👉 Some footwear examples and heel-raising shoe inserts to take the strain off your heel bursitis: ✅ Men's stylish sneakers/trainers with heel-to-toe drop: geni.us/mj1G ✅ Women's stylish sneakers/trainers with heel-to-toe drop: geni.us/8hGmS ✅ Most Asics sneakers/trainers have a good heel-to-toe drop: geni.us/wTJOAs3 ✅ Unisex sandals with heel-to-toe drop: geni.us/aE7rQf2 ✅ Women's sandals with heel-to-toe drop: geni.us/VkOkQeA ✅ Men's sandals with heel-to-toe drop: geni.us/bb5EXd ✅ Heel-raising wedges (use them in both shoes): geni.us/lA7G ✅ Heel-raising cups (use them in both shoes): geni.us/Sc7h8 If you buy anything via these links, we may get a small commission at no extra cost to you.
Ma’am, I hope you get an award or anything in appreciation to your research. As soon as you mentioned overloading the achilles through switching abruptly to minimalist shoes which I have done with Altras. I was astonished. This video is outstanding!
I am a french runner who is injured since 8 months with his Achilles tendons. I decided few days ago to not go with the surgery, wanted to try progressive overload before. I just want to Say thank u, you re my hero.
You're welcome to book a video consultation with one of our physical therapists - then you won't have to fly anywhere. 😊 More info here: www.treatmyachilles.com/
The level of comprehension and coherence in this video is at an unreachable level. Great job!!! I am suffering from a Haglund right now and was looking for therapy ideas. Thank you so much for your insight!
Left my Dr office shaking my head with his advice . . . Yep stretch the calf and tendon. . . . Since I'm 64 years old I already knew this was from overdoing things . . . And the spur didn't show up overnight. . . Thank You for making sense of the condition . . .
I have a back of heel spur also, in the region where the Achilles inserts into the heel. My podiatrist has given me no help -- brushed it off as nothing needing attention, despite the fact that I have pain! How are these spurs treated to reduce pain?
This is brilliantly helpful and completely explains my recent experience of pain from a first pickleball session in my minimalist shoes, how to think about the haglunds deformity, discovered with this pain, and how to exercise in an informed way moving forward. I also have to work with loosening and strengthening my perennially tight calves - without stretching! I’ve already experienced less pain with loosening the calf muscle through static pressure but I hear that I have to be very careful not to go back to compressive movement too soon and too much. I was totally open to surgery and now I’m optimistic that, with this understanding, I can care for the tendon on my own. I don’t have access to PT and have had mixed results in the past when PTs are under informed. Very grateful for this video!
I saw 2 doctors, one of them was a podiatrist & you have educated me more than they both did. Two different diagnosis and no relief. I'm sure it's all similar treatments but this explanation puts me a little at ease. Thank you. I appreciate you.
Switching from regular heeled or raised heel shoes to wearing only Birkenstocks everyday for 3 months caused all kinds of heel and ankle pain, as well as bursitis in one heel. I truly believe that this was a contributing factor in the ankle injury that I suffered when rolling my heel ( in a pair of Merrell Jungle Mocs) shortly after deciding to take a break from the Birks. Now facing 6 to 9 months of recovery, I've tossed out both the Birks and the Merrell , and will stick to my Ascis runners
Recently, I experienced a similar situation. After I started wearing Birkenstocks during the summer, I noticed change in the appearance of my foot. It seems that my bone has worsened despite my belief that wearing open shoes would improve it.
Thank you so much. I've seen two podiatrist, both contradicted each other, and both had me stretching. One wanted to do an injection with no attempt at pt, the other immediately suggested surgery. Simply ending the stretching and adding a lift have made a big difference. Doing pt to improve it and get back to athletics.
@@Dunstlookalike yes. I'm about 95% and would probably be 100 if I wasn't dealing with other medical issues that are sidelining my recovery. The short answer is due very little. Do it consistently and slowly, very slowly progress what you do. PT amounted to progressive ankle flexion, rotation, etc every morning will sitting on the couch having my coffee. Started at about 15 or 20 reps each and worked up to over 100 reps on each ankle. Then seated calf raises to isolate the soleus and control the level of resistance. Eventually walking with the heel lifts in my shoes. Started at 5 minutes. Progressed up to 30 minute walks and then back to 5 minutes with reduced heel lifts and eventually no lifts. Progress that back up to 30 minutes. Slowly added in standing calf raises, then bought a treadmill and begin with 10 minute walk at one level of elevation. Then progressed up to 10 minutes of walking 10 minutes of intermittent jogging at 20 seconds on 10 seconds off. Anyhow you get the idea that's probably way more detail than you need.
Wonderful video. I have an exam on a patient with a haglunds deformity and got a calcaneoplasty. Lovely to hear the different views and not only the "my plan is the best plan"-view. But I agree that conservative treatment is often overlooked and the facts about tendinopathy is ignored.
Is conservative treatment effective is you have a bone spur? My xray showed a "posterior calcaneal spur". What are the chances that I will have to have surgery?
The pain wasn't all that bad UNTIL I started doing those stretches (that they all say you should do) and I made it 10 times worse. I suspected as much and seeing this video only confirms it. I wish I saw this sooner! I would've saved myself unnecessary grief and frustration.
Of watching majority of the videos out there, I find this video to be extremely thankfull cuz u know what you are saying and u r brilliant in differentiating btw those problems.
Thanks for the great video. A few years ago I had surgery to treat Haglunds. Before surgery I tried everything, PRP,, Grastoning, acupucture, massage, orthotics, etc. Eventually My achilles tendon almost completley detached after 10 years of non-surgical treatment.. so sugery was the only remaining option. .Everything went well with the surgery, but the recovery was lengthy and expensive. Recently the other side started showing concerning signs of bursitis. Caused by working out in a treadmill with steep incline. I was worried that surgery on the other side was imminent. After watching the video, I stopped stretching my calf and used heal lifts. After just a few days, no more pain. So now I know how to treat bursitis flare ups. They key I think is to stop stretching, which was never suggested before...in fact the opposite was directed.
This is mindblowing... I am struggling with it for about 3 years now and my physio therapist is telling me to stretch every day several times.. I wish I had seen this video a few years earlier. I found out already that shoes with heels work better but it somehow confused me that doing the opposite (stretching) was supposed to help also. Thank you so much! From now on I will follow your advice.
You are an ANGEL!!!! I had removed some bone built up allready, and when during my pregnancy my achilles got really bad again, I was sure I'm in for another operation. I also switched to minimlaist shoes and started running more often - insult to injury🤦🏼♀️ Thank you so much for all the new options!
I cannot thank you enough for this logical, expert advice! It seemed counter intuitive to stretch but I kept doing it thinking I could push through. It has gone on long enough that I now have numbness and some tingling on the outside/under foot/heal. Will do as you say and hope it gets better. Thank you Dr. ❤️
OMG.. I have been suffering with insertional achilles pain for more than 2 years now, tried everythg from podiatrist to meeting a foot specialist, I have given up. But looks like I have been doing the wrong exercises all along - DAILY! I will stop immediately and see how goes. Many thanks and God bless you.
That is so frustrating. Focus on just doing things to calm it down. Also maybe look at the video about insertional Achilles tendinopathy for more ideas: th-cam.com/video/mWUzsQILzWA/w-d-xo.html
Thank you so much for your clear explanation in a simple way, i was wondering about surgery, now i will try something else 1st before taking this path, what you've just said lake so much sense ! MERCI.
