was Nov.2 2016. Gives me some in site to what different Doctors do, and what others are going thru. He never called it Haglund he called it A pump bump. I found more info on the Internet Utube about the surgery and what was done. When I went to check ups it was always Med. Students. Which never told me anything just gave me appt. To come back. 6 days out slab cast removed. NWB cast 3 weeks. Stiches removed. Back of heel , one on each side of my heel, 5 back of my leg calf. 4 more weeks NWB. Now in a boot. He said u might want to use a crutch for a while. Took a step about went thru the roof. So tried to walk with a cane, nope. I got my Mom’s walker out. So just putting partial weight. Pain, a little numbness along the top outside of foot to little toe and next toe. Putting weight on foot feels like stepping on sharp rocks. Pain shoots up my ankles. Don’t go back til Feb. 21. Just going to take it slow. He said let him know if I think I need Pt. I don’t know about you all but it’s costing a fortune my insurance bites. I borrowed a wheelie which brushed up my other leg. So got an I- walk crutch and cane so I could go up and down stairs. It has been hard. Need to get back to work. Thank u every one for sharing. Just. takes time.

  334. Wishing you all a Merry Christmas.

  335. Merry Christmas everyone!

  336. Surgery 11/30

    Hard cast removed and put into air boot. Told to walk with aid of crutch for next 2 weeks and really need to wait for reattachment to “heal”. That being the case will exercise with progressive movement but not push it beyond the pain threshold for the next 2 weeks. Therapy to begin then. No real pain except for normal soreness and swelling from the operation. I expect that it will be getting progressively better. I will check back in 2 weeks.

  337. Surgery 11/11/15

    After a slower than hoped for recovery, I was able to start swimming/elliptical/bike at about 6-7 months. Progressed pretty well. Started jogging program from my PT at 9-10 months. Have had a few setbacks since that don’t seem to be caused by anything specific. Woke up on Christmas morning and just couldn’t walk. I can’t do one calf raise right now without supporting 90% of my weight with arms. Not sure what to do. Doc said at 1 yr that if I wasn’t 100% by New Years that he might have to operate again. So defeating. Thousands of dollars, hundreds of hours of PT and I’m no better than I was 15 months ago.

  338. Martha, I wish you the very best in your recovery. I am doing very good 7 weeks post surgery. Going to the gym 5 nights a week, I am doing the same 30 minutes on the treadmill but now doing 45 minutes on the Stairmaster. It still hurts a little bit but seems to be better everyday. I am now able to take the dog out for his walk in the evening. I still limp but working on it. Good Luck.

  339. Met with orthopod for cast and suture removal. Everything went fine. Not much swelling with little bruising and little pain. Doc ordered another set of x rays to make sure all is where it needs to be and everything checked out.

    New cast, lighter and sleeker put on accommodating for the new foot angle. This cast will stay on 2 weeks NWB at which time, the doc says, depending upon pain level I will either be in a WBB or in shoes and will start PT within a few days of cast removal. Taking some time to get used to the new cast, a bit tighter and immediately felt the Achilles stretching in response to the new foot angle. Not taking any meds, suture sight is clean and am holding a positive attitude going forward…

  340. I had Haglund’s surgery on Nov. 7th. The doctor did not detach the Achilles, but split it in two vertically. Got the cast off after 10 days and wore the boot for 5 weeks (boot now off for 10 days). Have limped since the boot came off Seemed to improve for about a week, but the past few days after PT, it has actually gotten worse. I have had 3 sessions of PT so far. Is this normal? Can anyone give a projection as to how long it takes before you can jog again? Right now I can’t even walk on the treadmill faster than 1 mph without a limp. Very annoying and paranoid as to my decision even to have the surgery. I am a runner and my pain got worse and worse over about a 10 year period till finally I got the MRI and Xray. The orthopedic surgeon said it was obviously Haglund’s. Anxious to run again. I am 52 and otherwise in very good shape.

  341. I had my Surgery on Feb 27th 2016… I had pretty much my entire heel reshaped. Achilles popped off, a little taken off of that and reattached via Athrex Speed Bridge. SPurs removed from the bottom. Still have a limp, and terrible discomfort after working all day. Im looking at having the other foot done in Feb 2017 and currently having second thoughts with how the first hasnt come around much. Its been 10+ months and some days are better then others but overall been a rough ride. Still cant run. Ride bike a lot. Cant got without shoes on anything but carpet. Im hoping it will still flip and feel better but at 10 months how much more can it improve?

    Good luck all in your recoveries.

  342. New cast was uncomfortable, pushing on the pad of my foot, toes were tingling a little bit, woke me up a couple times over the weekend. Went in for them to take a look, cast removed, new cast put on, much better. Took a quick peek when the old cast removed. Looking good. Next appt. on the 13 for cast removal and either a boot or back in shoes.

