What Is Haglund’s Deformity? The Condition That Has Football Players Cutting Holes in Their Cleats

Jul 13, 2026 | Foot Care | 1 comment

If you’ve watched professional soccer recently, you may have noticed some players wearing cleats with a small opening cut into the back of the shoe. While it may seem unusual, many athletes make this modification because of a painful condition called Haglund’s deformity.

Haglund’s deformity is a bony enlargement that develops on the back of the heel where the Achilles tendon attaches. Repeated pressure from shoes or cleats can irritate the surrounding tissues, leading to pain, swelling, and inflammation.

Although modifying footwear may temporarily reduce discomfort, it does not correct the underlying condition.

What Causes Haglund’s Deformity?

Several factors may contribute to the development of Haglund’s deformity, including:

* Tight or rigid shoes
* Repetitive pressure on the back of the heel
* A naturally prominent heel bone
* Tight Achilles tendons
* High arches
* Frequent running or sports participation

Athletes who participate in soccer, football, basketball, and running are commonly affected because of repetitive stress placed on the heel

Common Symptoms

Patients often report:

* Pain behind the heel
* Swelling near the Achilles tendon
* Redness or irritation
* Difficulty wearing certain shoes
* Pain during sports or walking
* A noticeable bump on the back of the heel

Symptoms usually develop gradually and become more noticeable with activity.

How Is It Treated?

Treatment depends on the severity of the condition and the patient’s lifestyle.

Many patients improve with conservative care, which may include:

* Shoe modifications
* Heel pads
* Stretching exercises
* Custom Orthotics
* Activity modification
* MLS Laser Therapy
* EPAT® Shockwave Therapy

The goal is to reduce pressure, decrease inflammation, and improve function while helping patients stay active whenever possible.

When Should You See a Podiatrist?

Persistent heel pain should never be ignored. Early evaluation may help prevent worsening symptoms and reduce the risk of chronic irritation.

At Vargas Foot Specialists, Dr. Marco A. Vargas provides comprehensive evaluations for heel pain and sports-related foot injuries using advanced diagnostic techniques and personalized treatment plans.

If you’re searching for a heel pain specialist, sports podiatrist, or foot doctor in Sugar Land, Texas, our team is here to help you get back on your feet.

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