Retrocalcaneal Bursitis: Symptoms, Causes, and Treatment

Retrocalcaneal bursitis is the inflammation of the bursa located at the back of the heel where the Achilles tendon inserts. This condition can cause pain, swelling, and tenderness in the affected area, making it difficult to walk or wear shoes comfortably. It is a common overuse injury among athletes, runners, and individuals who wear poorly fitting shoes. Seeking early treatment can help manage symptoms and prevent further complications. If you experience persistent heel pain, it's essential to consult a healthcare provider for a proper diagnosis and personalized treatment plan.

Causes of Retrocalcaneal Bursitis

Retrocalcaneal bursitis, inflammation of the bursa located behind the heel, can be caused by several factors, including:

• Repetitive overuse or friction on the heel area
• Wearing poorly fitting shoes
• Direct trauma to the heel
• Foot deformities like flat feet or high arches
• Inflammatory conditions like arthritis

Symptoms of Retrocalcaneal Bursitis

Recognizing the symptoms of Retrocalcaneal Bursitis early is crucial for better treatment outcomes. This condition involves inflammation of the bursa located between the heel bone and Achilles tendon. Early detection can lead to prompt intervention and prevent further complications.

• Pain and tenderness at the back of the heel
• Swelling around the heel
• Redness in the affected area
• Difficulty walking or standing on tiptoes
• Stiffness in the ankle

Diagnosis of Retrocalcaneal Bursitis

Retrocalcaneal bursitis diagnosis is crucial for effective treatment. Accurate diagnosis ensures appropriate management and prevents potential complications. The diagnostic process involves a thorough medical history review, physical examination focusing on the affected heel, and imaging studies like X-rays, ultrasound, or MRI. These methods help rule out other conditions with similar symptoms, such as Achilles tendinitis or heel pad syndrome. In some cases, fluid aspiration from the bursa may be done to analyze the fluid for signs of inflammation or infection, aiding in confirming the diagnosis.

• Medical history review
• Physical examination
• Imaging studies (X-rays, ultrasound, MRI)
• Fluid aspiration for analysis

Treatment Options for Retrocalcaneal Bursitis

Retrocalcaneal bursitis can be effectively managed through various treatment approaches tailored to individual needs.

Symptomatic Treatment

• This approach focuses on relieving pain and inflammation.
• Rationale: Alleviating symptoms to improve comfort and function.
• Objective: Reduce pain and swelling in the affected area.
• Steps: Rest, ice therapy, nonsteroidal anti-inflammatory drugs (NSAIDs).

Physical Therapy

• Treatment involving exercises to strengthen and stretch the affected area.
• Rationale: Improving flexibility, strength, and function of the ankle.
• Objective: Enhance mobility and reduce the risk of recurrence.
• Phases: Stretching exercises, strengthening exercises, gradual return to activity.

Steroid Injections

• Involves injecting corticosteroids into the bursa to reduce inflammation.
• Rationale: Targeted reduction of inflammation and pain in the bursa.
• Objective: Provide relief from symptoms and aid in rehabilitation.
• Procedure: Injection administered by a healthcare professional.

Surgery

• Reserved for cases where conservative treatments have failed.
• Rationale: Addressing underlying issues causing persistent symptoms.
• Objective: Remove damaged tissue, correct structural problems.
• Steps: Pre-operative evaluation, surgical intervention, post-operative care.

Prevention and Management of Retrocalcaneal Bursitis

Retrocalcaneal bursitis can be managed effectively through lifestyle changes and proactive measures. By incorporating the following strategies, individuals can prevent the condition from worsening and improve their quality of life.

Lifestyle Modifications:

• Avoid activities that put excessive strain on the heels, such as running on hard surfaces.
• Use proper footwear with adequate cushioning and arch support to reduce pressure on the heels.
• Maintain a healthy weight to minimize stress on the Achilles tendon and bursa.

Regular Screenings:

• Consult a healthcare provider for routine check-ups to monitor the condition and address any concerns promptly.
• Undergo imaging tests like X-rays or MRI scans as recommended to assess the extent of inflammation and damage.
• Discuss any new symptoms or changes in pain levels with a healthcare provider to adjust treatment plans accordingly.

Supportive Care:

• Apply ice packs to the affected area to reduce inflammation and alleviate pain.
• Perform gentle stretching exercises to maintain flexibility in the Achilles tendon and prevent stiffness.
• Consider physical therapy to strengthen the surrounding muscles and improve overall foot mechanics.

If you’ve been having any symptoms or worries about Retrocalcaneal Bursitis, please reach out to our doctors. They will listen to your concerns, answer your questions and guide you through the next steps.