It is a painful condition characterized by inflammation of the bursa at the back of the heel bone, also known as retrocalcaneal bursitis. The purpose of this article is to examine the causes, symptoms, diagnosis, treatment, and prevention measures associated with bursitis of the heel.
The bursa in the heel is typically irritated and inflamed by repetitive friction or pressure. Common causes of bursitis of the heel include:
Activities that involve repetitive movements of the foot and ankle, such as running, jumping, or prolonged standing, can increase the risk of bursitis by causing friction and irritation.
By increasing pressure on the back of the heel, wearing shoes with a rigid back or tight heel counter can contribute to bursitis.
Direct trauma to the back of the heel, such as a blow or impact, can cause bursitis and inflammation of the bursa.
Bursitis of the heel is associated with certain medical conditions, such as rheumatoid arthritis, gout, or obesity.
Bursitis of the heel may cause the following symptoms:
Tenderness and pain at the back of the heel, especially when touched or moved.
Swelling and redness over the affected area.
Stiffness or limited range of motion in the ankle.
The affected foot has difficulty walking or bearing weight.
Pain worsens with activity and relieves with rest.
One or both heels may be affected by these symptoms, and their severity can vary.
A medical history review, physical examination, and sometimes imaging studies are typically used to diagnose bursitis of the heel. The healthcare provider will ask about the patient's symptoms, medical history, and any recent injuries or activities that may have contributed to the condition. The ankle may be examined for tenderness, swelling, and range of motion during a physical examination.
A diagnostic imaging study, such as an X-ray or ultrasound, may be conducted to rule out other possible causes of heel pain and confirm a diagnosis of bursitis.
The goal of treating bursitis of the heel is to relieve pain and inflammation, as well as to address the underlying cause.
Reduce inflammation and promote healing by avoiding activities that aggravate symptoms and resting the affected foot.
Pain and swelling can be reduced with ice packs applied to the affected area several times a day for 15-20 minutes.
Over-the-counter NSAIDs such as ibuprofen or naproxen may alleviate pain and reduce inflammation.
The right footwear can help reduce pressure on the back of the heel and prevent recurrence of bursitis by providing adequate support, cushioning, and a proper fit.
A heel pad or orthotic insert can provide additional cushioning and support to the heel, reducing friction and pressure on the bursa.
Exercises and stretching techniques may improve flexibility, strength, and range of motion in the ankle and promote bursa healing.
Chronic or severe cases of bursitis of the heel may require corticosteroid injections or surgical intervention.
Preventive measures for bursitis of the heel may include:
Avoiding sudden increases in intensity or duration of physical activity can help prevent overuse injuries and reduce bursitis risk.
Warm-up exercises and stretching before physical activity can help prepare the muscles and tendons for movement and reduce injury risk.
Shoes with adequate support, cushioning, and a proper fit can help prevent excessive pressure and friction on the back of the heel.
Weight management: Maintaining a healthy weight can reduce strain on the feet and ankles and reduce the risk of developing bursitis and other foot problems.
Individuals can reduce the risk of developing bursitis of the heel and maintain optimal foot health by following these preventive measures and seeking prompt treatment for symptoms.
