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Haglund Deformity Surgery in Miami, FL

Revive Hand and Foot Institute in Miami offers specialized treatment for those struggling with Haglund deformity, providing effective surgical options tailored to individual needs. With a focus on advanced techniques and personalized care, Dr. Oganesyan’s approach ensures precise outcomes and efficient recovery. The surgery targets the source of discomfort and promotes long-term healing, while minimizing the risk of future complications. Each patient receives a comprehensive treatment plan, combining cutting-edge technology and expert care from our board-certified surgeon to achieve the best results. The commitment to restoring optimal foot function brings lasting relief and enhanced comfort for those seeking a solution to this challenging condition.

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What Is Haglund Deformity?

Haglund deformity is a bony enlargement on the back of the heel bone. This condition is often called a “pump bump” because it frequently develops from wearing rigid pumps or shoes that put pressure on the heel. Haglund deformity occurs when the bony growth rubs against footwear, irritating the soft tissue near the Achilles tendon. The resulting inflammation can lead to bursitis, causing significant ankle pain and discomfort during physical activities. While Haglund deformity may affect anyone, it is particularly common among runners, dancers, and individuals who frequently wear shoes with rigid counters. The characteristic bump typically appears as a visible protrusion at the back of the heel, often becoming red and swollen when irritated by footwear.
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Preparation for Haglund Deformity Surgery

Before undergoing foot and ankle surgery, patients participate in a comprehensive consultation with Dr. Oganesyan to discuss their medical history, current symptoms, and treatment goals. During this initial meeting, our surgeon evaluates the severity of the condition through physical examination and imaging studies, such as X-rays or MRI scans, to confirm the diagnosis and determine the most appropriate approach. The preparation process also involves discussing the procedure’s potential risks, benefits, and expected outcomes.
In the weeks before surgery, patients may need to temporarily discontinue certain medications, particularly blood thinners, arrange transportation and assistance during recovery, and prepare their home environment for post-operative care. Following all pre-operative instructions is crucial to ensuring optimal outcomes.
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Haglund Deformity Surgery:
A Step-by-Step Procedure

Anesthesia

The procedure begins with anesthesia to ensure patient comfort throughout the surgery. Depending on individual factors, general anesthesia (where the individual is entirely unconscious) or regional anesthesia (such as an ankle block) may be utilized. In some cases, local numbing with sedation might be selected for people with certain health conditions or those who need less extensive corrections.
Once anesthesia has taken effect, the patient is positioned appropriately on the operating table, typically in a prone position (face down) or lateral position to provide optimal access to the posterior heel. The surgical site is then thoroughly cleansed with an antiseptic solution to reduce the risk of infection. Sterile drapes are placed around the operative area for maximum safety.
Dr. Oganesyan makes an incision on the back or side of the heel, the exact location and length of which depend on the specific surgical approach chosen. Standard techniques include a lateral cut (on the outer side of the heel) or a posterior method directly over the bump. Dr. Oganesyan carefully dissects the soft tissues through this incision to expose the prominent bony enlargement and the affected area.
Once the Haglund deformity is exposed, Dr. Oganesyan uses specialized instruments, such as osteotomes, bone saws, or burrs to remove the excess growth. The amount of tissue excised is precisely calculated to eliminate the problematic prominence while preserving the structural integrity of the heel bone. During this critical step, Dr. Oganesyan avoids damage to surrounding structures, particularly the Achilles tendon attachment.
The nearby soft tissues may be inflamed or damaged, including the retrocalcaneal bursa (a fluid-filled sac between the Achilles tendon and heel bone). Dr. Oganesyan removes this bursa and addresses any damage to the Achilles tendon if necessary. If the chronic irritation causes structural problems, some patients may require additional procedures, such as tendon repair or reattachment.
After the bone resection and soft tissue work, Dr. Oganesyan thoroughly irrigates the wound to remove bone fragments or debris. The incision is then closed using sutures, with deep layers typically sealed with absorbable stitches. A sterile dressing is applied to protect the wound, and the foot may be placed in a splint or specialized boot to provide stability and protection during the initial healing phase.
Anesthesia
The procedure begins with anesthesia to ensure patient comfort throughout the surgery. Depending on individual factors, general anesthesia (where the individual is entirely unconscious) or regional anesthesia (such as an ankle block) may be utilized. In some cases, local numbing with sedation might be selected for people with certain health conditions or those who need less extensive corrections.
Once anesthesia has taken effect, the patient is positioned appropriately on the operating table, typically in a prone position (face down) or lateral position to provide optimal access to the posterior heel. The surgical site is then thoroughly cleansed with an antiseptic solution to reduce the risk of infection. Sterile drapes are placed around the operative area for maximum safety.
Dr. Oganesyan makes an incision on the back or side of the heel, the exact location and length of which depend on the specific surgical approach chosen. Standard techniques include a lateral cut (on the outer side of the heel) or a posterior method directly over the bump. Dr. Oganesyan carefully dissects the soft tissues through this incision to expose the prominent bony enlargement and the affected area.
Once the Haglund deformity is exposed, Dr. Oganesyan uses specialized instruments, such as osteotomes, bone saws, or burrs to remove the excess growth. The amount of tissue excised is precisely calculated to eliminate the problematic prominence while preserving the structural integrity of the heel bone. During this critical step, Dr. Oganesyan avoids damage to surrounding structures, particularly the Achilles tendon attachment.
The nearby soft tissues may be inflamed or damaged, including the retrocalcaneal bursa (a fluid-filled sac between the Achilles tendon and heel bone). Dr. Oganesyan removes this bursa and addresses any damage to the Achilles tendon if necessary. If the chronic irritation causes structural problems, some patients may require additional procedures, such as tendon repair or reattachment.
After the bone resection and soft tissue work, Dr. Oganesyan thoroughly irrigates the wound to remove bone fragments or debris. The incision is then closed using sutures, with deep layers typically sealed with absorbable stitches. A sterile dressing is applied to protect the wound, and the foot may be placed in a splint or specialized boot to provide stability and protection during the initial healing phase.