  343. Hello,

    I have never blogged and I am not sophisticated in the ways of the internet. Forgive me. I need your opinions

    .I am 77…I have 11 stents and a pacemaker. I have peripheral neuropathy, dystonia, I’ve recently had three hand surgeries (basel joint arthroplasties), I ruptured my left quadraceps and broke my knee, I’ve had spinal surgery…..You get the point!.

    That said, I ran, I biked, I mountain climbed, I swam….I was a Board Member of Outward Bound for 25 years. I still work out for 30 minutes of interval training almost every day….I look good….I love golf….and I live the life of a man who is very fortunate.

    Here’s the question: should I have this surgery? I have HD, spurs, need a burser transplant, achilles extension, etc. My G.P. says NO!…..inactivity is bad for a cardiac patient, it’s depressing, and pain is medically stressful. So is being housebound. I haven’t talked to my cardiologist yet. My social life is golf centric and being out and about in NYC is exciting for me. I was really jerked around by a celebrity podiatrist at the best orthopedic hospital in the City. It took the foot surgeon an Xray and a minute to diagnose me. He spent 2 hrs and 15 mins talking me through the procedure.No hiding. He said it can be awful.


  344. Fred I am sure you know the only person who can answer that question is you. I am not familiar with an Achilles extension procedure but what little I do know about Achilles intervention the recovery will be long and painful. A matter of what you feel you can live with going forward. Why does your GP say no? is the foot surgeon a podiatrist or orthopedist? and beyond explaining the procedure did he offer an opinion on what he thought your best course would be?

  345. Fred,

    I am a bit younger than you, 69, but I had the surgery 3 months ago and am recovering nicely. You have multiple health issues, and I can see why your GP said not to get the surgery.

    I am not a doctor, just a patient, but your GP has a point, especially since “conservative” treatment is about as likely to give positive results. At my age the DO/surgeon needed to be persuaded to cut. Recovery has been a slow process. Painful is not the word I would use, in part because of the good meds available, but there is a lot of “discomfort”.

    You can still do a lot of physical activity whether you get surgery or not, but your activity will be more restricted for a longer time with a non-surgical approach.

    I am glad I had surgery, but I think in your case I would avoid another surgery. Be as positive and active as you can, and whatever you decide good luck and I hope you keep posting.

  346. Fred,

    I am “only” 67 and have tried conservative treatment for about three years, hoping to avoid the agony I often read about here. Nothing that my doctor suggested made much difference. Every step I take still pains me, more or less depending on the intensity of my activity that day. My social life has also been impacted by this and is a factor in my decision. Reluctantly, I have decided to proceed with the surgery before I am too old to have it even though much of what I read here is alarming and discouraging. It seems like your surgeon, GP and cardio docs need to come to a meeting of the minds, although ultimately you know your body best. It’s a VERY difficult decision.

  347. Good for you Martha. Three years sounds lite slow torture. I hope you will be happy with the surgery, I know I feel that for me it was the best decision.

    It is a long road to recovery, but hopefully it will only be 6 - 12 months, rather than suffering for 3 years with no resolution. Good luck!

  348. Quick summary of procedure described above.
    Surgery Dec. 16
    DX, Haglund’s Deformity, Retro calcaneal bursitis.
    Procedure, remove HD and Bursa, examine Achilles, No intervention required for Achilles
    Dec. 30 suture removal, remove original cast, change foot position to near 90 degrees and put on new cast.
    Jan. 13 4 week follow up to remove cast, x rays and instructions

    Jan 12
    Dr.’s office called and offered an earlier appt. then 13th, I jumped at it.
    Cast removed, 3 sets of x rays taken. All looks good.
    foot mildly swollen. Incision site looks solid, about 3″ longs lateral side of heel.

    incision site bandaged, leave on tonight, tomorrow shower, make sure incision area gets plenty of water, clean and dry, extra bandages provided for protection after the shower.

    two ace bandages in case foot swells in response to cast removal next few days

    naproxyn 500 mg twice a day as needed

    soak the heel/foot in warm/hot water prior to the exercises for 5-7min
    first exercise
    Achilles wall stretch, lean against wall for 5 seconds and return to standing position for one count, and repeat.

    second toe calf raises, hold for 5 seconds and down for a one count then repeat
    each for 5 min. 3x a day

    return 6 weeks for follow up

    can I bike ride? yes, can I bike ride tomorrow? yes as discomfort allows.
    should I do more exercises then what you have instructed?
    do what you can as discomfort allows, your calf and Achilles are weak, it will take some time to build up that strength again.
    Anything I should avoid? no, go back to your life and enjoy yourself. Be sure you stretch as instructed, you do not want this procedure on your right heel do you? me, no!!!

