Retrocalcaneal bursitis

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INJURY TITLE

Retrocalcaneal bursitis

 

 

INJURY OVERVIEW

Inflammation of the fluid sack (bursa) that lies between the Achilles tendon and your heel.  This is a common problem in many activities.  The main issue with this is that it is commonly mistaken for problem with the tendon.

 

 

INJURY IN-DEPTH INFORMATION

This problem comes about due to excessive pressure on the bursa from the tendon above it.  This condition can coexist with a tendon problem but correct diagnosis of this is pivotal for correct management.  The main way of differing between a tendon problem and a bursa problem is the point of most pain.

 

 

COMMON SIGNS & SYMPTOMS

Local pain over the back of the heel

Pain on walking/ stairs/ running

Can be due to trauma or insidious onset

Limited function due to pain

Some swelling may or may not be evident.

 

 

HOW IS IT ASSESSED

Clinical assessment to help differ between two conditions similar in presentation but very different in management.

U/S scan help to reinforce clinical findings also.

 

 

 

 

GENERAL TREATMENT

Relative rest

Ice

Anti inflammatory medication

Corticosteroid injection in more severe cases

Gradual return to activity

Rehabilitation if needed

Possible correction of any biomechanical flaws when running for example.

 

 

Exercise Videos: i.e.

Rotator cuff strengthening

Pec stretch

etc

 

 

WHICH HEALTH PROFESSIONAL TO CONSULT

PHYSIO     X MEDIC     X PODIATRY     X

 

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