Retrocalcaneal bursitis is an inflammation of the bursa located between the Achilles tendon and the heel bone (calcaneus). This condition can cause pain and swelling in the back of the heel, particularly when walking, running, or engaging in activities that put stress on the Achilles tendon.
Symptoms
- Pain in the back of the heel, especially when pressing on the area
- Swelling and tenderness around the Achilles tendon
- Increased pain with activities such as walking, running, or jumping
- Stiffness and discomfort in the morning or after periods of rest
Causes
- Overuse or repetitive stress on the Achilles tendon
- Tight calf muscles or Achilles tendon
- Improper footwear that causes friction on the heel
- Foot deformities, such as Haglund’s deformity
- Acute injury to the heel or Achilles tendon
Diagnosis
- Physical examination.
- Imaging studies, such as X-rays, ultrasound, or MRI, to assess the extent of inflammation and rule out other conditions.
Treatment
- Rest and activity modification to reduce stress on the heel
- Ice application to reduce swelling and pain
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation
- Physical therapy to stretch and strengthen the Achilles tendon and surrounding muscles
- Proper footwear with good heel support and cushioning
- Heel lifts or orthotic inserts to reduce pressure on the Achilles tendon
- In severe cases, corticosteroid injections or surgical intervention may be considered
Prevention
- Gradually increasing activity levels to avoid overuse injuries
- Regular stretching and strengthening exercises for the calf muscles and Achilles tendon
- Wearing properly fitting footwear with adequate support
- Avoiding activities that put excessive stress on the Achilles tendon
If you suspect you have retrocalcaneal bursitis or are experiencing symptoms, it’s important to seek medical advice for a proper diagnosis and treatment plan.