    I put my shoe on, foot was a bit swollen and gingerly walked out of the office. I was not comfortable walking all the way to the car so used the knee scooter. When I got home. I put the knee scooter and crutches in the garage and walk up the stairs and into the house.

    left leg and calf are quite weak. I have to remind myself its okay to share the weight on the left leg as I was favoring it like I had before the surgery. I plan on riding lightly tomorrow with a buddy, see how it goes.

  349. Surgery date: Sept 29, 2016, removal of calcium growth and reattachment of At
    Age: 57 years old, female

    After much swelling on the heel and some weight gain, I was able to use my recumbent bike by week 11. I use a wheelchair in the house to get around to minimize the swelling as full weight on foot becomes painful.
    I am presently on week 15 and still have pain if I put full pressure on my foot. I use a topical anti-inflammatory on my heel twice a day and ice my heel as often as 4x a day. Pain is my guide on how much I can do.
    In 2 weeks I will be off to Ambergris Caye, Belize to swim, snorkel and bike. I will bring my crutches and hope the warm Caribbean Sea will assist my recovery. This is a very long recovery and I am thankful that I am retired and have a patient caring husband. All the best for those having this surgery. Patience is key to the recovery process!

  350. Fred,
    There is a lot you can do and you can get more opinions! I wore a viscose gel heel sock and an air cast that fit in a shoe and the pain lessened so much I considered not having the surgery. I had a calf extension, that is not a big deal a 1-2 inch incision halfway up your calf. There are natural remedies for bone spurs you can try, apple cider vinegar and essential oils. I had a HD and bone spur, many doctors can go in from the side to get at those without touching your achilles. The bursa can be removed, you don’t need it. You should try all possible remedies before surgery. there is sound wave/shock wave therapy, you can wear a backless/slip on shoe. Good luck to you! Don’t give up!

  351. 6 week update.
    Got three bike rides in during week 5 and did the exercises as instructed which included soaking the foot prior to. On Thursday last the foot was swollen and I had just soaked it to do the exercises. I did a range of motion movement and felt the incision gap open. Friday it did not look right. Saturday morning was red and swollen. Off to urgent care. Given antibiotics, rest, elevate foot. . By Monday redness and swelling had subsided, infection under control. Returned Wed for a follow up and incision has almost closed, infection well under control.

    Lost a bit of momentum but will pick back up where I left off next week as I start PT and will begin riding again but am mindful not to over do things. Cannot walk without a noticeable limp and moderate pain but has gotten better since the cast removal. Will update as I grind out some PT next week.

  352. Couple days short of 8 week update.

    Infection a non issue, incision is closed and swelling on the decline. Met with a sports PT who instructed 4 exercises, one of which is strengthening only, Calf raises, 3x week. The other three are stretching exercises 3x daily. I am a week into those exercises and did complete half a p90x workout yesterday. I planned on riding today but with the recent rain decided to take the dog for a walk. We live on a hill so ups and downs and decided on half the walk, about 1/2 mile. Completed it with some soreness on the heel but feeling stronger everyday. Will ride 12 miles tomorrow and again on Friday. Pain and swelling are decreasing daily and most def. see a light at the end of the tunnel. PT says 100% in 4 months, might just be ahead of schedule, we shall see.

  353. I had surgery for Haglunds deformity 5 months ago and the remaining pain is worse than the pain that sent me to the surgeon in the first place. I am so tired of the constant pain. Have had a cortisone injection which helped for a while but cant walk far,spending most of the day sitting down with an ice pack on it. Think twice about having this surgery!

  354. Hi there, do people recommend a Orthopedic doctor or a podiatrist to do the surgery? Specifically, I’m at a point to have to do a full detachment of left achilles. Curious which type would be better suited. My podiatrist said he’s done hundreds of these…

  355. Great question..
    I have seen my orthopod for years for the knees. He referred to a podiatrist and with her went through the boot, wedges and PT. I returned to my orthopod for a recheck on the knees and his comment on the heel was time for surgery and then referred me to an orthopod colleague specializing in foot and ankle issues. Short answer…..both work. I would go with who you feel comfortable with.

  356. 10 week check up, HD and bursa sac removal. Details discussed above. Met with Doc. All is good, swelling is minimal and continues to decline. Can walk without a limp, no pain unless I am on the foot for 5 hours or more and then it needs a brief rest to recover. I continue to ride my bike 2x a week and will add another day and will also include mountain biking within the next week or so.
    I will start yoga soon and will slowly add core exercises such as p90x on a steady basis. Doc says continue to stretch and strengthen calf, no further appt. scheduled.

    Then met with PT. Flexibility has returned matching the right foot. I think he wanted 20 degrees and we got that today. From not being able to do one left leg calf raise I can now do 15-20. He put me on a balance ball and had no problems, continue to stretch and strengthen. No further appts scheduled.

    This will be my last post. Thanks to all those who posted their stories. I feel fortunate to have recovered as evenly as I have and hope my experience will provide helpful information to those suffering from HD and Achilles related issues. !!!!

