Heel Bursitis
A bursa is a fluid filled sac whose function is to reduce friction between structures. Heel bursitis is caused by inflammation of one of the bursa found within the heel. This can either involve the retrocalcaneal (back of the heel) or subcutaneous Achilles bursa (Under the Achilles insertion). Trauma to the ankle, incorrect or poor fitting footwear and repetitive aggravating motion of the ankle can all cause irritation and inflammation to the bursa.
Signs and symptoms:
- Noticeable pain during your end range of motion of the ankle- when you move your ankle up and down to it’s maximum capacity
- Pain on squeezing the heel at the bursa site
- Footwear becomes uncomfortable and tight which then aggravates the back of heel
- Tight calves and hamstrings
- Existing Haglund’s deformity (a bony bump found at the back of the heel)
Treatment
- Imaging is recommended for clear diagnosis and measurement of the bursa
- Rest from aggravating activities
- Shoe modifications to relive pressure
- Heel lifts
- Extracorporeal shockwave therapy (ECSWT)
- Biomechanical assessment and subsequent adjustment to gait as required
- Stretching and strengthening exercises
- In severe cases, surgery is required
Darwin Podiatry can help to diagnose and treat heel bursitis. Call 8941 9955 to book an appointment with one of our experienced Podiatrists today.
