Retrocalcaneal bursitis is the inflammation of the fluid filled sac located between the heel bone and the Achilles tendon. The inflammation may be caused by shoe irritation, a tight Achilles tendon, Achilles tendonitis, or a bony growth in the back of the heel known as a Haglund's deformity.
In individuals with bursitis due to a Haglund’s deformity the Achilles Heel Protector is an excellent solution to decrease pressure in the area. In individuals with a tight Achilles tendon excessive pressure is placed on the tendon and bursa. This excessive pressure will result in inflammation of the bursa. Achilles stretching exercises are helpful in decreasing tension in the tendon thereby reducing pressure in the area of the bursa. An Ovation Night Splint is also an effective way of passively stretching the Achilles tendon. Elevating the heel in the shoe will also reduce tension on the Achilles tendon as it passes over the bursae. Elevation of the heel can be accomplished with a Scott Heel Lift or Scott Heel Cushion.
Excessive rotation of the heel bone inside the shoe can cause irritation as the heel bone rubs on the back of the shoe. Excessive inward rotation of the heel associated with flat feet can also cause excessive tension on the Achilles tendon and underlying bursae sac. Ortho-Dynamic Orthotics are very effective in reducing excessive inward rotation of the heel inside the shoe. Supportive shoe gear like those found on this site can also help prevent excessive rotation of the heel due to flat feet. In some cases immobilization of the foot and ankle with a Cam Walker by Oviation may be needed.