Retrocalcaneal Bursitis Physiotherapy Management
Description:
Retrocalcaneal bursitis, characterized by inflammation of the bursa located between the Achilles tendon and the heel bone (calcaneus), can be painful and limit mobility. Effective management strategies are crucial for alleviating pain, reducing inflammation, and promoting healing. Understanding these strategies is key to managing retrocalcaneal bursitis.
Anatomy Reminder:
Retrocalcaneal bursitis involves the Achilles tendon and the bursa located behind it, which cushions and reduces friction during ankle movement.
Management Strategies:
Rest and Immobilization:
Reduce Activity: Rest is essential to allow the inflamed bursa to heal. Avoid activities that exacerbate symptoms, such as running or jumping.
Immobilization: In some cases, a healthcare provider may recommend wearing a walking boot or brace to limit ankle movement and reduce strain on the bursa.
Ice Therapy:
Cold Compress: Applying a cold compress or ice pack to the affected area for 15-20 minutes at a time, several times a day, can help reduce pain and swelling.
Medications:
Pain Relievers: Over-the-counter pain relievers like ibuprofen or prescribed medications may be used to manage pain and inflammation. Always follow dosage instructions and consult your healthcare provider before starting any medication.
Physical Therapy:
Stretching and Strengthening: A physical therapist can design an exercise program to stretch and strengthen the calf muscles and Achilles tendon. These exercises promote healing and prevent recurrence.
Modalities: Physical therapy may include modalities like ultrasound or electrical stimulation to reduce inflammation and pain.
Footwear and Orthotics:
Ensure you wear supportive shoes with proper heel cushioning and arch support. Custom orthotic insoles may also be beneficial.
Heel Lifts:
Heel lifts can reduce strain on the Achilles tendon and bursa, promoting healing.
Activity Modification:
Modify or avoid activities that worsen symptoms, especially those that involve repetitive ankle movement or pressure on the bursa.
Corticosteroid Injections:
In some cases, a healthcare provider may recommend corticosteroid injections to reduce inflammation and pain. This is typically considered for severe or persistent cases.
Lifestyle Modifications:
Incorporate gentle calf stretches into your daily routine to maintain flexibility.
Avoid wearing high heels or shoes with tight heel counters that may exacerbate symptoms.
By Charlie Molloy