retro calcaneal bursa problem

[davbla]

HI heidi

I recieved a steroid injection last Friday for a retro calcaneal bursa in my foot
prevoiusly has achilles issue which on the scan is now ok
but still ongoing discomfort at back heel at insertion especially with shoes on

after 4 days on there is no improvement , any ideas next step




Thanks

[Heidi]

Hi

I don't know what you have tried already, but these are the usual treatment methods:

Rest, ice and anti-inflammatories initially
Followed by stretching of the calf muscles and achilles tendon (once pain free)
Use of a heel raise temporarily
Check shoes do not rub and provide adequate support
Check foot biomechanics for overpronation/oversupination
Reduce wear of high heels

What scan did you have? (i.e. MRI?) Was it checked to make sure that there isn't a bony prominence at the back of the heel causing the problem?

[davbla]

Hi
prevously i had achilles tendonitus , This is now settled down , But i believe all the eccentric excerises working on the rehab of achiles injury have caused this bursa problem
I have tried all of all the methods You have descibed
i still wear leel lift and cups before i decided to go down the road of injection , This is now 1 year on ,WITH NO EXCERISE
I Have been told my foot position re bio mechanics is ok


I got an ultrasound scan , as i believe i still had achilles injury but scan showed tendon is fine but enlarged bursa causing the problem at back on insertion with ongoing discomfort ,
I was told injection may work with 80% chance of fixing the issue , if not another injection in 3 months time

would the ultrasound scan pick up bony presence

[Heidi]

Hi
To my knowledge, ultrasound is used mainly for tendons, ligaments and muscles. I am not sure that it shows bony abnormalities, however this is definitely not my area of expertise!
All I can advise is to ask your Doctor on your next appointment and if they don't, push for an x-ray.
Good luck!