  357. Hi, I posted back in Nov 2016 after i had my HD op and re-attach of AT. I write to see if anyone has suffered from a numb big toe after ? I had the op on 15/11/16 and my big toe is constantly numb to the point of very painful. The hospital have checked and they confirm it is numb but no real help or reason why ? Also I have got severe pain on the opposite side of my heel where the procedure was performed. I was told that it is a long process but interested in others comments.

  358. I’m just 19 days postop and have a numb big toe. It is due to compression by the wraps for the splints/cast on the top of my foot. The doctor put me in a boot a little early so I can have better control of where the pressure on the top of my foot happens. As soon as the cast or splint got lose the numbness would fade. There is a vein running across the top of my foot and if I press around that, about midway between my leg and toe I can feel that I’m affecting the big toe so there is a nerve in the vicinity of that toe. I wanted to do something about it ASAP so it doesn’t become a permanently irritated nerve. I’m still working out how to adjust the straps best so it doesn’t get pressed.

  359. @Mark… my doctor indicated that he might need to use a tendon that is attached to my big toe if the AT needed to be reinforced. In my case that was NOT done… perhaps this might be your issue. My surgery was 11/30 and while I am plateauing in my recovery and still have soreness at the base of the calf, I feel it is still progressing. I have resumed some higher impact activity. I do experience some heel pain and put an extra pad or heel insert in my shoe.

  360. Hi I’m 10 days post op for HD and AT reattachment I’ve had my back slab plaster off and stitches removed today, up until now I’ve been NWB and today I have been put in a boot with 2 wedges for another two weeks taking a wedge out in one weeks time,I had been told to PWB in the boot as pain allows, I’m in absolute agony and can’t put any weight on my foot so now I’m using crutches with a boot as well, I was wondering if anyone else is or has been in the same place as myself and would love some advise on pain management and length of time for recovery and returning back to work.
    Would welcome any replies and advice have got to return to outpatients In two weeks not sure I can stand the pain till then .

  361. I am 14 wks out from Haglands surgery, heel spur removal and re attachment of tendon. I got along fine with the surgery. Walking boot immediately after surgery the ortho shoe for a 2 wk period and PT for 11 visits for strength and range of motion. I am now having a lot of pain again, on the side where they did the most work, right below my ankle bone. I didn’t take pain pills much during the post surgery period but it wakes me at night to have to get up and get one. It’s swelling now too and I’m limping again. My Podiatrist has released me. I would think twice about having it again if this is how it ends up. I’m not happy that it is so painful again.

  362. @ Sue and Julie……what appears different from my experience and others who experienced the same or similar surgery was you two were weight bearing after two weeks while most others were weight bearing after 4 or more weeks. I wonder if that has something to do with interfering with the healing process? I can say. after NWB for 4 weeks my heel was sore and weak for another 4 weeks…about week 9 into week 10 did I feel like I turned the corner toward total recovery.

  363. @Sue and Julie - interesting that the Haglunds surgery has so many different protocols. I’m 4 weeks out - won’t be PWB until the 6 week mark. Asked my doc about the difference in recovery and WB between haglunds and ATR and he said since they have to cut the achilles and pull it away from the bone to grind off the heel spur it has to get reattached to the bone as part of the healing which takes longer than just tendon to tendon healing. Not sure why your docs had you go WB so soon - but perhaps your surgeries weren’t as drastic as mine. I won’t start PT until probably the 12 week mark which is when I’ll be out of the boot. Perhaps Kaiser is just more conservative for the Haglunds surgery. I don’t think it is much related to age since the protocol I got in 2009 when I was still in my 40’s was the same as the protocol I got this time. Of course I’ll know more about any pain due to PWB once I start that in 2 weeks. Looking forward to it - for sure! Can’t wait to start walking again :)

    If you’re in that much pain Julie then perhaps you should be NWB for 6 weeks. They did say as tolerated - so if you can’t tolerate it then don’t do it - your body is telling you something. I suggest looking up some info on the web on healing protocols for Haglunds and send those to your doc and ask why s/he wants you to start PWB so early in the process. If you don’t speak up for yourself no one else will. That’s the state of most medical care in the US - you are your own advocate.

  364. Wondering how many here who have had Haglunds surgery on one foot have wound up needing it on the other foot as well? My surgery was 11 months ago. All in all went very well and I am certainly glad to be out of pain. However, I am recently feeling an all too familiar feeling in my other foot. Recent X-ray confirms my suspicions. Discussed the less invasive procedure where the AT doesn’t need to be detached from the bone. Surgeons feeling however is let’s wait and see if it gets worse and affects your function. My concern is that waiting will indeed damage the AT causing the need for the more complicated surgery. Any thoughts?

