Bursitis
Bursae are fluid filled sacs present around the joint which facilitate movement and reduce friction at tendon-tendon and tendon-bone interfaces. Bursae around Ankle include
- Retrocalcaneal bursa
- Subcutaneous bursa of medial malleolus
- Subcutaneous bursa of medial malleolus
Bursitis is inflammation of these bursae. Most common bursae to get inflamed is the Retrocalcaneal bursa which is situated between the calcaneum and the insertion of Achilles tendon.
Signs and Symptoms
- Back side of Heel pain which may be associated with swelling in early inflammatory phase
- Pain on specific movements like leaning back on heels
- Pain in the calf muscles during walking or running
- Stiffness in the Ankle which may lead to loss of movement
- Crackling sound on flexing foot
- Uncomfortable feeling on wearing footwear
Risk Factors
- Overusing of heel and Ankle area
- A quick increase in physical activity or not warming up adequately before exercising
- Use of high heels and poor fitting shoes
- Haglund’s deformity
- Ankle arthritis or gout
- Poor foot posture
JEEVISHA protocol for management of Retro-calcaneal Bursitis
- Foot posture correction: Just relieving the inflammation in bursa is not sufficient as this condition may reoccur if the foot posture is at fault. Thus, Foot posture analysis and correction becomes of paramount importance. At JEEVISHA, we have various modalities to measure the degree of foot deformities and also facilities like Individualised In-sole preparations.
- Medications: In the initial course of the management of this condition, patients may be prescribed some Anti-inflammatory medications. Some other medications may be prescribed depending on the condition of the patient, which is individualized from patient to patient basis.
- Physiotherapy: Physiotherapy plays a very important role in fighting this painful condition. With a team of dedicated physiotherapist, patient is further evaluated and accordingly a plan is prepared for first reducing pain with different modalities and then slowly rehabilitating ankle for normal functioning.
Targeted treatment
- Ultrasound guided Bursa injections