Retrocalcaneal Bursitis: Why You Have Pain at the Back of Your Heel and How to Treat It- By Dr. Balaraju Naidu, Robotic Orthopedic Surgeon, ONUS Robotic Hospitals
Understanding the Causes, Symptoms, and Effective Treatment for Persistent Heel Pain
Are you experiencing pain at the back of your heel, especially while walking, running, or wearing tight shoes? You may be suffering from Retrocalcaneal Bursitis, a common cause of heel pain among athletes, active individuals, and people who wear tight footwear.
At ONUS Robotic Hospitals, specialists like Dr. Balaraju Naidu frequently diagnose and treat heel pain conditions using conservative therapy, footwear correction, and advanced orthopedic care when required.
The key message:
Early treatment prevents chronic pain and avoids long-term tendon damage.
What Is Retrocalcaneal Bursitis?
Retrocalcaneal bursitis is inflammation of a small fluid-filled sac called the bursa, located between:
- The Achilles tendon
- The heel bone (calcaneus)
This bursa reduces friction during walking and running. When it becomes irritated or inflamed, it causes pain and swelling behind the heel.
Where Does the Pain Occur?
Pain is typically felt:
- At the back of the heel
- Near the Achilles tendon
- While walking or running
- When wearing tight shoes
- During stair climbing
Morning stiffness is also common.
Common Symptoms of Retrocalcaneal Bursitis
Watch for these symptoms.
Typical Symptoms
- Pain behind the heel
- Swelling near the Achilles tendon
- Tenderness while touching the heel
- Morning stiffness
- Difficulty walking or running
- Pain while climbing stairs
- Redness or warmth in severe cases
Symptoms often worsen with activity.
Causes of Retrocalcaneal Bursitis
Several factors can trigger inflammation.
1) Overuse or Repetitive Activity
Common in:
- Runners
- Athletes
- Gym users
- Individuals who walk long distances
Repeated stress irritates the bursa.
2) Tight Footwear
Shoes that press against the heel can cause friction.
Examples:
- Tight shoes
- Hard shoe backs
- High heels
This is one of the most common causes.
3) Sudden Increase in Activity
Increasing exercise intensity too quickly can overload the tendon and bursa.
Examples:
- Starting a new workout
- Sudden running
- Increased walking
4) Tight Calf Muscles
Reduced flexibility increases tension on the Achilles tendon.
This leads to:
- Increased pressure
- Heel irritation
- Pain
Risk Factors
People at higher risk include:
- Athletes
- Runners
- Individuals wearing high heels
- People with flat feet
- Individuals with tight calf muscles
- People with obesity
- Workers standing for long hours
Diagnosis of Retrocalcaneal Bursitis
Doctors diagnose the condition using:
Clinical Examination
- Pain location assessment
- Swelling evaluation
- Movement testing
Imaging Tests
- X-ray
- Ultrasound
- MRI
These tests help rule out tendon tears or bone problems.
Treatment Options for Retrocalcaneal Bursitis
Most cases improve without surgery.
Non-Surgical Treatment
Common Treatments
- Rest
- Ice therapy
- Anti-inflammatory medications
- Physiotherapy
- Footwear modification
- Heel pads or orthotics
These treatments reduce inflammation and promote healing.
Physiotherapy and Stretching Exercises
Stretching improves flexibility and reduces pressure.
Recommended Exercises
- Calf stretching
- Achilles tendon stretching
- Heel raises
- Ankle mobility exercises
Regular exercise speeds recovery.
Advanced Treatment Options
If symptoms persist, advanced care may be required.
Advanced Treatments
- Injection therapy
- Shockwave therapy
- Arthroscopic treatment
- Surgical intervention (rare cases)
Early treatment reduces the need for surgery.
Prevention Tips for Heel Pain
Simple lifestyle changes can protect your heel.
Prevention Strategies
- Wear comfortable footwear
- Avoid tight shoes
- Stretch calf muscles daily
- Increase activity gradually
- Maintain healthy body weight
- Warm up before exercise
These steps reduce injury risk.
When Should You See an Orthopedic Specialist?
Consult a doctor immediately if:
- Heel pain lasts more than 2 weeks
- Swelling increases
- Walking becomes difficult
- Pain worsens with activity
- Symptoms do not improve with rest
Early evaluation prevents chronic tendon problems.
Final Takeaway
Retrocalcaneal bursitis is a common and treatable cause of heel pain.
Remember:
Persistent heel pain is not normal.
Early treatment can:
- Reduce pain
- Improve mobility
- Prevent chronic injury
- Avoid surgery
For Appointments:
Dr. Balaraju Naidu, Robotic Orthopedic Surgeon
ONUS Robotic Hospitals β Hyderabad
π link: contact-us or book-appointment
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