Achilles Tendon Bursitis
If you suffer from a foot or ankle injury, please Schedule an appointment with one of our orthopedic specialists as soon as possible.
What are Achilles Tendon Bursae?
Achilles tendon bursae, small fluid-filled sacs, sit near the Achilles tendon at the back of the ankle. These sacs, specifically the retrocalcaneal bursa and the subcutaneous calcaneal bursa, cushion and reduce friction between the tendon and surrounding tissues. The retrocalcaneal bursa lies between the Achilles tendon and the heel bone (calcaneus), while the subcutaneous calcaneal bursa sits between the skin and the Achilles tendon.
When inflammation affects these bursae, a condition known as bursitis occurs, causing pain, swelling, and discomfort, particularly during movement. Overuse, repetitive strain, or direct trauma often leads to bursitis. Athletes, particularly runners and dancers, frequently experience Achilles tendon bursae issues due to the high stress placed on their ankles. Treatment typically involves rest, ice, anti-inflammatory medications, and in some cases, physical therapy or corticosteroid injections to reduce inflammation and pain.
What is Achilles Tendon Bursitis?
Achilles tendon bursitis occurs when the fluid-filled sac (bursa) located either between the skin of the back of the heel and the Achilles tendon (called posterior Achilles tendon bursitis) or in front of the attachment of the Achilles tendon to the heel bone (called anterior Achilles tendon bursitis or retromalleolar bursitis) is inflamed. This inflammation results from repetitive or excessive friction and pressure on the bursa, leading to irritation and swelling. Overuse and repetitive activities involving the Achilles tendon are common causes, especially in athletes and active individuals.
Wearing tight or ill-fitting footwear can also contribute to the development of bursitis by increasing pressure on the heel. Direct trauma to the area, such as a blow to the heel, can similarly provoke inflammation. Symptoms of Achilles tendon bursitis include pain, swelling, and tenderness at the back of the heel, which can worsen with movement or pressure. Treatment typically involves rest, ice, anti-inflammatory medications, and sometimes physical therapy or corticosteroid injections to reduce inflammation and alleviate pain.
Symptoms Of Achilles Tendon Bursitis
Achilles tendonitis typically presents with concentrated pain at the rear of the heel or slightly above the heel bone. This pain, varying from dull aches to sharp sensations, significantly hampers mobility and daily activities. It becomes particularly noticeable during movement, especially in activities requiring repetitive ankle motion or direct pressure on the Achilles tendon, such as running or jumping.
Accompanying the discomfort, individuals may observe swelling, visible redness, and increased tenderness around the affected Achilles tendon. Swelling exacerbates the pain and contributes to a sense of stiffness or tightness in the lower leg. Redness indicates inflammation, signaling an active immune response to tissue damage. Additionally, heightened tenderness makes simple tasks like walking or standing uncomfortable.
These symptoms collectively diminish the individual’s quality of life, making routine activities challenging without discomfort or limitations. Consequently, seeking prompt medical attention and implementing appropriate management strategies becomes essential to alleviate symptoms, foster healing, and prevent further complications.
Treatment For Achilles Tendon Bursitis
Treatment for Achilles tendon bursitis aims to relieve pain, reduce inflammation, and promote healing. To address Achilles tendonitis, several proactive measures can be taken. Firstly, modify your activities to avoid exacerbating symptoms and minimize stress on the Achilles tendon. Incorporating ice therapy is beneficial; apply ice packs to the affected area for 15-20 minutes multiple times a day to alleviate pain and swelling.
Additionally, consider nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen for pain relief and inflammation reduction. Opt for footwear with adequate cushioning and support, steering clear of tight-fitting or high-heeled shoes to alleviate pressure on the affected area. Engage in stretching and strengthening exercises, guided by a healthcare professional, to enhance flexibility and bolster the lower leg muscles. Lastly, explore orthotic devices like heel lifts or shoe inserts (orthotics) to mitigate stress on the Achilles tendon and encourage proper alignment.
For severe or persistent cases, healthcare providers may suggest additional treatments such as physical therapy, corticosteroid injections, or immobilization with a walking boot. Surgical intervention to remove the inflamed bursa may be considered in rare cases where conservative treatments fail to provide relief. It’s important to note that each case of Achilles tendon bursitis is unique, and the treatment approach may vary based on severity and individual factors. Following the prescribed treatment plan and implementing necessary lifestyle modifications can facilitate healing, alleviate symptoms, and deter future occurrences.
Español de México 
English