What should you know about superficial calcaneal bursitis?

A bursa reduces rubbing between skin, soft tissue and the heel bone. Repeated pressure from firm-backed shoes, prolonged walking, kneeling with the ankle pointed, or a change in activity can irritate it. The skin may look puffy or red, and the spot can feel sore to touch. The pain is usually local rather than spreading through the foot, although nearby Achilles-area irritation can feel similar. A clinician may examine the heel and ask about footwear, recent exercise and any wound. Infection, gout or another tendon problem may need different treatment, so appearance alone cannot establish the cause.

Reduce the activity and shoe pressure that trigger symptoms for a short period, while keeping gentle movement that does not increase pain. Choose footwear with a soft, non-rubbing heel area; avoid tight heel counters and direct pressure. A wrapped cold pack can calm discomfort for brief periods. Do not puncture or squeeze the swelling. A pharmacist or clinician can advise whether an anti-inflammatory medicine is suitable, especially if you have stomach, kidney, heart or bleeding problems or take other medicines. Persistent swelling may lead to options such as an injection or aspiration after assessment.

Arrange an assessment if heel pain limits walking, keeps returning, or does not settle after reducing pressure. Seek prompt medical care if the heel becomes increasingly red, hot or swollen, if fluid drains through broken skin, or if you develop fever or feel unwell; these features can signal infection. Sudden severe pain after an injury, inability to bear weight, or new numbness also warrants urgent evaluation.

Ask: Is the painful swelling coming from a bursa, the Achilles tendon, the joint, or the skin? Which activities and shoe features should I change? Do I need imaging or fluid testing? Which pain-relief option fits my health history, and what signs should make me return sooner?