Soccer Players Modify Cleats to Treat Haglund's Syndrome

Professional soccer players are cutting the heel portions off their boots to relieve pressure caused by Haglund's syndrome ^[1].

This modification allows athletes to maintain high-level performance during critical matches by preventing the aggravation of a painful bone deformity. The practice has gained visibility during the 2026 FIFA World Cup ^[2], as players seek immediate relief from physical discomfort that could otherwise hinder their mobility on the pitch.

Portugal forward Pedro Neto drew significant attention for using the modified footwear during a last-16 match against Spain ^[3]. The boots used by Neto, which originally cost £300 ^[4], were altered to remove the restrictive back section. While some observers initially viewed the look as an unusual fashion choice, the change is a medical necessity rather than a style preference ^[5].

Haglund's syndrome, also known as heel-Achilles deformity, occurs when a bony enlargement develops on the back of the heel ^[6]. This protrusion can cause inflammation and pain when it rubs against the rigid heel counter of a standard soccer boot. By removing the material, players eliminate the friction point, allowing them to compete without the searing pain associated with the deformity ^[7].

The trend highlights the extreme measures athletes take to stay match-fit during the world's largest sporting event ^[2]. Because standard cleats are designed for maximum support and lockdown, they often create a pressure cooker environment for those with heel deformities. Cutting the boots provides a makeshift solution that prioritizes pain management over the structural integrity of the footwear ^[6].

Medical experts said that this specific tweak is designed to take pressure off the painful spot ^[8]. While it may appear haphazard, the modification is a calculated decision to ensure that a physical ailment does not sideline a key player during the tournament ^[3].