Very reassuring info re- Haglund’s deformity! I knew I had a lump and had vaguely heard about the condition but I daren’t do a search about it until now😂.
Great explanation! I would agree with the crazy stretching that all therapists tend to jump to....I would also like to add that some people are more susceptable to this due to their gait pattern, certain individuals have extremely externally rotated hips, and they end up loading incorrectly on their knees and ankles throughout their life, until they eventually get this deformity.
Absolutely amazing!!!!!!! I was stretching in-between hot and cold therapy and was miserable. I began wearing wedged sandals as soon as I got out of bed. Though I look ridiculous walking around the house in a t-shirt and sweats with my wedges on, my foot feels remarkabley better!!!!!!!!! and it's only been 2 hours. I just wish I could wear them to work. If I have any further for concerns you'll be my go to. Thank you!!!!!
THANK YOU SO MUCH! I started a warehouse job several months ago (lots of squatting and over 20k steps a day) and it's caused a lot of pain. I'm so thankful that I found your video, and I'm excited to try your suggestions!
My insertional Achilles tendon issue came from constant irritation from my figure skate pushing on my heel. Stopped wearing my skate 6 months ago, went through PT twice, heel lifts, orthotics, anti inflammatory meds, stopped running, skating, and ballet. 11 months of this issue, i am having surgery in July!
Wow this is an amazing video. So thorough for the public. Such good mannerisms and teaching style. Thank you for explaining and reducing my fears. New sub here good luck on your channel
This what I experience, run on friday, leg/calv exercise on sat and then scammed to a trail run on sunday ( was invites on a chill hike). Literally cant walk due to pain for a 4 days before going to a doctor. Thank you for this
Just received this diagnosis from my physio. Your explanation is extremely helpful! I have recently increased walking from 3k once a week to 5k twice a week during lockdown, but had shifted to winter boots (much flatter heel) than trainers. Thank you for the clarity in differentiating the three issues (Haglunds, bursitis and insertion tendinitis).
I had a load of confusion when some recommends stretching and toning of calf and tendon. You cleared my confusion and also about injections and surgery. I have the same for last 21 yrs. Pain is severe to mild but OK. Now one Achilles is crying more than the other and I am on rehabilitation.
21 years of hobbling from bed to kitchen each morning. Tremendous pain, but once warmed up can run 5k pain free. How did you make it stop? Does this video advice make the difference- no stretching? Heel lifts? Doc say’s surgery is the *only* way to fix my haugland/heel pain. Also Says tendon is in good shape. Says he can’t believe Ive dealt with the pain this long based on my scans.
This is the video I have been searching for! Most of the other videos recommend stretching but I quickly learned that makes the pain worse. And it doesn't make any sense to me to stretch something that is injured! Plus most of the other videos seem to be pushing a surgical solution which I would like to avoid. Thank you for your insights and advice!
My experience is actually the opposite: I suddenly had to move a bunch of stuff over a few weeks, so started wearing work boots. I normally wear flat sandals. However, my presentation was almost certainly coupled with a gout episode. Felt exactly like gout (which I took medicine for but stopped about two months ago). Was extremely painful, inflamed, and burning sensation. Glad I found this video though because yeah, I seem to have had Haglund's deformity for a while now without any issues. Some *else* must have caused this pain.
I have been using bee apitherapy stings on the sore spot of my heel. I have been having pain in my heel for about 4 months. They seem to help a little after working out. My job is very active on my feet but this was caused by hiking with a pack on. I like the idea of heel supports and bought some about a week ago. I also use a vibrating palm sander (without the sandpaper) to try increase the circulation in the heel and ankle. makes it feel better for a little while. I am desperate since I am also training to go on a 10 day hike with the Boy Scouts. Nice explanation.
Thank you for doing this vid, I'm so glad I found it. I've read about stretching it and have started doing so, but I never understood how that can help. After seeing your vid I can see how stretching makes no sense.
Your advice makes so much sence, I suffered from plantar facsiitis and now haglands heel, I think it is because of my high instep, I will try the heel insert, thank you
Your video is brilliant and sums up everything I experienced so far. The main problem of I. T. for me is not my diagnosed mild haglund deformity I think. Never had problems until I increased training and tried out all kind of new shoes without warmup, stupid me. However, I advise a little stretching on a no pain level without dorsal flection to prevent further problems from the calve area.
Thank youuuuuu You are amazing ,, i've been suffering from this deformity for 2 year , without any improvement and with wrong doctor prescription But with your valuable videos and advices i get totally better Many thanks , God bless you
Thanks for this. I had bursitis in the heel a few years ago when I believe it was a footwear issue that triggered it. It flared again this summer, although no idea why. Physio has suggested I have a HD albeit without an X-Ray, just based upon the shape of my heel. Useful to hear that it's roughly a 12 week recovery period as so many things I've seen online have suggested 3 weeks! So I'm more comfortable knowing that what I've done is right and it just takes this amount of time.
Glad you found this useful - yes, 3 weeks is a bit over-optimistic unless it is a very mild case. As long as things are slowly improving you know you are on the right track.
Tears of relief a few days ago when I found this video. I added wedge heel lifts in my hiking shoes and the pain has reduced quite a bit. Taking anti inflammatories too. But as a yoga teacher, I’m supposed to be barefoot while working. Not there yet, lol. Thank you so much for the excellent action plan! ❤
Oh my days, I feel like crying! I told my gp this started when I switched to flip flops for the summer and my job increased to lots of walking!. He said it was from wearing high heels (which I never did or do) and gave me loads of stretching exercises to do invluding advising me to buy a special sock that kept my foot stretched all night! 😫 3 doctors at my surgery each gave me the same advice! Thankyou thankyou thankyou I now see light at the end of the tunnel.
This confirms my hypothesis that changing from running heel first to running on the ball of my foot brought on my achilles pain. Tightened my calves up and I don't think I stretched them properly. For years I'd been do a ton of sport, yet the pain only happened after running on the ball of my foot.
I have switched to heel less shoes but I think I got another heel spur on the bottom again. I have no insurance and work as a CNA and I am in so much pain in heel all around. Bottom and back help!
Alfredsons protocol for some reason really help but I understand picture you painted. For example I feel pain and I do Alfredsons protocol and the pain is gone.
We are all different so do what works for you. The only thing I would say is do check how it feels several hours later - often the pain only comes later after doing something like that. It may also be worth testing what happens if, instead of Alfredson, you do the exercises with weight just to floor level - do you still get the same relief? If not immediate, check what happens if you avoid the stretching for a couple of weeks - if you notice less pain overall then it may be that although it felt good in the moment, doing them over the step wasn't right. However, if you see no difference do what you observe is most effective.
