Achilles Bursitis
Achilles tendon bursitis, also known as Retrocalcaneal bursitis is a common foot pain in athletes, particularly runners. It can often be mistaken for Achilles tendinitis or can also occur in conjunction with Achilles tendinitis.
A bursa is a small sack of fluid that sits between a tendon and a bone to help the tendon move smoothly over the bone.
The retrocalcaneal bursa in situated in the feet between the Achilles tendon and the calcaneus (heel bone). With repeated trauma the bursa can become inflamed.
Achilles tendon bursitis is often mistaken for Achilles tendinitis. It is possible for the athlete to have both Achilles tendinitis and achilles tendon bursitis at the same time (Haglund's syndrome).
Symptoms of Retrocalcaneal Bursitis:
- Pain at the back of the heels especially when running uphill or on soft surfaces.
- Tenderness and swelling which might make it difficult to wear certain shoes on the feet.
- When pressing fingers in both sides of the heel a spongy resistance may be felt.
Treatment of Retrocalcaneal Bursitis:
What can the athlete do?
- Rest and apply cold therapy or ice (not directly onto the skin).
- See a sports injury professional who can advise on treatment and rehabilitation.
What can a sports injury specialist or doctor do?
- Prescribe anti-inflammatory medication e.g. ibuprofen.
- Advise on recovery and rehabilitation.
- Use ultrasound treatment.
- Give a steroid injection (followed by 48 hours rest).
- Operate if it is really bad and persistent.
