Retrocalcaneal Bursitis
Retrocalcaneal Bursitis1

What is Retrocalcaneal Bursitis?

Retrocalcaneal bursitis is an inflammatory condition affecting the bursa located between the Achilles tendon and the heel bone (calcaneus). The bursa is a small fluid-filled sac that helps reduce friction and cushion pressure points between bones and tendons. When this bursa becomes inflamed, it can cause pain and swelling in the heel area.

Causes

Retrocalcaneal bursitis can result from various factors, including:

Overuse
Repetitive stress or overuse from activities such as running, jumping, or excessive walking.
Improper Footwear
Wearing shoes that are too tight or have hard backs can irritate the bursa.
Foot Mechanics
Abnormal foot structures or mechanics, such as flat feet or high arches, can increase stress on the heel and Achilles tendon.
Trauma
Direct injury or pressure on the heel can lead to inflammation of the bursa.
Underlying Conditions
Medical conditions such as rheumatoid arthritis or gout can also contribute to bursitis.
Retrocalcaneal Bursitis2

Symptoms

Frame 4

Heel Pain: Pain and tenderness at the back of the heel, especially during activities like walking, running, or climbing stairs.

Frame 4

Swelling: Swelling and redness around the back of the heel.

Frame 4

Stiffness: Stiffness in the heel area, particularly in the morning or after periods of inactivity.

Frame 4

Tenderness: Tenderness when pressing on the back of the heel or sides of the Achilles tendon.

Diagnosis of Retrocalcaneal Bursitis

Frame 4

Medical History and Physical Examination:

Assessing symptoms, tenderness, and swelling around the heel.

Frame 4

Imaging Studies:

X-rays: To rule out other causes of heel pain, such as fractures or bone spurs.

Ultrasound: To visualize inflammation and fluid accumulation in the bursa.

MRI: Detailed imaging to assess the extent of bursa inflammation and rule out other conditions.

Achilles Tendinitis4

When to See a Doctor

Consult a doctor if you have:

Frame 4

When your foot or ankle pain is severe

Frame 4

Persistent by significant numbness

Frame 4

Persistent by significant swelling

Frame 4

An inability to bear body weight

Treatment Options

Treatment for retrocalcaneal bursitis aims to reduce inflammation, relieve pain, and promote healing. Options include:

Conservative Treatments:
  • Rest: Avoiding activities that aggravate symptoms to allow the bursa to heal.
  • Ice: Applying ice packs to the affected area to reduce inflammation and pain.
  • Medications: NSAIDs to manage pain and inflammation.
  • Footwear: Wearing supportive shoes with cushioned heels and avoiding tight or hard-backed shoes.
  • Heel Lifts: Using heel lifts or orthotic inserts to reduce stress on the heel and Achilles tendon.
  • Stretching Exercises: Performing exercises to stretch the Achilles tendon and calf muscles.
  • Physical Therapy: Engaging in physical therapy to improve flexibility, strength, and gait mechanics.

Pain Interventions

Frame 4

Corticosteroid Injections:Injecting corticosteroids into the bursa to reduce inflammation (used cautiously to avoid weakening the Achilles tendon).

Frame 4

Aspiration: Draining excess fluid from the bursa if there is significant swelling.

Frame 4

PRP & Prolotherapy : Regenerative treatments options which promote natural healing and recovery.

Achilles Tendinitis3

Achilles Tendinitis5

Prevention

Frame 4

Proper Footwear:Wearing shoes with adequate support and cushioning, and avoiding tight or hard-backed shoes.

Frame 4

Gradual Increase in Activity: Gradually increasing the intensity and duration of physical activities to avoid overuse injuries.

Frame 4

Stretching: Regularly stretching the Achilles tendon and calf muscles to maintain flexibility.

Frame 4

Strengthening: Performing exercises to strengthen the calf muscles and Achilles tendon.

Frame 4

Avoiding Sudden Changes: Avoiding prolonged pressure on the heel, such as from tight shoes or high heels.

Conclusion

Retrocalcaneal bursitis can cause significant discomfort and impact daily activities, but with proper diagnosis and treatment, most individuals can manage symptoms and return to their regular routines. Early intervention, a tailored treatment plan, and preventive measures are crucial for successful management and long-term heel health. If you experience symptoms of retrocalcaneal bursitis, consult our specialists at ALGOS, for comprehensive care and personalized treatment options.

Conditions We Treat

Effective Pain Treatments

At ALGOS, we specialize in treating a wide range of chronic pain conditions without the need for surgery to help you achieve lasting relief and regain your mobility.

Located centrally on Cunningham Road in Bengaluru, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.

Contact us

Fill the form to get in touch with us

Close Navigation