RetroAchilles bursitis: symptoms and care

The bursa reduces rubbing where the Achilles tendon meets the heel. Repeated pressure from stiff shoes, uphill activity, running, jumping or a sudden increase in exercise can irritate it. Pain may be felt at the back of the heel and can worsen when the ankle bends upward or when footwear presses the area. A clinician may examine the skin, tendon and ankle movement to distinguish bursitis from Achilles tendon problems, a heel bone issue or infection. Visible swelling around the heel is a symptom that can be assessed alongside other findings.

Reduce the activity and footwear pressure that trigger pain while keeping gentle, comfortable movement. Ice wrapped in cloth for short periods may ease soreness. A clinician or pharmacist can advise whether an anti-inflammatory medicine is appropriate for you; these medicines are not suitable for everyone. Physiotherapy may address calf flexibility, ankle movement, strength and a gradual return to loading. If symptoms persist, a clinician may consider imaging or fluid sampling. Injections near the Achilles tendon require careful assessment because the tendon is vulnerable.

Arrange medical assessment if heel pain limits walking, keeps returning or does not settle with reduced strain. Seek prompt care for rapidly increasing redness, warmth, swelling, drainage, fever, severe pain after an injury, or inability to push off the foot. Sudden calf swelling or breathlessness needs urgent evaluation rather than home treatment.

Ask which structure is causing the pain, whether you need imaging, how much activity is sensible, and which exercises can rebuild calf and ankle strength. You can also ask when a procedure would be considered and what warning signs should bring you back sooner.