Calcaneal bursitis: Difference between revisions
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===Management=== | ===Management=== | ||
''Conservative management'' | ''Conservative management is first-line'' | ||
* | * Rest, Ice, Compression, Elevation | ||
* | * Achilles padding in shoe wear | ||
* Physical therapy -> achilles stretching | * Physical therapy -> achilles stretching | ||
* | * [[NSAID]]s | ||
* Bursa aspiration | * Bursa aspiration | ||
* Avoid steroid injections 2/2 risk of achilles rupture | * Avoid steroid injections 2/2 risk of achilles rupture | ||
Revision as of 19:05, 15 June 2016
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
- Calcaneus 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 is first-line
- 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