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Die Seite wurde neu angelegt: „Overview<br>Retrocalcaneal Bursitis. This bursa is located at the back of the heel. Bursitis in this area is often associated with conditions such as ankylosin…“
Overview<br>Retrocalcaneal Bursitis. This bursa is located at the back of the heel. Bursitis in this area is often associated with conditions such as ankylosing spondylitis or rheumatoid arthritis. It can occur in healthy individuals who wear improperly fitted shoes. Symptoms include painful swelling that develops at the back of the heel. Calcaneal Bursitis. This bursa is located at the sole or bottom of the heel. Inflammation usually produces pain in the heel when standing. Causes include [http://maddeningtimeta20.Jimdo.com/2015/06/28/hammer-toe-pain-ball-foot heel spurs], excess weight, injury, and wearing improperly fitted shoes.<br><br>Causes<br>Bursitis has many causes, including autoimmune disorders, crystal deposition (gout and pseudogout), infectious diseases, traumatic events, and hemorrhagic disorders, as well as being secondary to overuse. Repetitive injury within the bursa results in local vasodilatation and increased vascular permeability, which stimulate the inflammatory cascade.<br><br>Symptoms<br>Posterior heel pain is the chief complaint in individuals with calcaneal bursitis. Patients may report limping caused by the posterior heel pain. Some individuals may also report an obvious swelling (eg, a pump bump, a term that presumably comes from the swelling's association with high-heeled shoes or pumps). The condition may be unilateral or bilateral. Symptoms are often worse when the patient first begins an activity after rest.<br><br>Diagnosis<br>A thorough subjective and objective examination from a physiotherapist may be all that is necessary to diagnose a retrocalcaneal bursitis. Diagnosis may be confirmed with an ultrasound investigation, MRI or CT scan.<br><br>Non Surgical Treatment<br>Your health care provider may recommend the following treatments. Avoid activities that cause pain. Ice the heel several times a day. Take nonsteroidal anti-inflammatory medications (for example, ibuprofen). Try over-the-counter or custom heel wedges to help decrease the stress on the heel. Try ultrasound treatment during physical therapy to reduce inflammation. Use physical therapy to improve flexibility and strength around the ankle, which can help the bursitis improve and prevent it from coming back. If these treatments don't work, your health care provider may inject a small amount of steroids into the bursa. After the injection, you should avoid stretching the tendon too much because it can break open (rupture). If the condition is connected with Achilles tendinitis, casting the ankle for several weeks to keep it from moving can be effective. Very rarely, surgery may be needed to remove the inflamed bursa.<br><br>Surgical Treatment<br>Surgery is rarely need to treat most of these conditions. A patient with a soft tissue rheumatic syndrome may need surgery, however, if problems persist and other treatment methods do not help symptoms.