Radiograph of the foot pre operatively. (A) Calcified Achilles tendon ((B) Haglund bump.
The main symptom is pain over the back portion of the heel. Initially this occurs when this area of swelling rubs on the rigid counters of the shoes. As the swelling increases, the pain may extend into the Achilles tendon. In severe cases, this may lead to wasting of the calf muscles and also rupture of the Achilles tendon.
The diagnosis begins with a complete history taken by the Orthopaedic Surgeon and physical examination. The condition is quite obvious with a swelling at the back of the heel with or without signs of inflammation. A radiograph of the heel will be taken to ascertain the shape of the calcaneum, presence of a Haglund bump and calcification within the Achilles tendon. Other causes of heel pain will also need to be excluded.