At Physio4Life Putney, we assess and treat retrocalcaneal bursitis, a painful condition affecting the back of the heel. This injury involves inflammation of the bursa, a small fluid-filled sac located between the Achilles tendon and the heel bone. Its role is to reduce friction, but when irritated, it can become inflamed and painful.
Retrocalcaneal bursitis is common in runners, walkers, active individuals, and people who spend long periods on their feet. It is also frequently mistaken for an Achilles tendon injury, which is why an accurate diagnosis is essential for effective treatment.
What is retrocalcaneal bursitis?
Retrocalcaneal bursitis develops when the bursa between the heel and Achilles tendon becomes irritated due to excessive pressure or friction. This may happen gradually over time from repetitive loading, poor biomechanics, unsuitable footwear, or increased activity levels. In some cases, it can also occur after a direct injury or trauma.
This condition may exist on its own or alongside Achilles tendinopathy, making clinical assessment especially important. One of the main ways to distinguish retrocalcaneal bursitis from an Achilles tendon problem is by identifying the exact location of the pain.
Common symptoms of retrocalcaneal bursitis
Symptoms can vary from mild irritation to significant discomfort that affects day-to-day movement. Common signs include:
- Pain at the back of the heel
- Pain during walking, climbing stairs, or running
- Tenderness around the Achilles insertion
- Swelling at the back of the heel, although this may not always be present
- Stiffness or limited function due to pain
- Symptoms that may begin gradually or follow trauma
If you are experiencing heel pain, the team at Physio4Life Putney can help determine whether the issue is related to the bursa, the Achilles tendon, or both.
How retrocalcaneal bursitis is assessed
At Physio4Life Putney, assessment begins with a thorough clinical examination. Because retrocalcaneal bursitis and Achilles tendon conditions can look very similar, careful diagnosis is key to choosing the right treatment.
Your physiotherapist may assess:
- The exact location of pain and tenderness
- Swelling and inflammation around the heel
- Walking and running mechanics
- Foot and ankle mobility
- Calf strength and lower limb function
An ultrasound scan may also be recommended to support the clinical findings and confirm the diagnosis.
Retrocalcaneal bursitis treatment at Physio4Life Putney
Treatment for retrocalcaneal bursitis depends on the severity of symptoms and any contributing factors. At Physio4Life Putney, treatment may include:
- Relative rest from aggravating activities
- Ice to help reduce pain and inflammation
- Anti-inflammatory medication, where appropriate
- Corticosteroid injection in more severe cases
- Gradual return to activity
- Rehabilitation exercises to restore strength and function
- Correction of biomechanical issues, such as running technique or foot mechanics
The goal of treatment is to settle pain, reduce irritation, and help you return safely to normal daily activity, exercise, or sport.
Rehabilitation for retrocalcaneal bursitis
Rehabilitation may be recommended to improve strength, mobility, and control in the lower limb. Depending on your assessment, this may include exercises for:
- Calf strength
- Ankle mobility
- Foot control
- Load management
- Running mechanics
At Physio4Life Putney, we tailor rehabilitation programmes to the individual, helping reduce the risk of recurrence and improve long-term outcomes.
When to seek physiotherapy for heel pain
You should seek professional assessment if:
- Heel pain is not improving
- Walking, stairs, or running are painful
- There is swelling or tenderness at the back of the heel
- You are unsure whether the pain is coming from the Achilles tendon or another structure
An accurate diagnosis is the first step toward successful recovery.
Book retrocalcaneal bursitis treatment in Putney
If you are struggling with pain at the back of your heel, Physio4Life Putney can help. Our experienced physiotherapists provide expert assessment, diagnosis, and treatment for retrocalcaneal bursitis, Achilles-related pain, and other foot and ankle injuries.
Contact Physio4Life Putney today to book an assessment and start your recovery.