Dr. Patrick DeHeer, DPM - Haglund's Deformity Reduction Part 1 of 2

This is a surgical video of a reduction of a Haglund's deformity with a Mitek anchor fixation. This boney deformity on the posterior superior heel is painful with shoe gear. Post-operatively this procedure requires non-weight bearing with crutches for 2 weeks, followed by a walking boot for 4 weeks.
Created on July 28, 2009 using FlipShare.

Category:

Science & Technology

Tags:

• Dr. Patrick DeHeer
• DPM
• podiatrist
• foot surgeon
• Carmel
• Columbus
• Franklin
• Shelbyville
• Indiana
• Hoosier Foot and Ankle
• Haglund's deformity
• heel pain
• bone pain
• achilles tendon
• foot surgery
• foot pain
• bursitis
• FlipShare
• podiatry

[peplajso]

i have bursitis in my achilles,it is red and causes pain in my achilles for weeks after using a heel lift,ice,anti-inflammatory medication,cortisone injections..i have a bump on the back of my heel,what would you recommed for me to do please??if the bursa was removed,will it grow back naturaly then?what if i got my heel bone re-shaped, willthe bone grow back? /it would make more pressure on bursa again... then, would i have to undergo the same surgery again or what?

[padeheer]

@peplajso First, stretching is important no matter what other form of treatment you have. Use a night splint, it takes about 3 months. I would try shockwave therapy before any open procedure. I use the EPAT machine and it works very well. No risk, no down time, just small chance it may not work. Best Wishes.

Dr. Patrick A. DeHeer, DPM

[staefe77]

I am having a problem like this with my foot, my doctor is saying that he will need to cut at the insertion to clean up the problem, and also cut the tendon up in my gastrocnemius to extend the tendon because it is tight. Is it possible to just do the insertion point and work on flexibility after the surgery? I just want to be able to run again with out any pain.

[padeheer]

@staefe77 That is a very common approach and nothing out of the ordinary. Tightness of the calf muscle is the underlying cause of the heel problem. Best wishes.

Dr. Patrick A. DeHeer, DPM

[cowboys430isback]

if there's no blood flow, wouldn't the feet cells die?

[padeheer]

@cowboys430isback The longest we can leave a torniquet on is for 2 hours before allowing blood flow back to the foot. Best Wishes.

Dr, Patrick A. DeHeer, DPM

[bombtreez]

Also which Doctor do u recommend in Florida for this surgery?

[bombtreez]

Hey doc how much does this surgery cost?? I just need a ballpark price! I'm scared I can't afford it but I'm in a lot of pain!

[mamiasmamias]

..continue

the dr said to me that if the haglund bone donot reshape after 5years probably is going to stay as it is

the extra trouble i mention at the first paragraph is that if we detach the tendon is going to be a very long healing procces and i can run again and play soccer after a year or more...but with no detachment of the tendon in 3 months

i want your opinion for the things i wrote you

thank you very much

[mamiasmamias]

continue..

i had the same surgery at the other foot 5 years ago,and my foot is in good contition

the remaining bumb hurts a little(when i'm barefoot,after soccer practice)but this is nothing compares the pain i had before surgery

i had xray the 5year foot so the dr can see if there is re occurance,and it is a very little bit,away from the tendon yet but the dr said me thats probably because of the healing procces of the bone after the surgery ........

[mamiasmamias]

hello doctor i am john and i'm 38 years old

first of all you have to excuse my english

a month ago i have had surgery to remove my haglunds deformity,only the deformity without detachment of the achilles tendon

from the outside of my heel there still is the bumb(there is a calcification at the insertion of the tendon) ,the dr said that the tendon is inside it and the only way to get rid of the bumb is to detach the tendon but this is going to cause me extra trouble

[peplajso]

@padeheer Doctor, I have had this problem for about 8 months now. Couple of weeks ago it was recommended to me to try the RTG therapy, so I did that as well. I am afraid of trying any further therapy, because I tried laser, injections, RTG, so do you think using the EPAT machine would be safe? Also, I spoke to my doctor here and he said he would have to make a longitudinal cut on my Achilles in order to reshape the heel bone once the bursa is removed..For me as a basketball player, do you...