Recovery After Haglund Deformity Surgery

First 24 Hours
Pain, swelling, and mild bruising are common in the initial hours following surgery. The foot is typically elevated to reduce symptoms, and a protective dressing or splint is applied. Utilizing anti-inflammatory medication helps manage discomfort during this early stage. Limited mobility is expected, and weight-bearing is usually restricted.
Swelling and tenderness persist, but controlled foot movement may begin under medical guidance. A walking boot or crutches might be necessary to avoid putting pressure on the heel. Keeping the foot elevated remains essential to minimize swelling. If stitches are present, they are typically left undisturbed during this period.
Sutures are often removed around the two-week mark, and gradual weight-bearing may be introduced. Physical therapy can restore mobility, prevent stiffness, and improve circulation. Swelling gradually decreases, though some discomfort might persist, especially with increased activity. Proper footwear and orthotic support help avoid excessive strain on the healing tissues.
Recovery progresses with improved mobility and reduced pain. Physical therapy strengthens the Achilles tendon and surrounding structures to promote stability. Standard walking patterns start to return, but high-impact activities remain restricted. Mild residual swelling may still be present after extended periods of standing or moving.
Most individuals regain full function, though minor stiffness or swelling can persist. Physical therapy continues as needed to refine mobility and prevent complications. Depending on the healing process, high-impact activities, such as running or jumping, may be reintroduced gradually. Long-term adherence to supportive footwear and stretching routines helps maintain results and prevent recurrence.
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Candidates for Haglund Deformity Surgery

Haglund deformity surgery is often considered for individuals who have not found relief from conservative treatments or are experiencing significant discomfort. Below are the primary groups of candidates who may benefit from this procedure:
Individuals who wear pump-style shoes regularly
People with flat feet that cause excessive pressure on the heels
Patients suffering from chronic plantar fasciitis
Those with rheumatoid arthritis affecting the foot and ankle
Individuals with a tight Achilles tendon that exacerbates symptoms
People with a history of traumatic injuries to the heel
Patients who have not responded to conservative treatments

Benefits of Haglund Deformity Surgery

Targets the Area Where the Achilles Tendon Attaches to the Heel Bone

Haglund deformity surgery directly addresses the area where the Achilles tendon attaches to the heel bone. By removing the spur and correcting structural issues, Dr. Oganesyan effectively alleviates pressure on the tendon, which is often a primary source of pain. This targeted approach ensures that the root cause of the problem is treated, providing long-term relief and restoring proper alignment.
One of the most significant benefits of Haglund deformity surgery is its ability to relieve the sharp, persistent heel pain many patients experience. Removing the bone spur and addressing any underlying issues helps reduce the friction and irritation that cause discomfort, resulting in a noticeable reduction in painful sensations.
Haglund deformity surgery can significantly improve mobility by enhancing ankle function. The procedure reduces the limitations caused by pain and inflammation, allowing for a more natural range of motion in the affected area. With improved mobility, patients can regain their ability to perform previously challenging or impossible activities, such as walking, running, or climbing stairs.
Haglund deformity surgery alleviates swelling in the affected area by addressing the underlying causes of inflammation, such as bone spurs and tendon irritation. This reduction in inflammation can bring immediate relief, helping to restore comfort and decrease discomfort from various activities. Over time, patients typically experience less irritation in the heel and surrounding tissues.
Haglund deformity surgery provides relief and prevents further foot damage that could occur if the condition is left untreated. Dr. Oganesyan corrects the deformity and restores proper alignment, stopping additional wear on the Achilles tendon, the heel bone, and other structures in the foot. This preventative aspect ensures that the foot remains in better condition over the long term.
Haglund deformity surgery can significantly enhance a patient’s overall quality of life by alleviating pain, improving mobility, and reducing inflammation. People often find it easier to return to daily activities and physical movements. This improvement in function and comfort helps restore independence and allows patients to enjoy a more active and fulfilling lifestyle.
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Cost of Haglund Deformity Surgery in Miami, FL

The cost of Haglund deformity surgery in Miami ranges from $5,000 to $12,000, depending on various factors, such as the surgeon’s expertise, the complexity of the procedure, and the type of facility. Additional expenses may include pre-operative consultations, anesthesia fees, and post-operative therapy. Patients should also consider the potential for insurance coverage, which can significantly reduce out-of-pocket costs. Therefore, the price varies based on individual circumstances. Dr. Oganesyan discusses all the financial aspects during the initial consultation.
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What Makes Our Medical Practice Different From Others?

Revive Hand and Foot Institute offers advanced Haglund deformity surgery through Dr. Ashot Oganesyan’s deep podiatric expertise and meticulous surgical approach. Our treatment planning for foot deformities incorporates comprehensive diagnostic imaging and biomechanical analysis to develop highly personalized strategies that address the bony prominence and any contributing anatomical factors. Dr. Oganesyan’s techniques emphasize precision bone resection while preserving surrounding healthy tissue, resulting in improved functional outcomes and reduced recovery times compared to traditional approaches. Our dedicated post-surgical rehabilitation program includes customized protocols that promote optimal healing while preventing recurrence through targeted exercises and footwear recommendations. We empower patients to make informed decisions and actively participate in their recovery journey.

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