@@TreatMyAchilles I am sure I have this exact inflammation you described, thanks for helping me to understand EXACT reason because previously I knew only it must be achilles but now I know exact location of my inflammation - from behind - and thats why all anty inflammatory medications do not work well. Also this region has very low blood flow. So it looks like this: usually I do Alfredsons protocol on the morning and then evening. When I feel I'm overdoing it then I do it only once on morning. When I feel pain and do this protocol then pain goes away. I don't use any weights I do it on stairs 15 times x 3 with straight knee foot goes under floor level and 15 times x3 with slightly bent knee also foot goes under floor level. I do this on both of my foots now - the other one for prevention reasons. Thanks to your video I also introduced: different walking style, my injured leg goes more forward and I try to land on the front of the foot and avoid compression you mention so I don't finish it movement behind me. I am very careful on hills with my walking technique to avoid compression. I work in the office so I keep my foot in a position that there is no compression during work time. My injury started on Apr. During last 2 days I did 20K step, I walk like a paralytic :) I feel no pain using Alfredsons and special technique during walk and saving my achilles during work time. I guess Alfredsons protocol help with blood flow and clearing up this injury. You are professional and You painted me picture how my injury happened and I tell you that Alfredsons work if you do this correctly. So now I am giving you tip how to help people you try cure this disease. Reasons I get sick? I increased training volume drastically also did this on more flat shooes also did trainings on hills to build endurance. It's exactly like you described :) The hardest thing was when I started doing Alfredsons after few days I woke up with a pain and I was making decision - should I o r shoulnt do it? Maybe I should make few days off? I decided to do counterintuitive thing and do then Alfredsons and that was best decision I did then, because suddenly pain was gone, it was mindblowing.
Wrong, I SUFFER hourly with this and the pain is excruciating, my “bump” is the size of an egg and pushing and rubbing against the achilles tendon , my only option now is surgery or to be crippled. I will listen to her ideas and hopefully one might help.
Thanks noticed strange lump all of a sudden which has become slightly painful & annoying I googled it have been dreaded future Surgery I will fix this before that hopefully 🙏 thanks for the advice about stretching also!
This is exactly what I am experiencing. Thank you so much for making this video! My inflammation to that area has last for over a month already. The first two~three weeks were the worst, the pump bump was tenderness with just a small touch. Then, I tried to begin walking on my heel again when it gets little better... bad idea. The inflammation got worse again. I followed some other sites' suggestion by stretching the calf using the pulling toes and also pushing the wall exercises, not helping at all. Now I understand more after watching your video. I wish I watched yours earlier. I am keeping my fingers crossed that I will not need a surgery.
Hi, many thanks for this video. This answers a lot of my questions, despit having searching on internet for months... Thanks again ! 2 weeks ago I made injection in my bursite then miracle : no more pain. Now it's time to do excercices to strenghten my tendon but I would like to know if it's better to do excercices every day or every two days ? And when can I start stretching ? Because I will limit myself according to my pain, but maybe the anti-inflammatory injection will mask the pain... Sorry for my english, i'm from France
It is usually best to start super slowly and carefully with your exercises, but how often you do them will really depend on what type they are and the intensity and how your body responds. If they are low intensity, they can often be done daily. But when they transition to heavier strength training, then it is usually best to leave a recovery day or two between them. You may also benefit from watching these videos: About bursitis: th-cam.com/video/B1LMKwEZ5mo/w-d-xo.html About insertional Achilles tendonitis: th-cam.com/video/mWUzsQILzWA/w-d-xo.html If you want more specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com
Thank you for your so insightful video and it did enhance my knowledge on this Achilles tendonitis which I have been suffering for the last 6 months. In my case it was due to over use of my feet when I played badminton 5 days a week. I have stopped it for some time now and on treatment. I will certainly follow what you have recommended to have a silicon pad under the heal in my shoe all the time. Thank you once again.
I have had Achilles repair and bursa removed. The pain from this is much better but now I have this terrible pain coming from the haglund’s lump. I still have tight scar tissue at the surgical site but this is not causing pain. 😢
Thank you for this video!!! I've been to numerous docs and had x-rays and MRI's but was not given any type of advice or treatment (acutally they sent me to PT, and they made me do ankle stretches!! UGH).
I would possibly avoid any advice from a doctor who says there is no such thing as partial tears...it is very common and can happen in any tendon. Good news is that they can also heal very well! So good luck with your recovery!
Thank you do much for all your great information, I have been told to do stretching which I have found really painful, I do alot of walking every day, I will now be getting something to raise my heels and hopefully this will help
Hi could you please recommend what would be the best heel raiser?? I wear trainers alot for work and do alot of walking, what you recommend any kind of exercise????. Thank you for your video, I have leaned alot
hello am a master runner, at first i did not listen much but this is the best most knowledgeable advice i have heard , many years ago i overloaded my achilles tendon by running a half marathon without preparation and a doc gave steroid injection it bursted in a race in 2008 i had it stitched as it separated it has never given me trouble since but recently my heel by my bursa as you identified, started acting up i beleive with hill sprinting i thank you and wonder if just following your advice or a video session is needed so am asking is there a cost and what may that be
Thank you for this video! Just noticed some mild pain in my Achilles followed by a bump on my heel. Freaked me out. Since quarantine started I have been running anywhere from 12-20miles a week. A lot of uphill stuff included. Before that I wouldn’t do more than 5 miles a week and it would be on a treadmill. I will follow your advice and hope this bump goes down!!
Great upload. I've been 5 months with sharp pain. Insertional tendinopathy + Haglund's deformity + tendon's calcification diagnosis, doing the wrong exercises. Don't want steroids injection yet. Will try your advice. But, what about the calcifications? how to get rid of them?
By far the best synopsis of, at least, my problem. I'm very active - play basketball 2 times per week and run a 5k once per week. Have HD my whole life but only in the past month has it flamed up in my left side (right side also HD - fine, no pain etc). The only thing new that I've introduced is squats which she mentioned !!! Holy cow. I do Kettlebells routines 3 times per week but the program is changing all the time but my recent program has double kb squats - not high volume - 7 sets of 4 reps - certainly repetitive. I am using shoes that are soft in the back now and very loose fitting. I feel no pain during or after the squats. the basketball is very bad though unsurprisingly. I don't think the squats are the cause per se. But the heel lift is a good idea. I have an appointment in 2 days with a specialist and I'd like to know via xrays etc., what the state of my inflammation is. Regardless of the outcome there, this is heartening to know that there are non-operative treatments etc I can pursue. Be nice to know the extent of the bursitis which I am certain is the case and extent of insertional tendinopathy. What about cutting holes in shoes to relieve any friction ? running shoes and baskball shoes in my case (not all my shoes I hope :)
@@TreatMyAchilles the plan is, tomorrow in fact, I'll meet with a foot specialist in a sports clinic. I'd like to xrays/images etc to see the exact state. As you say, the bump may be so small but the insertion and/or bursitis is my problem entirely. That will dictate what happens going further. If I am not happy with the interaction, I may ping your clinic.
Update: Received a cortisone shot in the bursa area though not bursitis per se. The doctor has had some success with that but I saw the image and my bump is rather large (8mm) and the surgery is likely in his opinion, but this is his course of action. I mentioned my concern about cortisone and assured me that has never been a problem in his experience. This clinic is the house-clinic to FCK football club in Copenhagen, so I think he has seen a lot.
It all started a year ago, One day I got up, I put my left foot on the ground, but I couldn't put it down, because it hurt my heel and ankle very much, throbbed while standing, then changed and so all the time when I couldn't even put my heel to the ground, japaiet was to be able to walk, abnormal pain, even if there was no problem all the time I walked 10-15 km a day, I'm not a runner, maybe the work shoes are to blame, I do not know if I was stretched or what X-rays, plantar fasciitis, or heelspur, prescribed anti-inflammatory drugs, and physiotherapy. The podiatrist prescribed special soles that did not help, it hurt even more, I tried a lot of soles, then stretching, drinking vitamins, riding a bike, walking less, but there was stiffness in both legs + Hagelund's syndrome on the right leg + joint pain or watching your and other videos, but the heel pain passed half a year ago, but reappeared today, after a heavy load and a kilometer of walking, after rest it is difficult to start walking, but when walking then pass a little pain, but after 8 hours of work, both stiffness in the legs, maybe arthritis, heels hurt every day, I use plantar soles, because with the usual I can not work all day, my feet hurt, I did an X-ray, there are no fractures and heelspur, but the ankle bone of the right leg has a needle, broken where years ago, probably! could it be this problem, or from the lower back that is worn, the bones of the foot are worn, the tendons are guilty, feeling like a 60-year-old grandfather ??? because I don't understand why no doctor sends for an MRI ?! What do you think ?
