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Persistent Haglund's disease after conventional treatments: the innovative role of radiotherapy
Francesca di Chio1, Annagrazia Cecere1, Michele Troiano2
1Department of Radiology, University of Foggia, Foggia, Italy.
Insights
Haglund's disease, characterized by heel pain from posterior calcaneus enlargement, often requires conventional treatments. Radiotherapy proved successful in relieving persistent symptoms after surgery in a 59-year-old male patient.
Area of Science:
- Orthopedics
- Radiology
Background:
- Haglund's disease involves inflammation of the retrocalcaneal bursa and posterior calcaneus exostosis, causing heel pain.
- Standard treatments include rest, orthotics, medication, and surgery, with variable success rates.
Observation:
- A 59-year-old male presented with severe, unilateral heel pain unresponsive to conservative measures and surgery.
- Post-surgical persistent pain and physical impairment were noted.
Findings:
- Radiotherapy was administered due to persistent symptoms after conventional treatment and surgery.
- The patient experienced successful symptom relief following radiotherapy.
Implications:
- Radiotherapy presents a viable, effective treatment option for recalcitrant Haglund's disease.
- This case highlights the potential of radiotherapy in managing complex heel pain syndromes.
Abstract:
Haglund's disease, an inflammation of the retrocalcaneal bursa and a bone enlargement on the back of the heel, is a painful syndrome mainly caused by the exostotic prominence of the posterior calcaneus. Conventional treatment consists of rest, shoewear modification, medical therapy and, in selected cases, surgery. We report the case of a 59-year-old male with a history of severe atraumatic monolateral heel pain treated with foot orthotics, rest and surgery with partial regression of symptoms. Owing to the persistent heel pain and physical impairment after surgery, the patient underwent radiotherapy, which was successful in relieving his symptoms.
