Retrocalcaneal Bursitis: Symptoms, Treatments, and Recovery - Orthopedics

More Info

---

Retrocalcaneal bursitis is a condition characterized by inflammation of the bursa located at the back of the heel, which can lead to significant pain and discomfort. The symptoms you are experiencing, including persistent pain in the heel, swelling, and occasional severe pain, align with this diagnosis. The fact that you have undergone various treatments, including physical therapy and corticosteroid injections, indicates that you are actively seeking relief from this condition.


Symptoms of Retrocalcaneal Bursitis
The primary symptoms of retrocalcaneal bursitis include:
1. Pain at the back of the heel: This pain may worsen with activity, especially during walking, running, or jumping.

2. Swelling: The area around the heel may appear swollen and tender to the touch.

3. Stiffness: You may experience stiffness in the heel, particularly after periods of inactivity.

4. Limited range of motion: Activities that require flexing the ankle may be painful or difficult.


Diagnosis
Diagnosis typically involves a physical examination, where a healthcare provider will assess the heel for tenderness, swelling, and range of motion. Imaging studies, such as X-rays or ultrasound, can help rule out other conditions, such as Achilles tendonitis or heel spurs, and confirm the presence of bursitis.


Treatment Options
Given your history and the treatments you have already tried, here are some additional options to consider:
1. Continued Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around the heel and improve flexibility. A physical therapist can provide specific exercises tailored to your condition.

2. Orthotic Devices: Custom orthotics or heel lifts can help redistribute pressure on the heel and provide cushioning, which may alleviate pain during activities.

3. Activity Modification: Avoiding activities that exacerbate the pain, such as running or jumping, can help reduce inflammation and allow the bursa to heal. Low-impact exercises, such as swimming or cycling, may be beneficial.

4. Corticosteroid Injections: Since you mentioned having received a corticosteroid injection with some improvement, further injections may be considered if symptoms persist. However, these should be used judiciously due to potential side effects.

5. Surgery: In cases where conservative treatments fail to provide relief, surgical intervention may be necessary. This could involve removing the inflamed bursa or addressing any structural issues contributing to the condition.

6. Ice Therapy: Applying ice to the affected area can help reduce swelling and pain. It is recommended to ice the heel for 15-20 minutes several times a day, especially after activities.

7. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help manage pain and reduce inflammation.


Recovery and Follow-Up
Recovery from retrocalcaneal bursitis varies among individuals. It is essential to follow up with your healthcare provider, particularly an orthopedic specialist, to monitor your progress and adjust your treatment plan as needed. Regular check-ins can help ensure that you are on the right track and that any necessary interventions are made promptly.


Conclusion
In summary, retrocalcaneal bursitis can significantly impact your daily life, but with a comprehensive treatment approach, including physical therapy, orthotics, and possibly further medical interventions, you can work towards alleviating your symptoms. It is crucial to communicate openly with your healthcare providers about your pain levels and any changes you experience, as this will guide your treatment plan effectively. Seeking specialized care from an orthopedic surgeon may provide you with additional insights and treatment options tailored to your specific condition.