  365. My other foot (left) also has bone growth on the heel but it is much smaller than my right foot was when I had surgery. I can still wear close heeled shoes on my left without the need for a gel pad. I asked my doc if it was better to get it done when the growth is smaller. He said wait until you can’t stand it anymore to get the surgery. Shit can happen during surgery and if something goes wrong and you can no longer do what you like to do (for me it is playing soccer and hiking) after the surgery you don’t want to have regrets that you could have waited many more years to do the surgery and played soccer (or whatever) in those years. So - if my left foot ever gets to the point where I can no longer hop and where I’m in pain after just the first half of a soccer game - then I’ll have the surgery. I wore crocks, clogs, sandals and gel pads when I wore tennis shoes or soccer shoes for many, many years as my right foot got worse (but it still wasn’t so bad that I couldn’t play soccer and hike) and I can do the same with my left foot.

  366. And - my right foot was first diagnosed with the problem in 2004 (or perhaps earlier - I couldn’t track it down exactly) when I could barely walk after a soccer tournament. I didn’t have surgery until 2017. My achilles was still in good shape. However in the month or so before surgery I did start having sharp pains in my achilles when I was just sitting down. It turns out that was due to a piece of the bone spur breaking off. So - had I waited much longer that floating bone might have done some damage. In short - let your body tell you when it is time. :)

  367. I’ve been reading comments for a while and wonder about the length of recovery too. I am 40, male, and before this all started I was pretty active. I allowed it to get to the point that any real activity took about two to three weeks to get over with your typical 1-2 days of crawling around the house. The xrays before surgery showed numerous pieces of bone floating around my heal. I had removal of Haglund’s, Achilles, debride, reattach, calf lengthening and 1st metatarsal cheilectomy due to hallux rigidus the first week of January. I was 2 weeks in a splint, 6 weeks in a cast, 2 weeks in a boot, and since have been in a custom orthotic designed to fit in your shoe. I have been told that could last up to 6 months. Regardless, I have been told that usually at 6 months the pain should be much better and 1 year is fully healed.

    This is hell and is taking forever.

    I have returned to the gym the last few weeks and feel energized but my 3-5 metatarsuls hurt with every step and my medial knee is getting painful enough to make me want to do nothing. I am sick and tired of not being able to do anything without fear of hurting my foot. To top it all off, my left foot has started to get shooting pain in the heel. Sorry for the complaining but this surgery is rough. Had both ACL’s replaced and that was a walk in the park compared to this. Not trying to scare anyone, but this is not an easy recovery. The surgery itself, not so painful. The recovery? Just when I think I am doing great it feels like I am set back again with some stupid, random, pain. 3 months post op and life still mostly sucks.

  368. Hi everyone, wondering if what I’m experiencing is normal. I have noticed what I now believe to be a HD in my heal about three years ago. It is larger on my left foot and clearly noticeable. I don’t even know when it appeared, might have been with me since childhood and just assumed that it was the normal shape of the heel.
    Since then I’ve monitored it and does not seem to grow, or at least not noticeably.
    I have never felt any pain from any activity: football, hiking and tennis. The skin over it has thickened a bit and I don’t even get blisters. Actually the only thing that brought me to the forum was the fact that I started running and decided to see if it can affect the HD.
    Is that normal? Does this not hurt in the beginning?

  369. Hi DavidB, I suspect I had mine for a long time as well and didn’t notice it until I was almost unable to walk after my first soccer tournament (back in early 2000). At that point I just did the achilles stretches and such that I got during PT. I kept doing those, periodically, to keep the achilles from getting even more tight and snapping on its own. My right foot was MUCH worse than my left foot - probably because I’m right footed. It got bigger over the years but I didn’t have the surgery until it got so bad I could no longer hop and it was slowing me down, a lot, at the end of the first half of soccer games. So - keep an eye on it, do stretches to keep the achilles limber and do something about it if and when it becomes intolerable. I asked my doc when I should do the left foot - if doing it when it is smaller is better. He said wait until it gets intolerable. If bad things happen during surgery (which can happen) I may not be able to play soccer and such so why take the risk until the I absolutely have to. Right now my left foot bump doesn’t really bug me at all - I can still wear closed heel shoes on that foot - so I’ll continue doing my achilles exercises to keep it stretched and won’t worry about it until I have to.

  370. @JohnnyB - I am at the 6 month mark and my mobility is much improved. I was in pain for over 2 yrs and I would say that from the 3 month post surgery mark, it has been better than it was previously. There is still scar tissue and it still hurts from time to time but it is much better than it was. I did therapy 2x a week for the first 4.5 months and have pulled back to 1x every 2 weeks. I met with my Dr. yesterday and he said that somewhere in the 6 -12 month time frame you should forget that you had your surgery. I was given clearance for full activity. The recovery is long but I am pleased with the progress that I have made. Be patient and as long as the Doc says that it is healed, be positive.

