Retrocalcaneal Bursitis

What is retrocalcaneal bursitis?

Retrocalcaneal bursitis is a condition identified as inflammation of the bursa located between the Achilles tendon and the heel bone. The bursa is a sac that acts as a cushion, allowing the Achilles tendon to glide easily over the heel bone during gait. There are two bursa’s that are located near the insertion of the Achilles tendon, inflammation of one or both can lead to pain surrounding the ankle or posterior heel.

Retrocalcaneal bursitis is likely to develop in athletes or those who do manual labour. However, it simply can occur in those who have hobbies or work that consists of repetitive pressure on the area.

Causes of retrocalcaneal bursitis

Some common causes of retrocalcaneal bursitis include:

• Constant stress – overuse or a sudden increase of the Achilles tendon.
• Inadequate footwear – shoes that are too tight.
• Foot biomechanics – abnormalities in foot structure, such as flat feet or a tight Achilles tendon.
• Trauma – a direct hit to the back of the heel.

What are the symptoms of retrocalcaneal bursitis?

Symptoms of retrocalcaneal bursitis can include:

• Pain at the back of the heel, which can be dull or sharp.
• Swelling around the heel bone, accompanied by redness or a lump.
• Stiffness in the ankle joint.
• Discomfort when moving.
• Pain that increases with activity and improves with rest.

Podiatry treatment for retrocalcaneal bursitis

Our Melbourne Podiatrists can determine the presenting condition through an assessment of symptoms, history and physical examination. If required, imaging such as ultrasound or x-ray will confirm the diagnosis & rule out other conditions.

Podiatry treatment options for retrocalcaneal bursitis include:

• RICE – Rest, Ice, Compression, Elevate.
• Activity modification – Avoiding activities that cause pain can aid in recovery.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) – Can help reduce pain and inflammation.
• Physical therapy – Stretching and strengthening exercises can help alleviate pain.
• Orthotics – Orthotics or arch supports can help take pressure off the heel.
• CAM Walker – To reduce the amount of load on the Achilles tendon and encourage healing.
• Injections – In severe cases, a referral for a corticosteroid injection may be indicated to assist in a reduction of swelling and pain.

If you think you may be experiencing retrocalcaneal bursitis, see one of our friendly Melbourne Podiatrists for accurate diagnosis and treatment.

Do you have a painful heel or Achilles?

At our Melbourne foot clinic our podiatrists are experts in the diagnosis and treatment of heel and Achilles conditions, including retrocalcaneal bursitis.

So if you suffer from pain in your heel or Achilles, book an appointment with one of our friendly podiatrists today!