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Achilles Tendon Bursitis
Content and pictures provided by the Sports Injury Clinic

What is Retrocalcaneal bursits?

Achilles tendon 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 goes between a tendon and a bone in the feet 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.


 

     
The red area shows the inflammed section of the achilles.


What to look out for?

  • 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.


What can the traceur do?

  • Rest and apply cold therapy or ice.
  • See a sports injury professional straight away who can advise on treatment and rehab.

What can be done by a specialist?

  • Prescribe anti-inflammatory medication e.g. ibuprofen.
  • Advise on recovery and rehabilitation.
  • Use ultrasound treatment.
  • Give a steroid injection.
  • Operate if it is really bad and persistent.