  371. I am 58 years old and for years have had the insertional issue. Decided to take advantage of my $500 a month insurance with the $6300 deductible.
    My surgeon described the process I had as gruesome.
    Detachment, bone saw… everyone here gets this.
    I got the nerve block which lasted me 48 hours. The pain pills (all pain pills) don’t work at all on me. I was operated May 12, 2017. At the advice of orthopedic surgeon friends I did NOT go with a podiatrist, only a highly rated foot and ankle Orthopedic Surgeon.
    Pain meds did not work, but repositioning the foot high in certain positions gave me zero pain with little discomfort.
    I use a knee scooter, first few days when I put the foot down you could feel the pressure of blood flowing to the wound (which it is why the foot is up).
    One week today since surgery. Stitches out next week, then a boot and some PT starting 4-6 weeks out.
    At 58 I was still playing college level tennis doubles. I think I will be hobbling around out there until at least the 9th month. 45 years on concrete with good shoes and two pairs of socks, but I still one the bad lottery.
    I have an eight year old and will be dragging my boot and scooter to Hawaii for my tenth anniversary in August.

  372. @John Viss- Thanks for the comments. I am almost to the 6 month mark and the severity of the pain much improved, but I still have issues with the outside of my heel at insertion and I am convinced that my 1st metatarsal cheilectomy didn’t accomplish much. Pain at incision is almost 100% non-existent. I was cleared for running and get on the treadmill every other day. Pain in my toe and heel begins to get intolerable from anything more than a walk so I alternate between running and walking. I killed my workout the other day with a 1.79 miles in 30 minutes effort. Lol! Elliptical (on non running days) is much better. I can do 4+ miles on a 50%-100% alternating resistance setting in the same amount of time. Overall, I have to say I am doing better, but every step hurts, not near as bad as the dagger to the heel pain that forced me to the operating room, but it but enough to keep me limping about 90% of the day. unfortunately, I can feel that old familiar pain growing worse in my left foot now. I’m going to look like Frankenstein’s monster before I’m 50.

  373. I am 13 months post op and I can honestly say most days I do forget I had the surgery so hang in there! Agree to go with a good orthopedic surgeon preferable for and ankle specialist. PT so important!

  374. Remind yourself when you read these that Blogs tend to be written by people who want to brag how good their surgery went or complain how bad it went. Most people who everything was OK for tend not to feel the need to write about it.
    I had my surgery in April 2015. All went pretty normally and I was back playing soccer in 6 1/2 months. I still do a lot of my PT exercises and ankle feels completely normal, which is what the surgeon said it would.
    Best advice is, once you decide, to listen to your surgeon, get PT and stick to it. PT is what gets you back to normal and beyond.
    Good luck!

  375. Just a quick update. I am 9 months post op and while the pain is much improved I am still unable to run, jump, or do a one-legged heel lift. The pain is not so bad at insertion, but is very painful to the touch about an inch above insertion. I can walk normally when wearing running shoes and footwear with no back, but my work boots destroy me. I’ve not stopped limping, albeit not as bad as it was but I use the weekend to get close to normal walking before blasting my feet all over again.

    Now, my doc told me straight away that he expected an 80% recovery at best. So, I’m probably getting close to as good as it gets. All in all, I’d do the surgery again. The pain I experienced pre-surgery was dibilitating on the worst days and mentally tiring on the best. At least I know how to mitigate the severe pain now. Unfortunately, I need to be able to run for my job and and also to wear steel (composite) toe boots. I bought three pair of quality boots to find the right ones with no joy. So, although my quality of life has improved from the surgery I am not as hopeful that I will get to continue doing what I love.

    As far as Andrew’s post, I think there are more blogs out there trying to define the difference in surgeries/conditions for other people by posting about their experiences rather than those looking for a medium to complain/praise.

    For instance, when I was searching I would see people who had complete tears or “standard” tendonapathy. Some would talk about being up and around after 4 weeks of air cast and crutches. I was on six weeks of NWB thinking my doc was horrible. Acute tears are the most common and tend to heal faster with fewer major complications. Next is standard tendonapathy (above the heel), and last of all at about 20% of all cases is insertional tendonapathy. My wxpwrience is based on onsertional. My surgeon lengthened my calf, removed my achilles, cut a portion of damaged material from the end, ground a spur off my heel, reattached everything and then sewed me back up. Bone, they say, takes a year to heal. Tendons and ligaments? Not so much.

    My experience in trying to find information on my particular condition with my particular surgeon’s methods was exhausting. When I finally found good examples they were very much like my experience and have had very similar results. So, I think the large amount of blogs and posts on blogs about Achilles issues are people trying to find information on a subject that has so many variables that it becomes confusing. You may think a person is complaining while that person may be struggling to understand why their recovery is so much slower than someone else’s. In the end, it is simply two people comparing apples to oranges about their condition if not their PCM’s way of addressing the recovery. Stay strong, ppl!

