Achilles bursitis

Achilles tendon bursitis is an inflammatory pathology that develops in the synovial bag of the Achilles tendon. The progression of the disease causes the accumulation of exudate and compaction of connective tissue structures. Bursitis usually develops as a result of excessive loads or destructive-degenerative changes in the tissues of the Achilles tendon. Its main symptom is pain in the joint of varying intensity, which occurs during movement, and sometimes at rest. Pathology lends itself well to conservative treatment, with a timely visit to the doctor does not provoke the development of complications.

Causes

Achilles tendon bursitis can develop under the influence of both internal and external negative factors. But the main cause of the pathology is the effect of loads exceeding the tensile strength of the ankle joint. Often, the disease is diagnosed in untrained people after walking long distances, jumping in length and height. The inflammatory process, often affecting not only the tendon, but also tissues localized nearby, also occurs in such cases:

  • regular wearing of shoes with high heels or overly squeezing foot;
  • obesity, initially provoking flat feet, and then bursitis;
  • sports related to weight lifting;
  • carrying out work on moving weights.

Pathology often develops against the background of the underlying disease, in which metabolic processes are upset. For example, bursitis is a frequent companion of gout, which provokes the deposition of uric acid compounds in the articular cavities and tendons. It occurs in severe forms of rheumatoid arthritis, ankylosing spondylitis. Diseases are accompanied by an inflammatory process that extends to the Achilles tendon.

Microorganisms also become the cause of bursitis. Non-specific pathology is caused by staphylococci and streptococci, specific – pathogens of syphilis, gonorrhea, tuberculosis, dysentery, brucellosis. After penetration into the tendon region, their active reproduction occurs, substances that have a toxic effect on the tissues and trigger the inflammatory process are released.

Excessive physical activity leads to a decrease in the “spring” functional activity of the foot. Achilles tendon loses elasticity, lengthens and hardens. The structural elements of the joint can not cope even with minor loads, and bursitis takes a chronic relapsing course.

Symptoms

In the acute stage of inflammation, the symptoms of Achilles tendon bursitis are most intense. The back of the leg is red and swollen. Edema quickly spreads to the foot, especially when the synovial bag is infected with pathogenic bacteria. The accumulation of excess fluid leads to increased pain due to compression of the sensitive nerve endings.

Pain in the ankle occurs when walking, its severity increases when climbing or descending stairs. If impurities of pus appear in the exudate, then the uncomfortable sensations even prevent you from falling asleep. A person wakes up from aching, jerking pain, which disappears only after taking the pills. With purulent bursitis of the Achilles tendon, symptoms of general intoxication of the body often arise:

  • fever, chills, rise in body temperature above 38,5 ° C;
  • profuse sweating, cold perspiration;
  • dyspeptic disorders – attacks of nausea, vomiting, increased gas formation;
  • neurological disorders in the form of dizziness and headaches.

Even “neglected” joint problems can be cured at home! Just remember to smear it once a day.

Swelling and pain negatively affect the functioning of the foot. The range of motion decreases, when walking a person begins to limp noticeably. With purulent bursitis, the pain syndrome is so strong that emphasis on the foot is impossible.

Severe inflammation can be determined by touching the reddened heel and (or) lower leg. Body temperature in these areas will be higher than on a healthy leg, due to overflow of blood in large and small vessels.

Diagnostics

The initial diagnosis is made on the basis of patient complaints and external examination. The doctor also focuses on the anamnesis. In the presence of any joint disease in it, especially gout or rheumatoid arthritis, bursitis of the joint or Achilles tendon is immediately assumed. The most informative diagnostic technique is radiography. In the pictures, inflammation of the connective tissues is not visible, but the formed calcifications, areas with calcifications are clearly visible. Bursitis is determined by the calcaneus, which has lost its original configuration. To diagnose the disease, such instrumental techniques can be used:

But they are assigned to the patient only with low informational content of radiography. Laboratory tests are mandatory. With the help of a puncture, exudate is taken from the synovial bag and plated in culture media. The number of colonies of microorganisms formed can determine the degree of the inflammatory process. Based on the results of the tests, the resistance of bacteria to certain groups of antibiotics is established.

Ultrasound reveals bursitis at the initial stage, and computed and magnetic resonance imaging are expensive procedures. Their informational content in detecting bursitis is even inferior to radiography.

