Haglund's surgery removes a painful bony prominence at the back of the heel along with inflamed tissue, reattaching the Achilles tendon where needed. It is used for insertional Achilles problems that have not settled with loading and shockwave.
When is haglund's surgery considered?
Surgery is considered when a painful Haglund's prominence or insertional Achilles problem continues despite footwear changes, physiotherapy, heel lifts and shockwave therapy.
Can I avoid surgery?
What happens during the procedure
The bony prominence and inflamed bursa are exposed
The excess bone is removed and the heel contour is smoothed
Damaged insertional Achilles tissue is cleaned if needed
The Achilles tendon is reattached when the insertion has been partly lifted
Recovery timeline
- First 2 weeks — wound protection and elevation
- 2–6 weeks — boot protection while the tendon insertion heals
- 6–12 weeks — physiotherapy restores walking and calf strength
- 5–6 months — return to running or higher-load sport may be possible
Risks & complications
Risks include wound problems, infection, nerve irritation, tendon weakness, ongoing swelling and persistent insertional pain. Recovery is slower when the Achilles has to be detached and reattached.
Costs & insurance
Self-pay consultations are £250 (new) and £175 (follow-up). The procedure price is confirmed after your consultation. We are recognised by all the main insurers including Bupa, AXA Health, Vitality, Aviva and Cigna.
Questions & answers
They often overlap. Haglund's is the bony prominence; insertional Achilles tendinopathy is tendon pain where it attaches to the heel.
Rigid heel counters and high heels can rub the prominence and aggravate the bursa and tendon.
Recurrence is uncommon when the bony prominence is adequately removed, but footwear and tendon load still matter.
Walking improves over weeks, but tendon strength and return to sport often take several months.
