Retrocalcaneal Bursitis

Signs and Symptoms of Retrocalcaneal Bursitis

• Pain: Located at the back of the heel, above the Achilles tendon insertion; may worsen with activity or pressure.

• Swelling: Noticeable swelling above the heel bone.

• Tenderness: Sensitivity to touch; pain may increase with pressure.

• Redness and Warmth: Area may appear red and feel warm due to inflammation.

• Limited Mobility: Difficulty bending the foot upward (dorsiflexion) or discomfort during heel movement. 

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Causes and Risk Factors of Retrocalcaneal Bursitis

• Overuse or High-Impact Activities: Repetitive stress from running or jumping can irritate and inflame the bursa.

• Improper Footwear: Poorly fitting shoes or those lacking cushioning can increase friction and pressure on the bursa.

• Direct Trauma: Injury or impact to the heel area can cause bursa inflammation.

• Anatomical Abnormalities: Issues such as a prominent heel bone or excessive foot pronation can heighten the risk.

• Previous Injuries: Prior heel or Achilles tendon injuries can make one more susceptible to bursitis. 

Treatment and Management of Retrocalcaneal Bursitis

• Rest, Ice, and Activity Modification

• Footwear: Wear well-fitting, supportive shoes with adequate cushioning to reduce pressure on the heel. 

• Customised Insoles: Provide tailored support and cushioning to reduce pressure on the heel and improve foot alignment, alleviating friction and irritation of the bursa.

• Lower Limb Exercises: Include stretching and strengthening exercises to improve flexibility and reduce strain on the Achilles tendon. 

• Ultrasound Therapy or Shockwave Therapy Helps reduce inflammation and promote healing.

• Injections or Surgery: In severe or persistent cases that do not respond to conservative treatments, corticosteroid injections or surgical options may be considered.