The main methods of treatment

The intensification of the inflammatory process occurs as a result of increased production of synovial fluid. Therefore, treatment of Achilles tendon bursitis is aimed at reducing the amount of exudate. This requires immobilization of the ankle. It is fixed with the help of a bracket, a rigid orthosis with metal or plastic inserts. At rest, the synovial fluid ceases to be produced, and the inflammation subsides. Rheumatologists and orthopedists recommend wearing orthoses throughout the treatment – from 10 days to a month. Gradually, the degree of fixation decreases to prevent muscle atrophy.

At the initial stage of therapy, exudate is pumped from the synovial membrane, and its walls are treated with antiseptics. The following pharmacological preparations can be used in treatment:

  • non-steroidal anti-inflammatory drugs (NSAIDs). Assigned to patients for relief of inflammation, swelling, pain relief. The greatest therapeutic efficacy is characteristic of the tablets Nise, Diclofenac, Meloxicam, Ibuprofen. NSAIDs are used only in combination with proton pump inhibitors, for example, with omeprazole. These drugs prevent damage to the NSAIDs of the gastric mucosa. It is also advisable to use non-steroid drugs in the form of ointments, gels, creams – Voltaren, Indomethacin, Fastum;

To reduce body temperature, patients are prescribed drugs with ibuprofen or nimesulide. Paracetamol in the form of syrups, tablets, capsules, rectal suppositories copes well with hyperthermia.

At the beginning of therapy, cold compresses can be used to reduce the severity of pain and swelling. A bag filled with ice cubes and wrapped in several layers of tissue should be applied to the area of ​​inflammation for 10 minutes, and then take a half-hour break.

After stopping inflammation, rheumatologists recommend using warming ointments, for example, Capsicam or Finalgon. They improve blood circulation in damaged tissues and accelerate regeneration.

If pathogenic microorganisms or pus were detected during laboratory tests in punctate, then conservative treatment may not help. Surgery is recommended for patients. The synovial bag is opened, tissues affected by inflammation are excised. With a recurrent course of Achilles tendon bursitis, the bag is completely removed.

A group of drugs for the treatment of Achilles tendon bursitis Name of medicines
Nonsteroidal anti-inflammatory drugs Nise, Nimesulide, Ketorol, Ketorolac, Diclofenac, Meloxicam, Piroxicam
Glucocorticosteroids Prednisolone, Dexamethasone, Hydrocortisone, Triamcinolone, Kenalog
Antibiotics Ampicillin, Amoxiclav, Flemoclav, Clarithromycin, Josamycin, Cefotaxime
Antipyretics Paracetamol, Ibufen, Panadol, Solpadein, Mig, Efferalgan, Fervex
Anti-inflammatory ointment Indomethacin, Arthrosilen, Fastum, Voltaren, Ketorol, Indovazin, Ibuprofen
Ointments with a warming effect Finalgon, Capsicam, Viprosal, Apizartron, Nayatoks, Efkamon, Revmalgon

Folk remedies in the form of lotions or compresses are used only at the rehabilitation stage. They help accelerate tissue healing in the postoperative period. The main treatment is carried out only with the help of drugs under medical supervision.

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Achilles tendon bursitis

Achilles tendon bursitis is a serious disease that occurs in the synovial sac or bursa. The appearance is explained by the development of the inflammatory process in the bursa, where the Achilles tendon connects to the bones of the foot.

Achillobursitis is a lesion of the articular cavities, which are filled with a shock absorbing, lubricating fluid. There is inflammation of the mucous bags, painful sensations appear when walking. Depending on the location of the bags, which are subject to inflammation, injuries, types of Achilles tendon bursitis are determined.

Often, the onset, progressive development of inflammation of the Achilles tendon is observed in young women, in representatives of the stronger half, such cases are rare. The aggravation of bursitis formation is provoked by regular, constant squeezing with a hard back wall of the shoe.

Types of Achilles tendon inflammation

Doctors distinguish several types of Achilles pathologies, accompanied by severe painful sensations, unpleasant limitation in movements. Kinds:

  • posterior calcaneal bursitis (Haglund deformity) – inflammation of the synovial sac located between the ligament and skin (most often the treatment is long);
  • anterior bursitis (achillobursitis) – a swelling of the synovial sac located between the thick connective tissue and bone;
  • Albert’s disease is an inflammatory disease process that occurs in front of the specified organ, which is subjected to injuries;
  • a disease of the subcutaneous calcaneal bag, which is the same inflammation as achillobursitis, the difference is the development in front of the organ.

