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Retrocalcaneal Bursitis with Tendinosis

Retrocalcaneal Bursitis with Tendinosis (Heel Pain)


The retrocalcaneal bursa is a fluid filled sac that is located in the back portion of the heel bone. It decreases friction between the attachment of the Achilles tendon and the calcaneus at the Achilles tendon insertion. “Bursitis” represents inflammation to this fluid filled sac which causes pain. “Tendinosis” represents thickening of the Achilles tendon at it insertion site on the heel bone related to chronic inflammation.


Pain noted to the back portion of the heel bone at the attachment site of the Achilles tendon.
Swelling and warmth are often noted
Pain with extension of the foot at the ankle level
Pain generally worse with initial rising from a prolonged sitting or laying period


X-rays of the heel bone will often show evidence of bone spurring at the back portion of the heel projecting in the line of pull of the Achilles tendon
MRI is generally not indicated

Conservative Treatment

ICE to heel twice daily 10-15 minutes
Anti inflammatory medications like ibuprofen or naproxen as indicated by treating physician
Calf stretching (Pro-Stretch PS-100)
Shoe with heel or internal heel lift within the shoe
Cast boot or CAM walker with heel lift for three weeks for acute pain
Night splint during all phases of treatment to maintain the foot at ninety degrees to the leg

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Select a View

The first step is to determine where the affected area is on the foot, and choose the appropriate foot view below that best shows that area.

Suggested Item

  • Image alternate description
    Pro-Stretch PS-100

    Pro-Stretch PS-100 helps control heel pain in minutes
    * Pro-Stretch stretches the foot in the proper position to relieve plantar fasciitis, heel spurs and heel pain, calf muscle pain, and Achilles tendonitis.

  • Dr. Jill\'s Adjustable Heel Lifts
    Dr. Jill's Adjustable Heel Lifts

    Slip this heel lift inside the shoe to discreetly add length to a shorter leg. Provides the height needed to support and enhance body alignment and improve balance.

  • Ossur Equalizer Air Walker - Low Walker
    Ossur Equalizer Air Walker - Low Walker

    Patented pneumatic system increases stabilty while decreasing pain and swelling; air is easily adjusted to achieve desired compression and a custom fit; accomodates the swelling patterns that occur throughout the rehabilitation process.

  • Ossur Exoform Dorsal Night Splint
    Ossur Exoform Dorsal Night Splint

    Night splints have been clinically demonstrated to reduce the symptoms of Plantar fasciitis,heel spurs, Achilles tendonitis, and drop foot.


Schedule an Appointment

Please call 805.543.7788 for San Luis Obispo, 805.434.2009 for Templeton, or email us to request an appointment.