@@mohammadrizwan644 must use special plantar fascitis insoles,do exercises, strech all body,dont need to stay all day on feet,must change work than, must relax them,eat less meat, sugar, alchoahol,for me it is better, like it was, but still pain every day!good luck!
It depends on what is causing your pain because the deformity itself is not the source of pain. If it is that you have insertional Achilles tendinopathy then this video may help: th-cam.com/video/mWUzsQILzWA/w-d-xo.html If it is that you have bursitis then this video: th-cam.com/video/B1LMKwEZ5mo/w-d-xo.html
My wife is s runner and suffers from this condition. Can you explain more about removing the bursa please? Is the recovery similar to removal of the deformity? Thank you for this content!!
Hi Alex, You will have to ask this question to a surgeon as it will depend on how much they cut. We don’t have any research based stats for you, but if they make only a small incision to remove the bursa it should in theory recover better than if they go in and do extensive cutting and shaving of the bone. Rehab would still be the first option.
Thanks for this upload! I've been really struggling with a Haglund's deformity/Achilles tendinopathy/retrocalcaneal bursitis for a year and more. I've not known what to do about it - it would seem the stretching/loading exercises I've been doing may have exacerbated the problem! I even tried a couple of short 2 mile runs in the last week (through frustration really) and I'm hobbling around lame again. Thanks for the advice, I'm ready to try pretty much anything to assist recovery!
How to remove the flare up ? Does that mean no walking ? Can we do toe raises ? I have not been walking for 3 weeks . I am wearing 2 inch heel at home . Also undergoing ultrasonic for 10 days . How frequent should this be ?
Calming the flare-up down usually requires a combination of adapting your activity, using things like heeled shoes (which you are doing) and sometimes adding in exercises and other treatments like ice. Ultrasound doesn't actually help for this - the research does support its use. 👉 You can find specific exercise advice for Haglund's related pain here: th-cam.com/video/SH_SGeKXyMs/w-d-xo.html
But what if you are already recovering from a torn Achilles and this happens. I really don’t want surgery but I’m in so much pain I have trouble walking between the bursa and the Achilles repair, almost a year out now and I’m having trouble walking
It is really common to flare the bursa up if the stretches you are doing after the repair is too strong. It does not sound like something that needs surgery. You likely need to start wearing shoes + heel lifts to take the strain off the area, adjust your rehab to not flare it up, and also look at what else in your life needs adjusting to not flare it up. If you want more specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com
Your new opinion helps me changing treatment. I have tried stretching on my heel. From now i will give some reliefs on my heel. Is infrared irradiation helpful?
Well in my case I had a Full right hip replacement and now I have a big lump on my Right tendon which is very hard and the most painful thing I’ve ever experienced including the pain from my original hip pain so is my hip replacement the cause of this as I’ve never had this problem ever on either heel and ironically my left heel is totally fine.
I only have issues when I wear my hiking boots or rock climbing shoes. Other then that I have no pain when running, working out, or long walks. But without fail on hikes the boots rub my heel raw. One time I even took my boots off and hiked barefoot and got instant relief. Now I always have to put duct tape on my heel. In this situation what would be the way to treat this when pain only occurs depending on footwear. I would like there to be another way to fix this besides duct tape every hike, as mountaineering and rock climbing REQUIRE these boots that cause rubbing on the heel.
You are so professional and generous that is a reality. I am sorry but is a medical sabot good in haglund/burstitis case i mean it has a heel plus it is open from back so it would not touch the spur and it s ok to wear it inside and outside what do you think ??
It could work as long as the heel is higher than the toes. If they are flat, then they will likely also irritate it - but you could also stick a heel lifting insole into it geni.us/lA7G
@@TreatMyAchilles I really thank you for the confirmation but first days I guess I will opt for backless shoes with a bit of heel even though they are not all supporting arch but at least it would not be irritated
I don’t understand I wear very expensive tennis shoes I don’t wear flats I don’t wear high heels. I wore the same type of tennis shoes for five years and now all of a sudden I have this excruciating pain that I can’t step down at all and it’s been there almost a year, so I’m very confused at what you’re talking about.😢
![Retrocalcaneal Heel Bursitis [Pain in the back of the Heel TREATMENT!]](/img/n.gif)
👉 Some footwear examples and heel-raising shoe inserts to take the strain off your heel bursitis:
✅ Men's stylish sneakers/trainers with heel-to-toe drop: geni.us/mj1G
✅ Women's stylish sneakers/trainers with heel-to-toe drop: geni.us/8hGmS
✅ Most Asics sneakers/trainers have a good heel-to-toe drop: geni.us/wTJOAs3
✅ Unisex sandals with heel-to-toe drop: geni.us/aE7rQf2
✅ Women's sandals with heel-to-toe drop: geni.us/VkOkQeA
✅ Men's sandals with heel-to-toe drop: geni.us/bb5EXd
✅ Heel-raising wedges (use them in both shoes): geni.us/lA7G
✅ Heel-raising cups (use them in both shoes): geni.us/Sc7h8
If you buy anything via these links, we may get a small commission at no extra cost to you.
Ma’am, you a t truly a hero. I’m so thankful I stumbled upon this video. I was feeling hopeless.
Glad I could help!
Ma’am, I hope you get an award or anything in appreciation to your research. As soon as you mentioned overloading the achilles through switching abruptly to minimalist shoes which I have done with Altras. I was astonished. This video is outstanding!
I am a french runner who is injured since 8 months with his Achilles tendons. I decided few days ago to not go with the surgery, wanted to try progressive overload before. I just want to Say thank u, you re my hero.
WHOA! THIS PERSON ACTUALLY HAS A DEEP UNDERSTANDING OF FOOT AND SHOES AND PHYSICAL THERAPY!!!! ID FLY TO UR COUNTRY TO SEE U
You're welcome to book a video consultation with one of our physical therapists - then you won't have to fly anywhere. 😊 More info here: www.treatmyachilles.com/
You are really an expert. One can clearly see that you truly internalized and grasped this.
The level of comprehension and coherence in this video is at an unreachable level. Great job!!! I am suffering from a Haglund right now and was looking for therapy ideas. Thank you so much for your insight!
What helped you? I think I have the same problem because of football shoes
As a therapist this was amazing insight ! Ty for your time ! And brain power 🎉🎉
STOP STRETCHING - makes perfect sense. What a terrific explanation of the problem and potential treatments.
Left my Dr office shaking my head with his advice . . . Yep stretch the calf and tendon. . . . Since I'm 64 years old I already knew this was from overdoing things . . . And the spur didn't show up overnight. . . Thank You for making sense of the condition . . .
I have a back of heel spur also, in the region where the Achilles inserts into the heel. My podiatrist has given me no help -- brushed it off as nothing needing attention, despite the fact that I have pain! How are these spurs treated to reduce pain?