The treatment of diseases depends on their form – the acute inflammatory process is provoked in most cases by infections, accidental factors. A chronic type of inflammation develops due to existing pathologies of the lower extremities. If the acute form is easy to identify, quickly cure, then with chronic Achilles tendon bursitis, the symptoms are invisible, it is not easy and quick to fight.

To prescribe treatment, the doctor determines the form of the disease. It is important not to confuse the acute inflammatory process with the rupture of the Achilles tendon – the symptoms are similar. More often, a gap is diagnosed by a crunch that accompanies an injured place. The painful sensations in this case are sharp, unpleasant, the edema develops quickly – in minutes the leg swells.

Causes of Achilles tendon inflammation

Achilles tendon bursitis develops in the presence of factors:

  • viruses of infectious origin;
  • pathological deformities of the lower extremities;
  • ordinary, rheumatoid arthritis;
  • regular physical activity on the lower limbs;
  • arthrosis;
  • injuries of the calcaneus, tight ligaments;
  • congenital pathologies of the lower extremities;
  • gout;
  • diseases of the musculoskeletal system;
  • acquired infections due to injuries (staphylococci, streptococci, pyogenic microbes).

Among the reasons that provoke the development of Achilles tendon bursitis, it is worth paying attention to:

  • regular wearing uncomfortable, hard shoes;
  • overweight problems;
  • hypothermia;
  • general weakness of the organs of the ligamentous apparatus.

Symptoms of Achilles tendon inflammation

The treatment of the disease depends on the type, form of the inflammatory process.

Symptoms of Achilles bursitis:

  • pain in the lower extremities in a calm state;
  • swelling along the lower limb in the area of ​​connective tissue;
  • redness of the affected area;
  • discomfort in the lower limbs after a night, a long rest;
  • increased pain due to jumping, other physical exertion;
  • restriction of movements in the lower extremities;
  • the presence of fluctuations.

Treatment is recommended to start as soon as possible, the disease on both lower limbs leads to complete immobilization of the person (happens with insufficient therapy).

Signs of a subcutaneous calcaneal disease are also unpleasant sensations during pressure. The acute form of the inflammatory process is characterized by mild education. Chronic – hardening of the formation in the heel.

The posterior variant of Achilles tendon inflammation is accompanied by an ankle tumor, which limits mobility. In the acute stage, the ligaments are thickened, swollen, the patient has to limp. Chronic form – swelling, prolonged pain, problems with wearing ordinary, comfortable shoes.

Diagnosis of Achilles tendon bursitis

Treatment is prescribed after a diagnostic study. The first indicator is the swollen area of ​​the affected heel, lower limbs. It is necessary to visit an orthopedist, orthopedic traumatologist, physiotherapist.

An initial examination allows you to determine the final diagnosis: Achilles tendon bursitis. Treatment can begin in a short time, providing the patient with positive results. The doctor, in order to confirm the diagnosis, will prescribe the studies:

  • blood test (excludes diabetes, gout);
  • radiography;
  • ultrasonography;
  • Magnetic resonance imaging.

Causes of achillobursitis

There are many reasons that provoke the progression of the inflammatory process of the joints in the heel. Excessive loads on the lower extremities, incorrect position of the foot during walking are considered common. Inflammation begins due to the presence of factors:

  • excessive load of the muscles of the lower extremities (while running, climbing uphill);
  • wearing narrow, uncomfortable shoes;
  • wearing shoes with high heels, a sharp change to slippers;
  • joint problems (gout, arthritis, other diseases);
  • infection of an infectious origin.

Often it is impossible to avoid strong physical exertion on the lower limbs. Medicine recommends controlling the intensity of loads, alternating loads with rest. So you can reduce the risk of the appearance, progression of the inflammatory process in the joints. The lower limbs should exercise with regular, feasible physical activity.

Treatment of Achilles tendon inflammation

Science offers physical therapy as a treatment for Achilles tendon bursitis: it is recommended to prescribe anti-inflammatory creams, physiotherapy. In rare cases, a full examination will require examination by a surgeon. It is recommended to provide rest of the damaged lower limb (the heel is used).

Treatment of Achilles tendon bursitis is to reduce inflammation, to adjust the position of the foot in order to reduce pressure on the heel. An orthopedic insole, thin heel pads are used: the heel rises, the pressure on it decreases. Sometimes the back of the shoe is stretched, in this place a gasket is placed that protects the inflamed joint bag from friction, damage, injuries.

