If Haglund's deformity goes untreated, it can progress from causing only some discomfort to developing into severe pain in the heel area.
The Progression of Untreated Haglund's Deformity
In its early stages, Haglund's deformity might only cause a mild level of discomfort or a subtle ache, which can be easily dismissed. However, if the condition is left unaddressed and no treatment is pursued, the symptoms are likely to worsen over time.
From Discomfort to Severe Pain
The primary consequence of an untreated Haglund's deformity is the escalation of pain. This bony enlargement on the back of the heel bone (calcaneus) can rub against the nearby soft tissues, specifically the Achilles tendon and the retrocalcaneal bursa (a fluid-filled sac that reduces friction). This continuous irritation leads to inflammation, causing the pain to intensify significantly.
What begins as a slight annoyance can progressively worsen, impacting daily activities and overall quality of life. The chronic irritation can lead to more severe conditions such as:
- Retrocalcaneal Bursitis: Inflammation of the bursa located between the Achilles tendon and the heel bone. This can cause sharp, persistent pain and tenderness at the back of the heel.
- Achilles Tendinopathy: Degeneration or inflammation of the Achilles tendon due to constant friction and stress. This can lead to pain, stiffness, and weakness in the tendon, potentially affecting mobility.
Ignoring the early signs of Haglund's deformity means missing the opportunity for less invasive treatments. As the condition advances, the inflammation can become chronic, leading to persistent and debilitating heel pain that significantly limits mobility, participation in sports, and even routine daily activities like walking or standing.
Here's an overview of the typical progression of symptoms:
| Stage | Symptom Severity | Description |
|---|---|---|
| Initial Stage | Mild Discomfort | May manifest as a slight ache, tenderness, or pressure at the back of the heel, especially after physical activity or when wearing rigid-backed shoes. |
| Untreated Progression | Worsening Discomfort | The mild discomfort becomes more frequent, noticeable, and persistent, indicating increased irritation of the surrounding tissues. |
| Advanced Stage | Severe Pain | Develops into intense and often debilitating pain in the heel, making walking, running, prolonged standing, or wearing most types of footwear extremely difficult and painful. |
