Achilles Tendon Bursitis

Achilles bursitis or retro calcaneal bursitis is a condition that commonly occurs in athletes. It is a painful condition caused by the swelling of a fluid-filled sac located under the Achilles tendon. The retro calcaneal bursa contains a lubricating fluid that acts as a cushion to reduce friction between muscle and bone.

What are the causes of Achilles tendon bursitis?

Achilles tendon bursitis is caused by overuse of the ankle, which results in irritation and inflammation of the bursa. It occurs with excessive walking, jumping or running. Achilles tendon bursitis can also occur in conjunction with Achilles tendinitis, which is the inflammation of the Achilles tendon.

What are the symptoms of Achilles tendon bursitis?

The most common symptoms are pain and tenderness at the back of the heel, especially while walking or running.

How is Achilles tendon bursitis diagnosed?

Your doctor diagnoses the condition based on symptoms and a physical examination of the ankle. Diagnostic tests such as X-ray and MRI may be required..

What are the treatment options?

The initial treatment for Achilles tendon bursitis includes:

Restriction of activities that cause pain.

Applying ice to the injured area to reduce swelling. Non-steroidal anti-inflammatory medications may be prescribed to relieve inflammation and pain.

Heel wedges are sometimes prescribed to reduce the stress on your heel.

Physical therapy is usually recommended to restore, and improve flexibility and strength of muscles, tendons and joints around the ankle.

Surgery is considered only when all non-surgical treatments fail to resolve pain and inflammation.

Non-steroidal anti-inflammatory medications may be prescribed to relieve inflammation and pain.

Custom heel wedges are sometimes prescribed to reduce the stress on your heel.

Physical therapy is usually recommended to restore, and improve flexibility and strength of muscles, tendons and joints around the ankle.

Corticosteroid injections may be injected into the bursa to reduce swelling and pain. You must ensure that you do not overstretch the tendon after the injection as it may lead to Achilles tendon rupture.

If retro calcaneal bursitis is associated with Achilles tendonitis, it may be necessary to immobilize the ankle for several weeks until healing takes place. This can be done by applying a cast on the ankle, which limits ankle movement and allows the tendon to rest.

Surgery is considered only when all non-surgical treatments fail to resolve pain and inflammation. Bursectomy is a surgical procedure performed to remove the inflamed or infected bursa.

How can Achilles tendon bursitis be prevented?

Achilles tendon bursitis can be prevented by maintaining proper form during exercises. Ensure that you warm up before any sports activity.