At the choice of the patient may be offered special shoes designed to adjust the position of the foot during movement. If these methods of conservative treatment are ineffective, medicine suggests surgery.

In rare cases, doctors offer surgical intervention: for young people, after conservative treatment, the muscles are weakened, located to repeated injuries. With the help of surgical intervention, it is possible to completely restore the tendon, ensuring stability against further injuries.

Treatment is popular with alternative methods, more often doctors do not recommend it without prior coordination with them. Among the common methods of traditional medicine, attention should be paid to:

  • dry heating on a brick;
  • foot bath using pine needles;
  • special tincture-compress with alcohol, lilac;
  • a compress based on honey, vodka, aloe;
  • a compress of shabby horseradish or fat without salt (used at night).

The ice is effective, which, when applied, can alleviate painful sensations (in the case of a fresh tear). It will be useful to take sedatives, painkillers of natural origin.

Prophylactic treatment of Achilles tendon bursitis

In order to prevent the onset, progression of a disease that damages the musculoskeletal system of the body, it is recommended to reduce the load of mechanical, physical origin. For preventive treatment, doctors recommend that you follow a balanced diet, avoid problems with overweight, and use comfortable, soft shoes.

It is necessary to eat foods containing many vitamins, food of plant origin. To combat overweight, adjust body weight with diets, regular exercise. An orthopedic surgeon will advise on the selection of high-quality therapeutic and preventive shoes (there are special additional orthopedic insoles, arch support).

Achillobursitis: what is the danger of the disease?

The problem is developing gradually. Timely initiation of therapy provides stabilization of the patient’s condition. Ignoring the primary symptoms of the disease is fraught with prolonged disability.

Causes

Heel bursitis is a problem that progresses against the background of a mechanical or infectious lesion of the Achilles ligament. Due to local tear or penetration into the bag of the pathogen, inflammation occurs.

At the place of attachment of the tendon to the calcaneus, the amount of synovial fluid increases, which exerts additional mechanical pressure on neighboring structures.

Common causes of achillobursitis:

  • Long wearing uncomfortable shoes. Due to the compression of the foot from the back, friction in the area of ​​the described ligament increases. The result is the appearance of calcaneal bursitis.
  • Mechanical injury: Sprains, torn ligaments in the specified area lead to a violation of the integrity of the corresponding bag. Heel bursitis in this case acts as a secondary disease.
  • Excessive exercise. The specified factor is characteristic for athletes. Calcaneal achilobursitis develops due to chronic tendon overstrain with the formation of small tears of collagen fibers.
  • Infections and systemic diseases of the connective tissue. Due to degeneration of the ligaments, supra- or heel bursitis occurs.
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Regardless of the cause of the pathology, treatment is aimed at minimizing the clinical signs and restoring the normal structure of the ligaments.

Calcaneal bursitis is a pathology that is classified according to the mechanism of occurrence. Allocate:

  • Primary Achilles bursitis. The disease progresses as an independent problem against the background of the relative health of the patient.
  • Secondary bursitis on the heel. In this case, the problem is a consequence of the underlying pathology (trauma, surgery).

Depending on the nature of the process, heel bursitis is acute, subacute, and chronic. The increase in clinical symptoms occurs most quickly in the first case. If a specific bacterial pathogen (pale treponema, gonococcus) takes part in the process of the occurrence of achillobursitis, then the disease is classified as specific.

Depending on the nature of the contents synthesized in the bag with calcaneal bursitis, the disease is divided into the following types:

  • Purulent.
  • Hemorrhagic heel bursitis (there is blood in the synovial space).
  • Serous (aseptic fluid).
  • Fibrinous.

Depending on the form and type of calcaneal bursitis, the severity of symptoms differs.

Symptoms

The clinical picture of the described disease has features in different periods of the development of pathology. In the early stages, the patient may not pay attention to discomfort in the calcaneus. However, a progressive tendon lesion worsens a person’s well-being.

Manifestations of heel bursitis deliver a lot of discomfort to the patient. In severe cases, a person becomes disabled.

Symptoms of achillobursitis:

  • Pain in the area of ​​attachment of the ligament to the calcaneus.
  • Redness of the affected area.
  • Edema and deformity of the calcaneus. The patient cannot put on shoes or load the leg.
  • Tendon thickening.

A feature of the symptoms with bursitis of the heel remains their increase at the slightest load. Even a regular trip to the toilet gives the patient a lot of trouble.

