Haglund’s deformity, sometimes known as “pump bump,” is a bony enlargement on the back of the heel bone where the Achilles tendon attaches. This enlargement can irritate surrounding soft tissues, including the Achilles tendon and the retrocalcaneal bursa, leading to pain and inflammation. Surgical intervention aims to alleviate this discomfort by removing the bony prominence and addressing any associated tendon or bursa issues, thereby restoring normal heel function.
Immediately After Surgery
After Haglund’s deformity surgery, patients awaken from anesthesia with pain management initiated. This includes nerve blocks for pain relief, and oral pain medications. The foot will be immobilized in a protective dressing, such as a bulky bandage or splint, to support the surgical site and minimize movement.
Patients should keep the operated foot elevated above heart level to reduce swelling. Mobility will be restricted; patients are non-weight bearing on the affected foot, requiring crutches or a knee scooter. Hospital stays are brief, with many Haglund’s deformity corrections performed as outpatient procedures.
The Initial Weeks of Healing
The initial 6-8 weeks following surgery are important for healing and protecting the surgical site. During this period, the foot progresses from non-weight bearing to partial weight bearing, transitioning from a splint or cast to a walking boot. Strict adherence to non-weight bearing instructions is important for soft tissue and bone healing.
Wound care involves keeping the incision clean and dry, with dressing changes performed as instructed by the surgeon within the first week. Swelling management includes elevation, ice, and gentle compression. Follow-up appointments occur within 1-2 weeks to assess wound healing and remove sutures. Physical therapy commences during this timeframe, focusing on gentle range of motion exercises to prevent stiffness and promote circulation.
Rehabilitation and Gradual Return to Activity
The rehabilitation phase, beginning around 6-8 weeks post-surgery, focuses on restoring strength, flexibility, and function. Physical therapy sessions become more intensive, incorporating targeted exercises to strengthen calf muscles and surrounding structures. Balance training and gait re-education are introduced to ensure a stable and natural walking pattern.
Transition from the walking boot to regular, supportive footwear occurs gradually, guided by the physical therapist and surgeon over several weeks. Patients progressively increase activity levels, returning to daily tasks like driving and work as comfort and mobility allow. Full recovery, especially for strenuous activities or sports, can extend from several months to a full year, requiring patience and consistent adherence to the rehabilitation program.
Recognizing Potential Complications
Patients should be aware of potential complications during recovery and know when to seek medical attention. Signs of infection include increasing pain, redness, warmth around the incision, pus discharge, or a fever above 101°F (38.3°C). These symptoms warrant immediate contact with the surgical team.
Deep vein thrombosis (DVT), a blood clot, can manifest as persistent calf pain, swelling, tenderness, or warmth in the leg. Persistent numbness, tingling, or weakness in the foot or toes indicates nerve irritation or damage. Issues with wound healing, such as excessive drainage or dehiscence (opening of the incision), require prompt medical evaluation.