Get answers to your Shoulder and Elbow questions.
Insertional heel pain
Your health care provider may recommend the following treatments:
If these treatments don't work, your health care provider may inject a small amount of steroids into the bursa. After the inection, you should avoid stretching the tendon too much because it can break open (rupture).
If the condition is connected with Achilles tendinitis, casting the ankle for several weeks to keep it from moving can be effective. Very rarely, surgery may be needed to remove the inflamed bursa.
This condition usually gets better in several weeks with the proper treatment.
Complications are rare. If the bursitis occurs with tendinitis, tendon rupture is possible. Tendon rupture may also occur with steroid injections, especially if they are given too often.
If you have heel pain or symptoms of retrocalcaneal bursitis that do not improve with rest, contact your health care provider for evaluation and treatment.
Wapner KL, Parekh SG. Heel pain. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:section F.
Aranow MS. Posterior heel pain (retrocalcaneal bursitis, insertional and noninsertional Achilles tendinopathy). Clin Podiatr Med Surg. 2005;22:19-43.
© 2011 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System,
22 S. Greene Street, Baltimore, MD 21201. TDD: 1-800-735-2258 or 1.866.408.6885