Lump on back of the heel is the complaint most people put as the reason for their office visit. Diagnosis for this case is: Haglund's deformity (aka pump bump), Achilles tendonitis / Tendonosis
Symptoms:
Burning in the achilles, unable to run, jump or wear shoes due to the rubbing of the achilles.
Throbs
Tightness in the Achilles
Conservative treatments:
See 1) NSAIDS such as motrin, etc if tolerated
2) Physical therapy
4) Ice
5) Avoid shoes that rub on that area.
7) Platelet Injections / Stem Cell therapy
Diagnostic tests:
Surgical treatment:
Below is an actual FFLC patient preop Xrays and clinical photos.
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| Notice the bump right above the achilles insertion |
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| Another view of the swelling |
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| Side view of the painful bump |
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| What is looks like on Xray, Multiple issues to be addressed. 1) Haglund's Deformity (top Arrow) 2) Insertional spur growing into the achilles tendon (bottom arrow) 3) bone cyst / erosion from chronic inflammatory condition. |
Patient is an active runner, pain immediately subsided after surgery.
"Bump" no longer visible or irritated.
4 wks in a cast, then another 2 wks in a boot that he can remove to start range of motion excercises.
Physical therapy and boot to be used for walking at 6 weeks.
Tens unit can be used to help with the cast disease that develops from not using the limb for some time.
Overall, this is a very simple surgery to correct the condition. Technique chosen by your surgeon varies. I personally prefers to keep the achilles attachment and remove the spurs from varying angles to avoid prolonged recovery. This also allows for anatomical repair without a question as to where mother nature intended.
FFLC taking new patients
239 430 3668 option 2 for scheduling or you can request online through our PATIENT PORTAL.
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