What is Retrocalcaneal bursits?

This is a common condition in athletes, particularly runners. It can often be mistaken for Achilles tendinitis or can also occur in conjunction with Achilles tendinitis.

A bursa is a small sack of fluid that goes between a tendon and a bone to help the tendon move smoothly over the bone.

The retrocalcaneal bursa lies between the Achilles tendon and the calcaneus (heel bone). With repeated trauma the bursa can become inflammed.

This injury is often mistaken for Achilles tendinitis. It is possible for the athlete to have both Achilles tendinitis and bursitis at the same time (Haglund's syndrome).

Symptoms include:

• Pain at the back of the heel especially when running uphill or on soft surfaces.
• Tenderness and swelling which might make it difficult to wear certain shoes.
• When pressing fingers in both sides of the heel a spongy resistance may be felt.

What can the athlete do?

• Rest and apply cold therapy or ice (not directly onto the skin).
• See a sports injury professional who can advise on treatment and rehabilitation.

What can a sports injury specialist or doctor do?

• Prescribe anti-inflammatory medication e.g. ibuprofen.
• Advise on recovery and rehabilitation.
• Use ultrasound treatment.
• Give a steroid injection (followed by 48 hours rest).
• Operate if it is really bad and persistent