The doctor said that poorly fitting shoes may cause retrocalcaneal bursitis; the picture shows the situation.

(picture taken from freepik)

[Health Channel/Comprehensive Report] Ah Zhu saw that all her friends were running, so she decided to buy a pair of running shoes to join in the road running. When running, she felt that the shoes were a bit tight. At first, she didn't care. After a week, she found that her right heel was very painful, and it was obviously worse than the left It was red and swollen, and it hurt especially when running uphill or tiptoeing. I was worried that the Achilles tendon was injured. After the doctor's examination, it was "retrocalcaneous bursitis", and she was advised to adjust the habit of wearing shoes.

Chen Yuren, a rehabilitation specialist at Yansheng Rehabilitation Clinic, explained on the Facebook page "Renren Good Doctor-Rehabilitation Specialist Dr. Chen Yuren" and his personal website that the bursa is like a cushion, located between tissues that move relative to each other , such as between the tendon and the bone, so that the tendon will not rub against the bone when it moves.

The position of the retrocalcaneal bursa is behind the calcaneus, between the calcaneus and the Achilles tendon, so that the Achilles tendon will not rub against the calcaneus when it moves, and at the same time absorb the impact of walking. Tight shoes that cause excessive friction can compress the retrocalcaneal bursa, which can lead to retrocalcaneal bursitis.

Please read on...

Causes of retrocalcaneal bursitis

Chen Yuren said that retrocalcaneal bursitis is quite common among sports enthusiasts and ordinary people, but retrocalcaneal bursitis is not all caused by physical factors, some are related to rheumatic immune diseases, such as gout and rheumatoid arthritis, etc. The sonic manifestations are different from the retrocalcaneal bursitis caused by physical factors.

●Excessive training, such as long-distance running.

●Trauma.

●If the shoes do not fit, such as wearing high-top shoes for sports or often wearing high-heeled shoes, you can change to low-top running shoes and reduce the time of wearing high-heeled shoes.

●The collapse of the arch of the flat foot will pull the posterior calcaneal bursa, making it more prone to bursitis.

●If the calcaneus protrudes, the space between the calcaneus and the Achilles tendon will be smaller, and the bursa will be squeezed and inflamed.

Common symptoms of retrocalcaneal bursitis

● Pain in the rear heel, especially when going uphill.

●It hurts more when tiptoeing.

●Swollen heels.

●The moment when running and stepping off the ground is particularly painful.

Treatment for retrocalcaneal bursitis

Chen Yuren pointed out that the most important key to the treatment of retrocalcaneal bursitis is to improve the cause of the disease, such as excessive exercise, not wearing inappropriate shoes, etc., in order to maintain the therapeutic effect.

●Drugs: short-term use of non-steroidal anti-inflammatory drugs.

●Physical instruments: hyperthermia, electrotherapy, laser phototherapy and other instruments can help repair retrocalcaneal bursitis and strengthen local circulation.

●Manual exercise therapy: the therapist uses manipulation to relax the calcaneus, Achilles tendon and the fascia soft tissue around the ankle.

●Ultrasound-guided injection treatment: If ultrasound finds water accumulation in the retrocalcaneal bursa, it can be guided by ultrasound to extract the water, and anti-inflammatory drugs can be accurately injected into the lesion; if the surrounding tissue is injured and torn, hyperplasia can be used Therapy Injection treatment, drug options include high concentration of platelet plasma (PRP), high concentration of glucose, etc.

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keywords

  • running

  • shoe

  • foot pain

  • Achilles tendon

  • retrocalcaneal bursitis

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