Bursitis commonly affects joints used in repeated motions such as throwing a ball, or joints that bear pressure from being in the same position for a while, such as leaning on your elbows. The most
common spots for bursitis are the shoulders, elbows or hips. Bursitis can also affect the knees (sometimes called ?housemaid?s knee? or ?vicar?s or preacher?s knee?), the heel of the foot or the base
of the big toe. The good news is bursitis usually goes away with simple self-care treatments. However, not all cases of bursitis are from overuse, it can also be caused by an infection (called septic
bursitis) or another condition such as arthritis. Therefore, it?s important to talk to your doctor if you think you have bursitis.
High impact activity, such as running. Trauma to the heel such as jumping from a height. Increase in training levels. Lack of shock absorbency in the trainers worn. Worn running shoes. Poor
biomechanics. Loss of the fat pad under the heel. Increase in weight.
Bursitis involving the heel causes pain in the middle of the undersurface of the heel that worsens with prolonged standing and pain at the back of the heel that worsens if you bend your foot up or
Careful examination by your physician or physiotherapist can determine if the inflammation is from the Achilles tendon or from the retrocalcaneal bursa. Tenderness due to insertional Achilles
tendinitis is normally located slightly more distal where the tendon inserts into the back of the heel, whereas tenderness caused by the retrocalcaneal bursa is normally palpable at the sides of the
distal Achilles tendon. Diagnosis can be confirmed with an ultrasound investigation, MRI or CT scan.
Non Surgical Treatment
It is important to treat bursitis in the early stages to reduce the symptoms, minimize damage and maintain motion and strength in your foot. Resting your ankle, using proper cushioning, wearing
comfortable footwear and reducing any activities that add pressure on your bursa will help to reduce your pain and bursitis inflammation.
Surgery is rarely done strictly for treatment of a bursitis. If any underlying cause is the reason, this may be addressed surgically. During surgery for other conditions, a bursa may be seen and