When speaking of the Haglund exostosis, the patient has complaints at the level of the attachment of the Achilles tendon. An exostosis is a bone protrusion. Pressure on a bone can cause the bone to thicken and create a protrusion (exostosis) at the site of that pressure.

If pressure on the back of the heel bone near the attachment of the Achilles tendon causes such a protrusion, it is called a Haglund's exostosis. Usually the cause is increased pressure due to (sports) shoes. A bursa can develop between the bony protrusion and the Achilles tendon. This bursa, in turn, can also become inflamed due to friction.

Symptoms

The exostosis causes a painful, hard and sometimes red swelling to occur on the back of the heel bone, on the outside of the Achilles tendon attachment.

Diagnosis

The final diagnosis is made by asking specific questions about the symptoms/complaints and an examination of the ankle. In addition, an x-ray will be taken. If an X-ray does not provide enough information, an additional MRI scan or CT scan may be performed.

G‍eneral treatment

During keyhole surgery, this bone protrusion can be removed. The bursa between the Achilles tendon and the heel bone is also removed and the Achilles tendon is inspected. Usually the Achilles tendon itself is also slightly affected and can also be cleaned during surgery. However , if the examinations (NMR) show that the Achilles tendon is too much affected, an open procedure should be considered.

There are no telephones in the patient rooms. Patients can use their own cell phones in their rooms. During your stay at the hospital, you can access the hospital' s WIFI network free of charge.

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The established visiting hours at the hospital are between 15h en 20h. Daily visits are possible. Exceptions are possible.

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In Bar Bouffe you can enjoy a snack or a drink in comfort and peace, with table service. 

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If you've forgotten or lost items in the hospital, it is best to contact reception as soon as possible. Found items can be picked up for up to one month afterwards.

As with many public places, hospitals are often targets of theft.

So keep in mind the following tips:

• Leave all valuables at home and bring as little money as possible to the hospital.
• Don't leave your purse, wallet or other valuables unattended when you leave the room. Most rooms have a storage locker, of which it is best to make use of.
• Take care of your personal belongings such as glasses, dentures, linen yourself.
• For the maternity ward: on the birth announcement card at your room door, make your address information illegible.
• If you notice anything suspicious, notify a nurse or the reception desk immediately.
• The hospital cannot be held responsible for loss or theft.

For the sake of everyone's safety and privacy, some general rules apply in our hospital.

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A common problem is pain at the bottom of the forefoot, under the pads , just in front of the toes. This is called metatarsalgia and can have several causes.

Most often this is a sagging forefoot and you have calluses or pain from inflammation of the joints. Sometimes the pain is caused by entrapment of the nerve between the joints, we call this Morton neurinoma but it is not very common.

Occasionally we see on the radiography that the metatarsal bones are much too long and in this way become overloaded. Usually an arch support is sufficient, but sometimes we have to shorten these bones surgically.