Good for you. Could you please share what were the steps you took that led to the disappearance of the spur or haglund's deformity
This is brilliantly helpful and completely explains my recent experience of pain from a first pickleball session in my minimalist shoes, how to think about the haglunds deformity, discovered with this pain, and how to exercise in an informed way moving forward. I also have to work with loosening and strengthening my perennially tight calves - without stretching! I’ve already experienced less pain with loosening the calf muscle through static pressure but I hear that I have to be very careful not to go back to compressive movement too soon and too much. I was totally open to surgery and now I’m optimistic that, with this understanding, I can care for the tendon on my own. I don’t have access to PT and have had mixed results in the past when PTs are under informed. Very grateful for this video!
Glad you found it helpful, and good luck with your recovery!
I saw 2 doctors, one of them was a podiatrist & you have educated me more than they both did. Two different diagnosis and no relief. I'm sure it's all similar treatments but this explanation puts me a little at ease. Thank you. I appreciate you.
You're welcome, and good luck luck with your recovery.
Switching from regular heeled or raised heel shoes to wearing only Birkenstocks everyday for 3 months caused all kinds of heel and ankle pain, as well as bursitis in one heel. I truly believe that this was a contributing factor in the ankle injury that I suffered when rolling my heel ( in a pair of Merrell Jungle Mocs) shortly after deciding to take a break from the Birks. Now facing 6 to 9 months of recovery, I've tossed out both the Birks and the Merrell , and will stick to my Ascis runners
Recently, I experienced a similar situation. After I started wearing Birkenstocks during the summer, I noticed change in the appearance of my foot. It seems that my bone has worsened despite my belief that wearing open shoes would improve it.
thank you very much for the detailing on haglund deformity,hoping it will help me a lot, may almighty bless u with health and prosperity....
This is the best video on this topic I’ve ever heard, thank you
You're welcome!
I'm so glad I found this video; the explanations and advice are so incredibly clear and helpful. I really appreciate it - thank you.
Glad it was helpful!
Thank you so much. I've seen two podiatrist, both contradicted each other, and both had me stretching. One wanted to do an injection with no attempt at pt, the other immediately suggested surgery. Simply ending the stretching and adding a lift have made a big difference. Doing pt to improve it and get back to athletics.
What is pt?
@@marshel9884 physical therapy
What specific kind of PT and have you improved a lot since then ??
Todd Pickens: That's great to hear and encouraging! Do you have a posterior bone spur on the back of the heel? I do. Scared I might require surgery.
@@Dunstlookalike yes. I'm about 95% and would probably be 100 if I wasn't dealing with other medical issues that are sidelining my recovery.
The short answer is due very little. Do it consistently and slowly, very slowly progress what you do.
PT amounted to progressive ankle flexion, rotation, etc every morning will sitting on the couch having my coffee. Started at about 15 or 20 reps each and worked up to over 100 reps on each ankle.
Then seated calf raises to isolate the soleus and control the level of resistance.
Eventually walking with the heel lifts in my shoes. Started at 5 minutes. Progressed up to 30 minute walks and then back to 5 minutes with reduced heel lifts and eventually no lifts. Progress that back up to 30 minutes.
Slowly added in standing calf raises, then bought a treadmill and begin with 10 minute walk at one level of elevation. Then progressed up to 10 minutes of walking 10 minutes of intermittent jogging at 20 seconds on 10 seconds off.
Anyhow you get the idea that's probably way more detail than you need.
Wonderful video. I have an exam on a patient with a haglunds deformity and got a calcaneoplasty. Lovely to hear the different views and not only the "my plan is the best plan"-view. But I agree that conservative treatment is often overlooked and the facts about tendinopathy is ignored.
Is conservative treatment effective is you have a bone spur? My xray showed a "posterior calcaneal spur". What are the chances that I will have to have surgery?
Thank you!! The most common sense, factual commentary full of encouragement and knowledge.
You're very welcome
The pain wasn't all that bad UNTIL I started doing those stretches (that they all say you should do) and I made it 10 times worse. I suspected as much and seeing this video only confirms it. I wish I saw this sooner! I would've saved myself unnecessary grief and frustration.
Right! For me, the stretches never felt good, only more pain.
Same for me, the stretches made it worse and ruined my other foot
Of watching majority of the videos out there, I find this video to be extremely thankfull cuz u know what you are saying and u r brilliant in differentiating btw those problems.
She's right, I had a flare up in January and wasn't quite healed and it came back 4 months later.
Thanks for the great video. A few years ago I had surgery to treat Haglunds. Before surgery I tried everything, PRP,, Grastoning, acupucture, massage, orthotics, etc. Eventually My achilles tendon almost completley detached after 10 years of non-surgical treatment.. so sugery was the only remaining option. .Everything went well with the surgery, but the recovery was lengthy and expensive. Recently the other side started showing concerning signs of bursitis. Caused by working out in a treadmill with steep incline. I was worried that surgery on the other side was imminent. After watching the video, I stopped stretching my calf and used heal lifts. After just a few days, no more pain. So now I know how to treat bursitis flare ups. They key I think is to stop stretching, which was never suggested before...in fact the opposite was directed.
I am so glad that you found the advice useful! Best wishes for your recovery
This is mindblowing...
I am struggling with it for about 3 years now and my physio therapist is telling me to stretch every day several times..
I wish I had seen this video a few years earlier. I found out already that shoes with heels work better but it somehow confused me that doing the opposite (stretching) was supposed to help also.
Thank you so much! From now on I will follow your advice.
Best of luck!
You are an ANGEL!!!! I had removed some bone built up allready, and when during my pregnancy my achilles got really bad again, I was sure I'm in for another operation.
I also switched to minimlaist shoes and started running more often - insult to injury🤦🏼♀️
Thank you so much for all the new options!
I cannot thank you enough for this logical, expert advice! It seemed counter intuitive to stretch but I kept doing it thinking I could push through. It has gone on long enough that I now have numbness and some tingling on the outside/under foot/heal.
Will do as you say and hope it gets better.
Thank you Dr. ❤️
Thanks for watching, and good luck with your recovery!
OMG.. I have been suffering with insertional achilles pain for more than 2 years now, tried everythg from podiatrist to meeting a foot specialist, I have given up. But looks like I have been doing the wrong exercises all along - DAILY! I will stop immediately and see how goes. Many thanks and God bless you.
That is so frustrating. Focus on just doing things to calm it down. Also maybe look at the video about insertional Achilles tendinopathy for more ideas: th-cam.com/video/mWUzsQILzWA/w-d-xo.html
Thank you so much for your clear explanation in a simple way, i was wondering about surgery, now i will try something else 1st before taking this path, what you've just said lake so much sense !
MERCI.
You're welcome!
Very reassuring info re- Haglund’s deformity! I knew I had a lump and had vaguely heard about the condition but I daren’t do a search about it until now😂.
Great explanation! I would agree with the crazy stretching that all therapists tend to jump to....I would also like to add that some people are more susceptable to this due to their gait pattern, certain individuals have extremely externally rotated hips, and they end up loading incorrectly on their knees and ankles throughout their life, until they eventually get this deformity.
Absolutely amazing!!!!!!!
I was stretching in-between hot and cold therapy and was miserable.
I began wearing wedged sandals as soon as I got out of bed. Though I look ridiculous walking around the house in a t-shirt and sweats with my wedges on, my foot feels remarkabley better!!!!!!!!! and it's only been 2 hours. I just wish I could wear them to work. If I have any further for concerns you'll be my go to.
Thank you!!!!!
Put Orthotics in your shoes.