  376. Just a quick update. I am 9 months post op and while the pain is much improved I am still unable to run, jump, or do a one-legged heel lift. The pain is not so bad at insertion, but is very painful to the touch about an inch above insertion. I can walk normally when wearing running shoes and footwear with no back, but my work boots destroy me. I’ve not stopped limping, albeit not as bad as it was but I use the weekend to get close to normal walking before blasting my feet all over again.

    Now, my doc told me straight away that he expected an 80% recovery at best. So, I’m probably getting close to as good as it gets. All in all, I’d do the surgery again. The pain I experienced pre-surgery was dibilitating on the worst days and mentally tiring on the best. At least I know how to mitigate the severe pain now. Unfortunately, I need to be able to run for my job and and also to wear steel (composite) toe boots. I bought three pair of quality boots to find the right ones with no joy. So, although my quality of life has improved from the surgery I am not as hopeful that I will get to continue doing what I love.

    As far as Andrew’s post, I think there are more blogs out there trying to define the difference in surgeries/conditions for other people by posting about their experiences rather than those looking for a medium to complain/praise.

    For instance, when I was searching I would see people who had complete tears or “standard” tendonapathy. Some would talk about being up and around after 4 weeks of air cast and crutches. I was on six weeks of NWB thinking my doc was horrible. Acute tears are the most common and tend to heal faster with fewer major complications. Next is standard tendonapathy (above the heel), and last of all at about 20% of all cases is insertional tendonapathy. My experience is based on on insertional. My surgeon lengthened my calf, removed my achilles, cut a portion of damaged material from the end, ground a spur off my heel, reattached everything and then sewed me back up. Bone, they say, takes a year to heal. Tendons and ligaments? Not so much.

    My experience in trying to find information on my particular condition with my particular surgeon’s methods was exhausting. When I finally found good examples they were very much like my experience and have had very similar results. So, I think the large amount of blogs and posts on blogs about Achilles issues are people trying to find information on a subject that has so many variables that it becomes confusing. You may think a person is complaining while that person may be struggling to understand why their recovery is so much slower than someone else’s. In the end, it is simply two people comparing apples to oranges about their condition if not their PCM’s way of addressing the recovery. Stay strong, ppl!

  377. Thanks for the update, Johnny B. I’ve spent a lot of time on this thread, perusing the hundreds of comments, looking for stories even remotely similar to mine (none) and for people commenting after several months recovery (few). I’m 5.5 months post Haglund’s removal/AT repair, but also had another rare surgery one year prior on the same ankle, and sound much the same as you. No running, no jumping, no one legged heel lifts. Although, most of my pain is right at the insertion - so bad still that even just touching there gives me waves of nausea. I do get some further up the tendon too, but not as bad. And I still have a bit of a limp (sometimes a lot of limp) most of the time. I’ve been living in sandals, but the weather is starting to get cold, so I’m really not sure what I’ll do when I have to start wearing real shoes, or even socks. I hope you continue to improve, and give us updates as well. Thanks for the “stay strong”….definitely something I need to hear from time to time.

  378. Hi all just readings some of the comments regarding Haglands removal. Really sorry for all who are having problems. I had my op on the 18th July, full removal and re-attachment of the tendon, and whatever he did to the bone removal., In a cast for 6 weeks and then a air cast boot with pwb 2 weeks ago, the boot caused me some problems like opening the wound up again. The pain I had before the op was really bad ,which I had for a couple of years. The therapist says I used the boot too much, I was under the impression that I would be in my own shoes after the cast was off. Really fed up to be honest. I am 66 and was very active before op. Walked 5 miles a day,which prob caused the Haglands.. Not sure when I`ll be up and running again, had a fall with the crouches,damaged my shoulder, hate them so much. Its difficult for all you people who are active or not, who are as eager as me to walk properly again. Regards

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  381. What an informative site this is!.Had Haglunds lump removed 5 weeks ago,recovery is going great if I’m honest,stiches out & wound seems nice and clean so far.Got to wear an air boot but can have a shower & remove when sleeping on a night.I Did try and walk on heal other day without boot [wifes a nurse so will need to keep that one to myself!] went ok but everything seems locked up & stiff.Im a postman/deliveryperson so was walking 10 to 12 miles 5 days a week prior to operation so;being laid up has become a bit of a shock & have found that getting a little ‘cabin crazy’ has been the hardest part of my recovery.Needless to say try and get out [on crutches] at least once a day if you can.This operation has been a long wait after trying everything out there so not only do I hope to get back to doing my job but; also my life,namely cycling ,running & walking pain free regards Gerry

