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How to Overcome Calcaneal Bursitis and Relieve Heel Pain

Calcaneal Bursitis, also known as heel bursitis, is a painful condition caused by inflammation of the bursa located at the back of the heel. The bursa is a fluid-filled sac that helps reduce friction and cushion the bones, tendons, and muscles around the joint. When this bursa becomes inflamed, it can cause pain and discomfort in the heel area, often making walking, running, or even standing difficult.

In this guide, we will explore the causes, symptoms, and the best treatment options for calcaneal bursitis, helping you manage heel pain and return to your normal activities.

X-ray-style illustration of a foot with the calcaneus and surrounding area highlighted to indicate bursitis.

What is Calcaneal Bursitis?

Calcaneal bursitis occurs when the bursa at the back of the heel becomes inflamed, typically due to repetitive pressure, injury, or irritation. The condition is more commonly seen in individuals who engage in activities that involve repetitive pressure on the heel, such as running, walking, or certain sports. In some cases, calcaneal bursitis may develop in conjunction with other foot conditions, such as plantar fasciitis.

Common Causes of Calcaneal Bursitis

  1. Repetitive Pressure: Prolonged pressure on the heel from activities like running, especially on hard surfaces, can cause inflammation of the bursa.
  2. Injury or Trauma: A sudden impact or trauma to the heel, such as from an accident or fall, can lead to the development of bursitis.
  3. Improper Footwear: Wearing shoes that do not provide adequate support or that rub against the heel can increase the risk of bursitis.
  4. Overuse or Strain: Repetitive motions like jumping, running, or prolonged standing can cause irritation and stress on the heel, leading to inflammation.
  5. Underlying Conditions: Certain medical conditions like gout, rheumatoid arthritis, or diabetes can increase the risk of bursitis.

Symptoms of Calcaneal Bursitis

The primary symptom of calcaneal bursitis is heel pain, which can range from mild to severe. Other common symptoms include:

  • Pain at the back of the heel: This pain is usually felt when pressure is applied to the heel, such as when standing, walking, or wearing shoes.
  • Swelling: The heel may become swollen and warm to the touch due to inflammation in the bursa.
  • Tenderness: Pressing on the back of the heel may cause increased pain or tenderness in the affected area.
  • Pain when walking or standing: The pain may be aggravated by activities that place pressure on the heel, such as walking or standing for extended periods.

Treatment Options for Calcaneal Bursitis

The treatment for calcaneal bursitis focuses on reducing inflammation, relieving pain, and preventing further irritation. Common treatments include:

1. Rest and Activity Modification

Taking breaks from activities that place pressure on the heel, such as running or standing for long periods, is essential for recovery. Modifying activities and avoiding high-impact exercises can help reduce inflammation and promote healing.

2. Ice Therapy

Applying ice to the affected heel for 15-20 minutes at a time can help reduce swelling and numb the area, providing temporary relief from pain. Ice therapy should be done several times a day, especially in the initial stages of the condition.

3. Footwear Modifications

Wearing shoes that provide adequate support and cushioning for the heel is crucial in managing calcaneal bursitis. Shoes with proper arch support and a cushioned sole can help reduce pressure on the heel and prevent further irritation.

4. Stretching and Strengthening Exercises

Stretching the calf muscles, Achilles tendon, and plantar fascia can help reduce tension on the heel and alleviate pain. Strengthening exercises for the foot and ankle muscles can also provide added support to the heel and prevent recurrence of bursitis.

5. Anti-inflammatory Medications

Over-the-counter NSAIDs like ibuprofen or naproxen can help reduce inflammation and manage pain. In more severe cases, corticosteroid injections may be recommended to reduce inflammation and provide longer-lasting relief.

6. Physical Therapy

Physical therapy can be effective for calcaneal bursitis by improving flexibility, strength, and range of motion in the foot and ankle. A physical therapist may use techniques like ultrasound therapy, massage, and specific stretching exercises to alleviate pain and improve function.

7. Surgery (in Severe Cases)

In rare cases, when conservative treatments fail to provide relief, surgery may be required to remove the inflamed bursa or address any underlying foot abnormalities contributing to the condition.

Prevention of Calcaneal Bursitis

To reduce the risk of developing calcaneal bursitis, consider the following tips:

  • Wear supportive shoes: Choose shoes with cushioning and proper arch support to reduce pressure on the heel.
  • Avoid high-impact activities: Limit activities like running on hard surfaces or excessive jumping that place stress on the heel.
  • Stretch regularly: Stretch the calf muscles, Achilles tendon, and plantar fascia to reduce tension on the heel.
  • Use proper techniques: If you engage in physical activities or sports, make sure to use proper techniques to avoid unnecessary strain on the foot.

Calcaneal bursitis is a common condition that can cause significant pain and discomfort in the heel. With the right treatment, including rest, ice therapy, footwear modifications, and physical therapy, most individuals can manage the pain and return to normal activities. If you are experiencing heel pain or suspect you may have calcaneal bursitis, Cole Pain Therapy Group is here to help. Our team of experts can develop a personalized treatment plan to address your symptoms and promote healing.

Contact us today to begin your journey toward pain-free heels and improved mobility.

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Dr. Bradford J. Cole, DC, MS, CSCS
Dr. J. Colby Poston, DC
Dr. Daniel Smith, DC
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(901) 377-2340

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