Calcaneal insertionitis or bursitis, also referred to as retrocalcaneal bursitis, is an inflammation of the Achilles tendon at its insertion into the calcaneous (heel). It is caused by many of the same factors as Achilles tendonitis – forefoot pronation, overuse – and some of the same factors as a pump bump – poorly fitting shoes pressing on the calcaneal bursa.
This condition appears as a symmetrical lump with growths on both sides of the Achilles tendon at its insertion. It is distinguished from a pump bump in that the pump bump has the lump on the lateral or medial side of the tendon only.
Other names or similar foot conditions:
- Calcaneal bursitis
- Retrocaneal bursitis
Symptoms:
- Symmetrical lump where calcaneous and Achilles tendon meet
- Redness and swelling
Signs to look for:
- Pronating foot
- Large lump with growths on both side of the Achilles tendon at its insertion
Possible Causes:
- Ill fitting shoes
- Overpronation
- Overuse
Goals:
- Remove pressure from the insertion of the calcaneous
- Control motion of the foot to reduce pronation
- Improve shock absorption at heel
How We Help:
Arch Supports:
- BioOrthotic exercising support with metatarsal lift
- Lower and thinner arch support with longitudinal and metatarsal support for use when shoes cannot accommodate the BioOrthotic exercising support
Shoes:
- Extra depth, double or triple depth shoe with high toe box, firm heel counter, rocker sole and connecting shank
- Smart footwear, such as heel to toe rockers, negative heel shoes or shoes with titanium springs
- Avoid flip-flops. Only wear sandals with a back and only the Orthaheel, Alegria or Aetrex brand
- Wear heels and pumps minimally
- Walk barefoot minimally
Other:
- Rubber heel lift can lift heel above the area rubbing at the heel, but discard when inflammation resolves so Achilles tendon is not shortened on a long-term basis. Wear the lift in both shoes so leg lengths aren’t changed
- Spot stretch at spot with ball and ring stretcher
- A donut pad at heel counter around the bony prominence, just below the top line of the shoe, sometimes provides enough space to reduce the pressure
Activities:
Rotate weight-bearing exercises, such as walking or jogging, with non-weight bearing exercising, such as swimming or bicycling
This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care. The information has been compiled from sources available to the general public and referenced below. Copyright 2005-2010 Carole Romig
Sources Image: Picom.wordpress.com Text: D. Janisse, CPed, Editor, Introduction to Pedorthics, A. Decker, S. Albert, Contemporary Pedorthics, I. Alexander, The Foot: Exam & Diagnosis