  382. Gerry - if your achilles was cut and reattached - I would guess you shouldn’t be walking on it yet. I had the same surgery and was NWB for 6 weeks. After that I phased in walking over the course of 6 weeks. They don’t want you walking since the surgery cut needs to heal sufficiently before you start stressing it. And you will get back to your normal activities IF you follow the protocol your doctor gives you and do all the PT you get assigned. If you try to push it you should REALLY discuss with your doc first to make sure you aren’t going to mess things up. I ended up being on the fastest recovery track that I was given - because I had no complications and I did exactly as I was instructed so I had no setbacks due to overdoing it. Feel free to read my page for details on my journey. It started on 2/17/2017 and I’m pretty much back to normal now. My heel feels much better than before surgery. Of course no my left heel is starting to remind me I still have a bone spur on that foot. :)

  383. Thanks for your reply Cserpent, you are spot on only PWB until told otherwise..Had my 1st physio assessment today given various exercises to do mainly to free up area so been given green light to weight bear only when doing excersies then; seeing surgeon 19th Dec. for hopefully final check up & boot off.I will take your advice[& wifes!] & try not rush things.Had to wait for 8 months for my turn for this operation[God bless our [uk] National Health Service!] so whats a few months laid up..Only regret is i wish i had found this site prior to my operation as it would have helped to answer some unanswered questions.

  384. First, thanks to everyone for posting here! I have to have haglunds removed from each foot, and I’m starting with my left. Surgery is scheduled for this Thursday, 12.14.17. My question is this. I live outside of Montgomery, AL and we usually travel to Memphis, TN to my wife’s parents house for Christmas. Do ya’ll think that will still be possible to ride that far a mere week and a half after surgery? Thanks for the input!

  385. Start your on page Joey! :) As to traveling … the protocol at Kaiser for that surgery (I had it on my right, may need it on my left someday) is keep your foot elevated 90% of the time for 3 weeks, then continue NWB for another 3 weeks. I don’t know what your doctor has given you for the recovery plan. This is because any swelling will slow down your recovery. If you’re able to lay down and keep the foot elevated for the drive you could possibly do it. I wouldn’t recommend doing it seated in a normal way - I think your foot will be throbbing, swollen and very unhappy. And, since you’ll probably be in a cast, if you have any cast issues it will be more difficult to get them resolved. I had my cast changed multiple times in the 2.5 weeks I had it on. Thankfully I harangued them into putting me in a boot for the remaining 4.5 weeks of NWB that I had. I’m sure they only did it because I was doing as directed - LOL! And because they didn’t want to keep changing my cast every time the padding got compressed. Feel free to read the early pages of my blog - cserpent. I’m almost at the 10 month mark and pretty much back to normal.

  386. Joey,

    I drove back from Atlanta GA to Cincinnati, OH 4 weeks post surgery and it was AWFUL. The ride down I rode in the back and elevated and I was fine. I have to drive back home bc the wife got sick and I paid for it dearly bc my leg was down for so long. I had calf pain for 7-10 days and they tested me for blood clot (negative of course) but it was crazy.

    Cserpent is right about elevating. The first week is CRUCIAL! I literally stayed on the couch with legged propped and iced 30 minutes on and 30 off all day and night. I had minimal bruising a week post surgery when they took bandages off.

    Just my 2 cents. Good luck.

  387. Thanks for the responses! I think I have it set up to where I”ll be able to ride in the back of the car and use the center console to elevate it for the ride up and back. As for icing, I won’t be able to ice it if it’s casted, right? From what I understand I was gonna be in a cast for upwards of 4 weeks up to the bend of my knee.

  388. Wow - they didn’t tell you how to ice while in a cast? They were icing me behind the knee when I came out of surgery. Woke up in recovery with ice behind my knee. You should ice as often as you can. Keeping swelling down is one of the most important things at this stage. I was icing 20 minutes on, 1 hour off as often as possible for the first 3 weeks. I also elevated at least 90% of the time (that’s what I was told to do by my doc) for the first 3 weeks. As you can imagine I never had any swelling while in the cast. :)

  389. Ah - just realized you haven’t had surgery yet - LOL! I didn’t know where to ice until after the surgery either. Hopefully they’ll tell you tomorrow while you’re in recovery. Good luck on your surgery. If you’ve not had surgery before ask them for anti-nausea medicine. I react very poorly to general anesthesia and to pain meds - both make me nauseous. I told my doc this early on so I had anti-nausea meds and pain meds ready to go at home. I have to say this for Kaiser - they do what is needed to get you ready to heal ahead of time. Now they wouldn’t give me a knee scooter (only crutches) so I had to buy that myself but better that than falling down (which I did, twice) on crutches. After my second fall hubby put the crutches in the garage so I wouldn’t be tempted - LOL!

  390. I had surgery 11 days ago and feel a lot of tingling and nerve pain in the last couple of days. I go to get stitches out and move from splint to cast on Wednesday. Is this normal. Looking for info. Thanks in advance.