What Is Retrocalcaneal Bursitis?

Calcaneal bursitis is an acute or chronic inflammation of the bursa. A bursa is a sac-like space in connective tissue. It is a closed sac composed of endothelial cells. The inner wall is a synovial membrane with a little synovial fluid.

Calcaneus bursitis

Calcaneal Bursitis

Calcaneal bursitis There are three bursa in the heel: one is located between the skin and the Achilles tendon, called the posterior Achilles tendon; the other is between the Achilles tendon and the posterior superior calcaneus, called the posterior calcaneal bursal; The other is located below the calcaneal tubercle, called the genital sac. Some are single and some are multiple bursa. Bursitis is related to direct compression and friction. Standing walking and a large amount of exercise are the direct causes of heel bursitis; the rigidity, tightness, and excessive movement of the shoes after wearing shoes are the direct causes of heel bursitis.

Causes of calcaneus bursitis

1. Abnormally prominent parts of the bone structure, due to long-term, continuous, repetitive, concentrated and slightly stronger friction and compression are the main reasons for bursitis. Wearing pointed and narrow leather shoes for a long time can cause calcaneal bursitis.

2. On the basis of chronic injury, the bursa can also exacerbate inflammation due to a large injury, rupture of small blood vessels in the synovium, and the synovial fluid is bloody.

Bursitis can be caused directly by violent injuries. Some are excessive flexion, extension, abduction, and external rotation. After repeated long-term and continuous friction and compression, the bursal strain can cause inflammation. thick.

Calcaneal Bursitis

Check that the local skin color is normal or flushed, the temperature is slightly increased, and the tenderness is obvious. Chronic patients with recurrent episodes of Achilles tendon relaxation during the break may have calcification or ossification of the Achilles tendon or bursa. There is no change in X-ray in the early stage, and there may be decalcification of calcaneal nodules, cystoid changes, and bone hyperplasia in the later stage. Pay attention to whether there is hyperplasia of the bursa process and compress the Achilles tendon.

The main symptoms of calcaneal bursitis

In the early days, only a small, hard, tender erythema was seen on the upper back of the heel. Patients often put adhesive tape here to reduce the pressure on the shoes. When the inflamed bursa enlarges, a painful red mass appears on the Achilles tendon. Depending on the type of shoes worn by the patient, the swelling sometimes extends to the sides of the Achilles tendon. Chronic bursa forms permanent fibrosis. ^[1]

Treatment of calcaneal bursitis

1. Apply ice. If the joints feel hot, you can use ice. Alternate with 10 minutes of ice and 10 minutes of rest. As long as the joints are still hot, do not use a hot compress.

2. Alternating ice and heat. If the acute swelling and pain are weakened and the heat has been eliminated, you can treat it alternately with ice and heat, that is, apply ice for 10 minutes and heat for 10 minutes, and then repeat.

3. External plasters,

Traditional Chinese medicine plaster Traditional Chinese medicine plaster has "the principle of external governance is the principle of internal governance, the drug of external governance is the drug of internal governance, the difference, the ears", "the plaster can cure disease, there is no special decoction, the method is used, and its response" And so on.

4. Raise the heel with foam rubber pad or felt pad to remove the pressure from the upper. In order to control abnormal heel activities, shoe orthosis is needed. In a small number of patients, stretching the upper or disassembling the heel stitches of the shoe can reduce inflammation, and placing the cushion around the bursa can reduce compression.

5. Oral nonsteroidal anti-inflammatory drugs can temporarily reduce symptoms. Infiltration and injection of soluble corticosteroids and local anesthetics can reduce inflammation. When conservative treatment is not effective, surgical removal of the posterolateral calcaneus may be required.

Calcaneal Bursitis Prevention

1. Pay attention to hygiene: strengthen labor protection and develop the habit of washing feet with warm water after working.

2, pay attention to rest: rest is the first method to resolve any joint pain, so you should get good rest in your joints.

3. Appropriate activities, moderate heel activities, promote blood circulation and relieve pain.

Calcaneal bursitis precautions

1. Eat foods for promoting blood circulation and removing blood stasis, and fragrant aromas, such as panax notoginseng, hawthorn, amaranth, coriander white, amaranth, etc.

2, eat more fresh vegetables, fruits, beans.

3. In the later stage of the disease, nutritional foods such as grapes, black beans, medlars, longan and turtle meat should be eaten to nourish qi and blood, and nourish liver and kidney.

4. Avoid foods such as fried, grilled, oversalted, and oversweet.

5, avoid spicy, greasy and other thick taste and tobacco and alcohol stimulation products.