The painful foot, Part II: Common rearfoot deformities

Area of Science:

• Orthopedics
• Podiatry
• Sports Medicine

Background:

• Rearfoot deformities, like Haglund's deformity and posterior calcaneal spurs, are common causes of heel pain.
• These conditions often impact mobility and quality of life, necessitating effective treatment strategies.

Purpose of the Study:

• To review conservative and surgical treatment options for common rearfoot deformities.
• To provide guidance on managing conditions such as Haglund's deformity, posterior calcaneal spurs, and tarsal tunnel syndrome.

Main Methods:

• Literature review of conservative and surgical interventions for rearfoot deformities.
• Analysis of treatment efficacy based on clinical presentation and patient outcomes.

Main Results:

• Conservative therapies, including rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and orthotics, are primary treatment modalities.
• Corticosteroid injections may benefit plantar fasciitis but are contraindicated for Haglund's deformity due to Achilles tendon risks.
• Surgical intervention is indicated for refractory cases, involving procedures like osseous ridge resection or spur removal.

Conclusions:

• Most rearfoot deformities demonstrate positive responses to conservative management.
• Appropriate diagnosis and tailored treatment plans are crucial for successful outcomes in rearfoot pathology.
• Surgical options provide effective solutions for persistent pain and functional limitations unresponsive to conservative care.