@ensignmjs7058 could you please tell which kind of orthotics to use in bursitis/haglund's deformity
THANK YOU SO MUCH! I started a warehouse job several months ago (lots of squatting and over 20k steps a day) and it's caused a lot of pain. I'm so thankful that I found your video, and I'm excited to try your suggestions!
My insertional Achilles tendon issue came from constant irritation from my figure skate pushing on my heel. Stopped wearing my skate 6 months ago, went through PT twice, heel lifts, orthotics, anti inflammatory meds, stopped running, skating, and ballet. 11 months of this issue, i am having surgery in July!
How are you doing in post-op?
Wow this is an amazing video. So thorough for the public. Such good mannerisms and teaching style. Thank you for explaining and reducing my fears. New sub here good luck on your channel
You are so welcome!
This what I experience, run on friday, leg/calv exercise on sat and then scammed to a trail run on sunday ( was invites on a chill hike). Literally cant walk due to pain for a 4 days before going to a doctor. Thank you for this
Just received this diagnosis from my physio.
Your explanation is extremely helpful! I have recently increased walking from 3k once a week to 5k twice a week during lockdown, but had shifted to winter boots (much flatter heel) than trainers. Thank you for the clarity in differentiating the three issues (Haglunds, bursitis and insertion tendinitis).
I had a load of confusion when some recommends stretching and toning of calf and tendon. You cleared my confusion and also about injections and surgery. I have the same for last 21 yrs. Pain is severe to mild but OK. Now one Achilles is crying more than the other and I am on rehabilitation.
Good luck with your recovery!
21 years of hobbling from bed to kitchen each morning. Tremendous pain, but once warmed up can run 5k pain free. How did you make it stop? Does this video advice make the difference- no stretching? Heel lifts? Doc say’s surgery is the *only* way to fix my haugland/heel pain. Also Says tendon is in good shape. Says he can’t believe Ive dealt with the pain this long based on my scans.
Great advice I’m suffering so much for months non runner
This is the video I have been searching for! Most of the other videos recommend stretching but I quickly learned that makes the pain worse. And it doesn't make any sense to me to stretch something that is injured! Plus most of the other videos seem to be pushing a surgical solution which I would like to avoid. Thank you for your insights and advice!
You're welcome!
This video is massively helpful. I thought after a couple of weeks without pain I'd be fine. Turns out need to offload it for much longer
My experience is actually the opposite: I suddenly had to move a bunch of stuff over a few weeks, so started wearing work boots. I normally wear flat sandals. However, my presentation was almost certainly coupled with a gout episode. Felt exactly like gout (which I took medicine for but stopped about two months ago). Was extremely painful, inflamed, and burning sensation. Glad I found this video though because yeah, I seem to have had Haglund's deformity for a while now without any issues. Some *else* must have caused this pain.
Phenomenal explanation.
definitely recommend the heel lifts as you stated! after 12 months of pain finally I'm feeling like I'm recovering
Great to hear!
I have been using bee apitherapy stings on the sore spot of my heel. I have been having pain in my heel for about 4 months. They seem to help a little after working out. My job is very active on my feet but this was caused by hiking with a pack on. I like the idea of heel supports and bought some about a week ago. I also use a vibrating palm sander (without the sandpaper) to try increase the circulation in the heel and ankle. makes it feel better for a little while. I am desperate since I am also training to go on a 10 day hike with the Boy Scouts. Nice explanation.
Thank you for doing this vid, I'm so glad I found it. I've read about stretching it and have started doing so, but I never understood how that can help. After seeing your vid I can see how stretching makes no sense.
Wow! Really different advice from the PT sites available on TH-cam. Anatomically, it makes a lot of sense. Thant you.👍
You're welcome!
Thank you 😊 I suffer every day after work at night, will try changing angles on shoe's
You're welcome!
Thank you for your advice. I will try some of your suggestions, and come back in a month or two and let you know if it worked for me
Best of luck!
Your advice makes so much sence, I suffered from plantar facsiitis and now haglands heel, I think it is because of my high instep, I will try the heel insert, thank you
Your video is brilliant and sums up everything I experienced so far. The main problem of I. T. for me is not my diagnosed mild haglund deformity I think. Never had problems until I increased training and tried out all kind of new shoes without warmup, stupid me. However, I advise a little stretching on a no pain level without dorsal flection to prevent further problems from the calve area.
I am so grateful for your video. Doctor told me to do stretching and it caused me more pain. So thank you so much.
Glad it helped!
Thank youuuuuu
You are amazing ,, i've been suffering from this deformity for 2 year , without any improvement and with wrong doctor prescription
But with your valuable videos and advices i get totally better
Many thanks , God bless you
Hi
Please can you send me o photo for the best shoes to wear with this deformety
And a photo for heael lift i can use
Many thanks and appreaciatio
Thanks for this. I had bursitis in the heel a few years ago when I believe it was a footwear issue that triggered it. It flared again this summer, although no idea why. Physio has suggested I have a HD albeit without an X-Ray, just based upon the shape of my heel. Useful to hear that it's roughly a 12 week recovery period as so many things I've seen online have suggested 3 weeks! So I'm more comfortable knowing that what I've done is right and it just takes this amount of time.
Glad you found this useful - yes, 3 weeks is a bit over-optimistic unless it is a very mild case. As long as things are slowly improving you know you are on the right track.
Tears of relief a few days ago when I found this video. I added wedge heel lifts in my hiking shoes and the pain has reduced quite a bit. Taking anti inflammatories too. But as a yoga teacher, I’m supposed to be barefoot while working. Not there yet, lol. Thank you so much for the excellent action plan! ❤
You're welcome! Best wishes for your recovery
Oh my days, I feel like crying! I told my gp this started when I switched to flip flops for the summer and my job increased to lots of walking!. He said it was from wearing high heels (which I never did or do) and gave me loads of stretching exercises to do invluding advising me to buy a special sock that kept my foot stretched all night! 😫 3 doctors at my surgery each gave me the same advice! Thankyou thankyou thankyou I now see light at the end of the tunnel.
It drives me nuts when doctors don't listen to their patients! Good luck with your recovery.
This confirms my hypothesis that changing from running heel first to running on the ball of my foot brought on my achilles pain. Tightened my calves up and I don't think I stretched them properly.
For years I'd been do a ton of sport, yet the pain only happened after running on the ball of my foot.
Yes, that sounds like the likely cause. You probably just overloaded your Achilles by making the transition too quickly.
I have switched to heel less shoes but I think I got another heel spur on the bottom again. I have no insurance and work as a CNA and I am in so much pain in heel all around. Bottom and back help!
Wow this is an amazing video thank you. I think I was doing the opposite stretching and not letting it settle I will try this
You're welcome!
Alfredsons protocol for some reason really help but I understand picture you painted. For example I feel pain and I do Alfredsons protocol and the pain is gone.
We are all different so do what works for you. The only thing I would say is do check how it feels several hours later - often the pain only comes later after doing something like that. It may also be worth testing what happens if, instead of Alfredson, you do the exercises with weight just to floor level - do you still get the same relief? If not immediate, check what happens if you avoid the stretching for a couple of weeks - if you notice less pain overall then it may be that although it felt good in the moment, doing them over the step wasn't right. However, if you see no difference do what you observe is most effective.
