Retro-Calcaneal Bursitis

This condition is also called Achilles Bursitis and not to be confused with Achilles Tendonitis.  Between the back of the heel bone and the Achilles Tendon, there is a sac of fluid called a bursa.  The bursa is there to protect the smooth tendon from the rough bone.  When there is pressure placed on this tendon, the bursa becomes inflamed.  This is then called a bursitis.

WHO GETS RETRO-CALCANEAL BURSITIS?

This condition is most seen in people with a rigid high arched foot.  This causes excessive pressure of the heel bone against the heel counter of the shoe.  So women who excessively wear high heel shoes or wrong size shoes are prone to this condition.  In addition, runners, hockey and football players, and other athletes who are prone to overuse injuries, can get Achilles Bursitis.

In some cases, people have a thickening of the back of the heel bone.  This condition is called Haglund’s Deformity or pump bump.  The bump will put pressure on the bursa and lead to the bursitis.  These patients usually have a very tight Achilles Tendon.

TREATMENT
Treatment consists of use of anti-inflammatories and ice.  Heel lifts are used temporarily to relieve pressure off the Achilles Tendon.  Once the initial inflammation has calmed down, stretching and physical therapy to make the tendon more flexible will be necessary.  For prevention, an orthotic might be necessary.  Sometimes the area has to be immobilized with a soft cast and a walking boot.
In chronic cases, the use of non-invasive, painless technologies such as extra-corporeal shock wave therapy or K-Laser therapy is very helpful in treating these conditions.  In addition, PRP (platelet rich plasma) can be used as an adjunct therapy.
Early treatment is essential since if it is prolonged, the Achilles Tendon can weaken and eventually rupture.  So, if you are experiencing pain at the back of the heel or ankle, see your podiatrist quickly, so you can go back to all your activities pain-free.
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