Which doctor treats heel bursitis?

Depending on the severity of the symptoms of the heel bursitis, doctors of different specialties can treat the pathology. At the initial stages, when the disease is limited to discomfort after physical exertion, a family doctor or a local therapist is engaged in rehabilitation. The appointment of painkillers with the provision of the affected limb of rest guarantees an improvement in human well-being.

In more severe forms of the disease, the help of an orthopedist, surgeon or rheumatologist may be required. In each case, the selection of a therapeutic program is carried out individually.

Diagnostics

Diagnosis of the corresponding pathology involves the use of a complex of techniques and procedures.

To verify the cause of symptoms, apply:

  • Inspection of the affected area.
  • Palpation of the zone of attachment of the tendon to the calcaneus.
  • Radiography to rule out fractures.
  • Laboratory studies (general and biochemical analysis of blood).
  • Ultrasound of the corresponding joint.

In some cases, to clarify the diagnosis, a puncture of the bag may be required to establish the nature of the fluid inside.

Treatment

Treatment of heel bursitis is aimed at stabilizing joint function with minimizing symptoms. To improve the condition of collagen fibers, the patient needs rest.

It is necessary to reduce any physical activity. To treat Achilles tendon bursitis without taking into account this circumstance is useless.

Medicines

The drug approach to healing the patient in this case involves the use of anti-inflammatory and analgesic drugs.

In practice, the following groups of funds are assigned:

  • Nonsteroidal anti-inflammatory drugs (Paracetamol, Ibuprofen).
  • Analgin.
  • Glucocorticosteroid drugs.

Medications are used both internally and externally for a complex effect on the affected area.

Rehabilitation treatment

Medication is well complemented by physiotherapeutic procedures. Improvement of the affected tendon is achieved through the following methods:

  • The influence of ultrasonic waves.
  • Magnetic therapy.
  • Physiotherapy.
  • Electrophoresis.
  • Massage.

All these methods are aimed at stabilizing microcirculation in the affected area with acceleration of regeneration processes. At the same time, tight dressings should not be forgotten to minimize the mobility of the damaged structure.

Folk remedies

Treatment of achillobursitis with folk remedies is effective only in the early stages of the disease. With severe damage to the ligament, no decoctions and infusions will help.

  • Black radish compress.
  • Dressing soaked in horseradish juice.
  • Tendon warming with dry salt.

All of these methods of treating heel bursitis at home are aimed at accelerating blood flow in the affected area. Traditional medicine can only be used as an auxiliary method of healing.

Operation

Surgery is performed in advanced cases when the disease is not amenable to medical treatment. The surgeon’s help may consist in suturing the ends of the tendon (if it is torn), excising the bursa or removing its contents. In each case, the approach to a particular patient is individual.

Complications

If you ignore the symptoms and lack of timely treatment, the pathology can be complicated.

Options for negative consequences:

  • Phlegmon.
  • Septic blood infection.
  • Severe deformation in the area of ​​attachment of the tendon.

To prevent the development of complications, you need to start treatment as quickly as possible.

Prevention

Prevention of the described pathology is to minimize the influence of risk factors. In addition, you need to fully eat and lead a healthy lifestyle.

Heel bursitis is a disease that gives the patient a lot of discomfort. To stabilize the condition of the tendon, a whole range of measures is required. It is best to prevent the disease than to fight it. To do this, if you experience discomfort in the heel area, you should consult your doctor.

Posted by: Denis Volynsky, Doctor,
specially for Ortopediya.pro

Useful video about the treatment of achillobursitis

What is bursitis. Dangerous pathology in adults and children

Heel bursitis – the presence of any inflammatory development in the joint bag. Often, its development can be observed in the area of ​​accession of the Achilles tendon to the heel. Often you can meet bursitis with sports people, as well as those who are engaged in heavy physical labor.

The early stage of achillobursitis is very treatable, but if you neglect the therapy started on time, then further stress on the foot will only worsen the course. If you know the causes of bursitis, consider its symptoms, then you can track the onset of pathological development.

What is heel bursitis

Heel bursitis, what is it? The heel bursitis is something similar to the heel spur. If inflammation of the calcaneus is detected, competent and timely treatment should be carried out.

Plantar bursitis can be chronic and complicated by disability. If inflammation occurs, you should not be treated on your own, you should immediately consult a doctor to establish an accurate diagnosis. Doctors using traditional medicine methods can give a positive result only with the treatment methods that the doctor will prescribe.

