Bursitis

What is Bursitis in the Foot?

Bursitis in the foot is the inflammation of a bursa, a small, fluid-filled sac that acts as a cushion between bones and soft tissues. Bursae help to reduce friction and act as a cushion for pressure points between bones and soft tissues. When these bursae become inflamed, they can cause pain and swelling in the affected area.

Types of Bursae in the Foot

Retrocalcaneal Bursa: Located behind the heel bone (calcaneus), often associated with heel pain.
Subcutaneous Calcaneal Bursa: Found beneath the heel bone, commonly causing heel discomfort.
Intermetatarsal Bursa: Located in the ball of the foot between the metatarsals, often leading to pain in the forefoot.
Adventitious Bursa: An acquired bursa that can develop later in life in response to chronic irritation or pressure in various locations of the foot.

Signs and Symptoms of Bursitis

Pain: Aching or sharp discomfort at the site of inflammation, which may intensify with movement.
Swelling: Noticeable puffiness around the affected bursa.
Redness and Warmth: The inflamed area may appear red and feel warm to the touch.
Tenderness: Sensitivity or pain when touching the affected area.
Limited Mobility or Pain with Movement: Discomfort or pain when moving the affected foot or joint.

Have questions? We are here to help!

Causes of Bursitis

Bursae commonly become inflamed due to overuse, which involves repetitive friction and pressure on the area. Other causes include direct trauma, infection, and inflammatory conditions such as rheumatoid arthritis and gout.

Risk Factors for Bursitis

Repetitive Activities or Overuse: Sports or occupations that place continuous stress on the foot.
Inappropriate Footwear: Shoes without proper support or cushioning.
Foot Deformities: Structural abnormalities such as bunions or hammertoes, flat feet or high arches can increase stress on the joints.
Excess Weight: Additional body weight increases pressure on the feet.
Previous Foot Injuries: Past injuries that make the foot more susceptible to inflammation.

Treatment and Management of Bursitis

Rest and Activity Modification: Cutting back on activities that worsen the pain and allowing the bursa time to heal.
Ice Therapy: Applying ice to reduce inflammation and swelling.
Footwear Change: Selecting shoes with proper sizing, width, support and cushioning.
Strapping or Taping: Employing techniques to lessen stress on the bursa.
Custom Foot Orthotics: Using custom orthotics with added padding to relieve pressure on the affected area.
Shockwave Therapy: To facilitate healing and promote quicker recovery by improving blood flow to the area.
Advanced Treatments: Considering corticosteroid injections or surgery for severe cases if conservative treatments are ineffective.