Calcaneal bursitis
Background
Can be subdivided into two separate entities: Retrocalcaneal and Retroachilles bursitis
- Retrocalcaneal bursitis-> is inflammation of the bursa located posterior to the calacaneal bone, anterior to the achilles tendon
- Retroachilles bursitis -> is inflammation of the bursa located between the achilles tendon and posterior skin, adjacent to the insertion of the achilles tendon on the calcaneous
Differential
- DVT
- Gastrocnemius strain
- Retrocalcaneal bursitis
- Retroachilles bursitis
- Calcaneal fracture
- Compartment syndrome
- Friction blister
- Achilles tendon rupture
- Cellulitis
- Superficial thrombophlebitis
Clinical features
- pain localized anterior and 2-3cm proximal to insertion of achilles tendon
- pain with dorsiflexion
- tenderness and fullness medial and lateral to tendon
Management
Conservative management
- rest, Ice, Compression, Elevation
- achilles padding in shoe wear
- Physical therapy -> achilles stretching
- NSAIDs
- Bursa aspiration
- Avoid steroid injections 2/2 risk of achilles rupture