@@TreatMyAchilles I am sure I have this exact inflammation you described, thanks for helping me to understand EXACT reason because previously I knew only it must be achilles but now I know exact location of my inflammation - from behind - and thats why all anty inflammatory medications do not work well. Also this region has very low blood flow. So it looks like this: usually I do Alfredsons protocol on the morning and then evening. When I feel I'm overdoing it then I do it only once on morning. When I feel pain and do this protocol then pain goes away. I don't use any weights I do it on stairs 15 times x 3 with straight knee foot goes under floor level and 15 times x3 with slightly bent knee also foot goes under floor level. I do this on both of my foots now - the other one for prevention reasons. Thanks to your video I also introduced: different walking style, my injured leg goes more forward and I try to land on the front of the foot and avoid compression you mention so I don't finish it movement behind me. I am very careful on hills with my walking technique to avoid compression. I work in the office so I keep my foot in a position that there is no compression during work time. My injury started on Apr. During last 2 days I did 20K step, I walk like a paralytic :) I feel no pain using Alfredsons and special technique during walk and saving my achilles during work time. I guess Alfredsons protocol help with blood flow and clearing up this injury. You are professional and You painted me picture how my injury happened and I tell you that Alfredsons work if you do this correctly. So now I am giving you tip how to help people you try cure this disease. Reasons I get sick? I increased training volume drastically also did this on more flat shooes also did trainings on hills to build endurance. It's exactly like you described :) The hardest thing was when I started doing Alfredsons after few days I woke up with a pain and I was making decision - should I o r shoulnt do it? Maybe I should make few days off? I decided to do counterintuitive thing and do then Alfredsons and that was best decision I did then, because suddenly pain was gone, it was mindblowing.
Wrong, I SUFFER hourly with this and the pain is excruciating, my “bump” is the size of an egg and pushing and rubbing against the achilles tendon , my only option now is surgery or to be crippled. I will listen to her ideas and hopefully one might help.
Fantastic advice, it’s a horrible condition & very hard to shake.
Thanks noticed strange lump all of a sudden which has become slightly painful & annoying I googled it have been dreaded future Surgery I will fix this before that hopefully 🙏 thanks for the advice about stretching also!
Great video. Great knowledge and Nice Tips. You deserve a lot of success, healthy body and true happiness
I can’t thank you enough for your videos….
My pleasure!
Had shockwave also acupuncture I’m now waiting for an ultrasound fed injection
This is exactly what I am experiencing. Thank you so much for making this video! My inflammation to that area has last for over a month already. The first two~three weeks were the worst, the pump bump was tenderness with just a small touch. Then, I tried to begin walking on my heel again when it gets little better... bad idea. The inflammation got worse again. I followed some other sites' suggestion by stretching the calf using the pulling toes and also pushing the wall exercises, not helping at all. Now I understand more after watching your video. I wish I watched yours earlier. I am keeping my fingers crossed that I will not need a surgery.
Best of luck!
Hi, many thanks for this video. This answers a lot of my questions, despit having searching on internet for months... Thanks again !
2 weeks ago I made injection in my bursite then miracle : no more pain.
Now it's time to do excercices to strenghten my tendon but I would like to know if it's better to do excercices every day or every two days ?
And when can I start stretching ? Because I will limit myself according to my pain, but maybe the anti-inflammatory injection will mask the pain...
Sorry for my english, i'm from France
It is usually best to start super slowly and carefully with your exercises, but how often you do them will really depend on what type they are and the intensity and how your body responds. If they are low intensity, they can often be done daily. But when they transition to heavier strength training, then it is usually best to leave a recovery day or two between them. You may also benefit from watching these videos:
About bursitis: th-cam.com/video/B1LMKwEZ5mo/w-d-xo.html
About insertional Achilles tendonitis: th-cam.com/video/mWUzsQILzWA/w-d-xo.html
If you want more specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com
Thank you for your so insightful video and it did enhance my knowledge on this Achilles tendonitis which I have been suffering for the last 6 months. In my case it was due to over use of my feet when I played badminton 5 days a week. I have stopped it for some time now and on treatment. I will certainly follow what you have recommended to have a silicon pad under the heal in my shoe all the time. Thank you once again.
I have had Achilles repair and bursa removed. The pain from this is much better but now I have this terrible pain coming from the haglund’s lump. I still have tight scar tissue at the surgical site but this is not causing pain. 😢
Thank you for this video!!! I've been to numerous docs and had x-rays and MRI's but was not given any type of advice or treatment (acutally they sent me to PT, and they made me do ankle stretches!! UGH).
I have been doing the heel raises in combination with stretches. No improvement at all. I.m going to try the heel cups. Thanks
I would possibly avoid any advice from a doctor who says there is no such thing as partial tears...it is very common and can happen in any tendon. Good news is that they can also heal very well! So good luck with your recovery!
Thank you smart lady, for sharing your knowledge and explaining things like you do! I appreciate the way you get to the point.
Glad it was helpful!
@@TreatMyAchilles can you also give some information about certain massage you can give/get for your haglund exostose?
Wow, that’s why, my mind has been turned upsides down!!😲
Gosh this calmed a lot of my nerves I just found out I had this and thought I was gonna have to do surgery!!
You just answered so many questions and concerns I had. Thank you!!
Glad it was helpful!
Thank you do much for all your great information, I have been told to do stretching which I have found really painful, I do alot of walking every day, I will now be getting something to raise my heels and hopefully this will help
You can do it!
Hi could you please recommend what would be the best heel raiser?? I wear trainers alot for work and do alot of walking, what you recommend any kind of exercise????. Thank you for your video, I have leaned alot
Had surgery 2 days ago after years of non surgical methods.
hello am a master runner, at first i did not listen much but this is the best most knowledgeable advice i have heard , many years ago i overloaded my achilles tendon by running a half marathon without preparation and a doc gave steroid injection it bursted in a race in 2008 i had it stitched as it separated it has never given me trouble since but recently my heel by my bursa as you identified, started acting up i beleive with hill sprinting i thank you and wonder if just following your advice or a video session is needed so am asking is there a cost and what may that be
Thanks for sharing! You can find more info about our services and prices here: www.treatmyachilles.com/
Very impressed with her knowledge.
Mam your explanation is best. What's the title of your research article if you have it published. I wanna download it
It is not my article. Here it is: Tu, P. (2018). "Heel pain: diagnosis and management." American Family Physician 97(2):86-93.
Thank you for this video! Just noticed some mild pain in my Achilles followed by a bump on my heel. Freaked me out. Since quarantine started I have been running anywhere from 12-20miles a week. A lot of uphill stuff included. Before that I wouldn’t do more than 5 miles a week and it would be on a treadmill. I will follow your advice and hope this bump goes down!!
Thank you so much, I was doing wrong treatment for past 4 months, no wonder never improving , now I get the right procedure hope I will get better
I'm new to the group, got it a month ago
Great upload. I've been 5 months with sharp pain. Insertional tendinopathy + Haglund's deformity + tendon's calcification diagnosis, doing the wrong exercises. Don't want steroids injection yet. Will try your advice. But, what about the calcifications? how to get rid of them?
By far the best synopsis of, at least, my problem. I'm very active - play basketball 2 times per week and run a 5k once per week. Have HD my whole life but only in the past month has it flamed up in my left side (right side also HD - fine, no pain etc). The only thing new that I've introduced is squats which she mentioned !!! Holy cow. I do Kettlebells routines 3 times per week but the program is changing all the time but my recent program has double kb squats - not high volume - 7 sets of 4 reps - certainly repetitive. I am using shoes that are soft in the back now and very loose fitting. I feel no pain during or after the squats. the basketball is very bad though unsurprisingly. I don't think the squats are the cause per se. But the heel lift is a good idea.