Calcaneal bursitis captures the synovial bag in inflammation and causes tendonitis. It is placed on the back of the heel where the Achilles tendon is attached.
Achilles tendon bursitis arises in overweight people, athletes, as a result of any injuries.
After that, exudate is formed in the cavity of the heel joint, which saturates the cells.

The surface becomes vulnerable to any infections, even the formation of a purulent cavity is possible.

Infection of streptococcus or staphylococcus, and in addition, other diseases are often the causative agent of purulent achillobursitis.
Specific bursitis is one of the variations of the foot bursitis, it can be caused by gonococci, pneumococci and even tubercle bacillus.

Chronic bursitis may result from a mechanical irritant or sports injuries.

Causes of achillobursitis

The main reasons for the appearance of an inflammatory reaction of the heel joint bag are various injuries. They are also the cause of the formation of fluid impregnating soft tissues.

And the very occurrence of calcaneal bursitis causes the combination of the release of fibrin and exudative effusion into the synovial fissure, especially after injuries, with the addition of blood to the tissues.

A defect in the subcutaneous articular bag entails Achilles tendon bursitis. According to studies and statistics, achillobursitis and its causes are:

  • Damage and breaks in the place of the synovial bag due to weight lifting in athletes
  • Inconvenient narrow non-orthopedic shoes
  • The presence of chronic pathologies in the ankle area
  • The presence of tuberculosis polyarthritis

Pathogenic microorganisms, as well as brucellosis bacillus, can be the basis for the development of an inflammatory area, as well as an infection of viral origin.

Symptoms of calcaneal bursitis

Characteristic signs of calcaneus bursitis:

  • Swollen, swollen area near Achilles
  • Soreness in the synovial bag, which is located in the thickness of the heel when you click on it
  • The presence of pain during various movements can also be very painful in the morning
  • The pronounced course of the disease is a noticeable manifestation of symptoms – high fever, purulent effusion
  • Redness of the affected area

Achilles bursitis in its symptoms is easily confused with a heel spur. Only a doctor is able to establish an accurate diagnosis.

You can’t postpone the visit to the doctor: the disease is dangerous, its untimely or incorrect treatment brings disability.

In case of detection of achillobursitis and symptoms, an immediate appeal to a specialist is necessary so as not to aggravate the condition and conduct proper timely treatment.

Inflammation of the joint bag of the heel in children

The inflammatory process in the periarticular bag at a young age can be seen extremely rarely. But still, cases occur, and their cause may be injuries such as bruises and dislocations.

The selection and purchase of shoes is important for the health of the foot. If you still don’t want to buy orthopedic shoes or you can’t, you can purchase special insoles. Children need to be controlled and reminded of safe games so as not to start the process in a periarticular bag.

Diagnosis of bursitis

To accurately determine the diagnosis, you need to go through a number of studies:

  • The approval of the pathogen (various bacteria) as well as the stage of the disease. This can be understood by taking a sample of the fluid that formed during the illness.
  • X-ray of the heel. This is necessary to check if there is a growth.
  • A blood and urine test is taken from the patient; a general health check is performed, because doctors need to find the cause of the ailment.

After passing all the diagnostic methods for calcaneal bursitis, the patient learns about the exact diagnosis, and the doctor begins to work on the preparation of the treatment.

How to treat achillobursitis

The patient is undergoing combination therapy. Achillobursitis treatment, which eliminates edema, helps to move independently painlessly.

The main methods of treating heel bursitis are: the patient is invited to wear orthoses; pills treatment; proven recipes from traditional medicine; various methods of physiotherapy.

Treatment of Achilles tendon bursitis will affect the normal life of a person.

  • Lower weight
  • Limit sports for a while
  • Fix the foot in one position with a bandage or plaster
  • Treat new pathologies of the feet and joints
  • Treat old diseases (if any)

Medication Therapy

Treatment of calcaneal bursitis in the first place should eliminate the presence of a destructive focus.

In these cases, anti-inflammatory drugs such as Dimexide are used. Gels are also prescribed to relieve puffiness, redness and pain. In addition, the doctor makes intraarticular injections to stop the destruction of cartilage.

Chondroprotectors and muscle relaxants are taken by patients in order to quickly remove fluid, normalize blood circulation, and prevent the destruction of cartilage tissue. For acceptance, groups of drugs are shown in which adhesions and cords resolve.