I have an appointment in 2 days with a specialist and I'd like to know via xrays etc., what the state of my inflammation is. Regardless of the outcome there, this is heartening to know that there are non-operative treatments etc I can pursue. Be nice to know the extent of the bursitis which I am certain is the case and extent of insertional tendinopathy.
What about cutting holes in shoes to relieve any friction ? running shoes and baskball shoes in my case (not all my shoes I hope :)
Cutting holes can be useful, but please don't leave it there - go for a rehab plan as well.
@@TreatMyAchilles the plan is, tomorrow in fact, I'll meet with a foot specialist in a sports clinic. I'd like to xrays/images etc to see the exact state. As you say, the bump may be so small but the insertion and/or bursitis is my problem entirely. That will dictate what happens going further. If I am not happy with the interaction, I may ping your clinic.
Update: Received a cortisone shot in the bursa area though not bursitis per se. The doctor has had some success with that but I saw the image and my bump is rather large (8mm) and the surgery is likely in his opinion, but this is his course of action. I mentioned my concern about cortisone and assured me that has never been a problem in his experience. This clinic is the house-clinic to FCK football club in Copenhagen, so I think he has seen a lot.
I love your explanation; easy to comprehend.
Thank you so much🥰🥰🥰
I now know how to look after my feet.
Happy to help!
It all started a year ago, One day I got up, I put my left foot on the ground, but I couldn't put it down, because it hurt my heel and ankle very much, throbbed while standing, then changed and so all the time when I couldn't even put my heel to the ground, japaiet was to be able to walk, abnormal pain, even if there was no problem all the time I walked 10-15 km a day, I'm not a runner, maybe the work shoes are to blame, I do not know if I was stretched or what X-rays, plantar fasciitis, or heelspur, prescribed anti-inflammatory drugs, and physiotherapy.
The podiatrist prescribed special soles that did not help, it hurt even more, I tried a lot of soles, then stretching, drinking vitamins, riding a bike, walking less, but there was stiffness in both legs + Hagelund's syndrome on the right leg + joint pain or watching your and other videos, but the heel pain passed half a year ago, but reappeared today, after a heavy load and a kilometer of walking, after rest it is difficult to start walking, but when walking then pass a little pain, but after 8 hours of work, both stiffness in the legs, maybe arthritis, heels hurt every day, I use plantar soles, because with the usual I can not work all day, my feet hurt, I did an X-ray, there are no fractures and heelspur, but the ankle bone of the right leg has a needle, broken where years ago, probably! could it be this problem, or from the lower back that is worn, the bones of the foot are worn, the tendons are guilty, feeling like a 60-year-old grandfather ??? because I don't understand why no doctor sends for an MRI ?! What do you think ?
Hello sir I have a same problem 2 years ago are u feel better now tell me how to treatment plz
@@mohammadrizwan644 must use special plantar fascitis insoles,do exercises, strech all body,dont need to stay all day on feet,must change work than, must relax them,eat less meat, sugar, alchoahol,for me it is better, like it was, but still pain every day!good luck!
@@Ozolline88 thanks reply me back God blesss u
Thanks. Please guide for the exercise s too
Yes I did have surgery on my left heel surgery was tough was a full 24 months recovery then the other one has started sooo painful
Hi ,I so happy to found your video can you help me ,what are the good exercise can help in this deformity
It depends on what is causing your pain because the deformity itself is not the source of pain.
If it is that you have insertional Achilles tendinopathy then this video may help: th-cam.com/video/mWUzsQILzWA/w-d-xo.html
If it is that you have bursitis then this video: th-cam.com/video/B1LMKwEZ5mo/w-d-xo.html
thank you understanding the massage too, no cross massaging and your guidance appreciate it ,,,
You are welcome!
Great video!!!!
Thanks for the visit!
My wife is s runner and suffers from this condition. Can you explain more about removing the bursa please? Is the recovery similar to removal of the deformity? Thank you for this content!!
Hi Alex,
You will have to ask this question to a surgeon as it will depend on how much they cut. We don’t have any research based stats for you, but if they make only a small incision to remove the bursa it should in theory recover better than if they go in and do extensive cutting and shaving of the bone. Rehab would still be the first option.
Thanks for this upload! I've been really struggling with a Haglund's deformity/Achilles tendinopathy/retrocalcaneal bursitis for a year and more. I've not known what to do about it - it would seem the stretching/loading exercises I've been doing may have exacerbated the problem! I even tried a couple of short 2 mile runs in the last week (through frustration really) and I'm hobbling around lame again. Thanks for the advice, I'm ready to try pretty much anything to assist recovery!
Yea I'm in the same boat. I'm sick of it . I'm doing surgery. Both feet.
@@tsg_boomer5042 Do you have back of heel bone spurs?
How to remove the flare up ? Does that mean no walking ? Can we do toe raises ? I have not been walking for 3 weeks . I am wearing 2 inch heel at home . Also undergoing ultrasonic for 10 days . How frequent should this be ?
Calming the flare-up down usually requires a combination of adapting your activity, using things like heeled shoes (which you are doing) and sometimes adding in exercises and other treatments like ice. Ultrasound doesn't actually help for this - the research does support its use. 👉 You can find specific exercise advice for Haglund's related pain here: th-cam.com/video/SH_SGeKXyMs/w-d-xo.html
But what if you are already recovering from a torn Achilles and this happens. I really don’t want surgery but I’m in so much pain I have trouble walking between the bursa and the Achilles repair, almost a year out now and I’m having trouble walking
It is really common to flare the bursa up if the stretches you are doing after the repair is too strong. It does not sound like something that needs surgery. You likely need to start wearing shoes + heel lifts to take the strain off the area, adjust your rehab to not flare it up, and also look at what else in your life needs adjusting to not flare it up. If you want more specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com
Your new opinion helps me changing treatment. I have tried stretching on my heel. From now i will give some reliefs on my heel.
Is infrared irradiation helpful?
There is currently no evidence that infrared makes a difference.
Well in my case I had a Full right hip replacement and now I have a big lump on my Right tendon which is very hard and the most painful thing I’ve ever experienced including the pain from my original hip pain so is my hip replacement the cause of this as I’ve never had this problem ever on either heel and ironically my left heel is totally fine.
I only have issues when I wear my hiking boots or rock climbing shoes. Other then that I have no pain when running, working out, or long walks. But without fail on hikes the boots rub my heel raw. One time I even took my boots off and hiked barefoot and got instant relief. Now I always have to put duct tape on my heel. In this situation what would be the way to treat this when pain only occurs depending on footwear. I would like there to be another way to fix this besides duct tape every hike, as mountaineering and rock climbing REQUIRE these boots that cause rubbing on the heel.
You are so professional and generous that is a reality. I am sorry but is a medical sabot good in haglund/burstitis case i mean it has a heel plus it is open from back so it would not touch the spur and it s ok to wear it inside and outside what do you think ??
It could work as long as the heel is higher than the toes. If they are flat, then they will likely also irritate it - but you could also stick a heel lifting insole into it geni.us/lA7G
@@TreatMyAchilles I really thank you for the confirmation but first days I guess I will opt for backless shoes with a bit of heel even though they are not all supporting arch but at least it would not be irritated
I don’t understand I wear very expensive tennis shoes I don’t wear flats I don’t wear high heels. I wore the same type of tennis shoes for five years and now all of a sudden I have this excruciating pain that I can’t step down at all and it’s been there almost a year, so I’m very confused at what you’re talking about.😢
I totally agree with you my friend, absolutely spot on . Awesome information , great video ❤
So glad!