Physiotherapy

Achilles tendon bursitis and its treatment is performed when the inflammation subsides a little. A doctor may recommend physiotherapy of a different nature. The number of sessions and the name of the methods of treating the disease is made by the doctor when he understands the condition of his patient.

Effective for this disease:

  • Mud therapy
  • Magnet therapy
  • Paraffin Wraps
  • Electrophoresis with drugs
  • Various massages
  • UHF warming up
  • Exercise therapy

Operative intervention

In these cases, frequent disabilities. If there is bursitis on the heel, but treatment is impossible, and also inflammation is associated with the formation of purulent exudate, you can not do without surgery.

In severe cases, it is impossible not to resort to excising a part of the bag and removing calcium deposits, if any. After that, antibacterial drugs are injected into the bursa cavity and the patient is sent to be treated on an outpatient basis.

Treatment of achillobursitis with folk remedies

How and how to treat heel bursitis at home? Folk remedies will help only at the beginning of bursitis. It is strictly forbidden to try to treat without the instructions of a doctor. Purulent calcaneal bursitis and alternative treatment are incompatible. Before heel treatment, you must visit a doctor. Treatment with folk remedies includes compresses, home ointments, herbal lotions.

How to cure bursitis – it is enough to take a fresh leaf of a cabbage head or burdock, which is first washed and slightly crushed, greased with honey and applied to the damaged area. Cellophane is placed on top and insulated, bandaged with a warm scarf.

Kalanchoe leaf compress is also popular as a remedy. Aloe stalks, alcohol and honey are taken. The alcohol is diluted with water, add aloe pulp and honey to this. After mixing, let it brew for one night, then apply it to some fabric and apply it to the heel, wrapping it with cellophane, fix it and warm it (you can also use a scarf). You need to do this compress daily.

Another compress – black radish, is applied to the heel, wrapped in polyethylene, fixed with a bandage and insulated, continue until the pain subsides. To achieve maximum effect, it is advised to use different compresses or alternate them.

Here are sample ways to treat calcaneal bursitis at home.

Preventive measures

Specialists who know their job will definitely advise on any issue. Knowledge of the things that provoke the disease is the basis of prevention.

Doctors’ advice for foot health is as follows: it is necessary to switch to PP (proper nutrition), to abandon products containing an increased concentration of purines. It is forbidden to eat fatty meat, ocean herring and sprats in large quantities. The key to health for a person is good weight, maintaining an active lifestyle.

Leg loads should not be debilitating, it is necessary to reduce them. Taking vitamins, doing warm-ups, foot massage – all this positively affects the feet.

Using a cooling cream after a hard day will help relieve fatigue and stress. High-quality and comfortable shoes made of breathable materials, or rather an orthopedic sole, should be a priority.

If you often wear flat shoes, achillobursitis can form. If you wear high-heeled shoes every day, bunion may develop. When walking everyday in uncomfortable shoes, deformation of the foot occurs. To avoid various diseases, you need to buy orthopedic shoes, or buy regular orthopedic insoles to the usual one. All for leg health!

The condition of the joints worsens if a person is sick with tuberculosis, brucellosis. Bursitis in the foot area is a dangerous consequence after colds.

Forgotten injuries also provokes deformation of the foot, the appearance of bursitis of the foot. Acute achillobursitis in the initial stages is easily treatable. But in the case of the transition of the disease into a chronic form, then surgical intervention cannot be avoided, and this is the most common cause of relapses.

In order to avoid bad consequences, both the doctor and the patient should treat the treatment with due seriousness. With proper, timely treatment, recovery is possible without bad consequences.

Achillobursitis: causes of development and treatment of joint inflammation

Achillobursitis is an inflammatory disease characterized by damage to the synovial sac (bursa) of the Achilles tendon.

The process is accompanied by increased formation of fluid inside the bursa, which leads to severe swelling and impaired motor activity of the affected limb.

A dangerous complication of the disease is the rupture of the Achilles tendon and the loss of ability to move independently.

To get rid of the disease, you should know the reasons for the development of achillobursitis and what treatment methods are most effective.

The treatment regimen is based on the conclusion of diagnostic data and the symptomatic complex present.

During the examination, examination and palpation of the affected area is carried out, an x-ray is prescribed, if necessary, a diagnostic puncture is performed to examine the exudate.

Causes of pathology

Achilles tendon bursitis develops as a result of many reasons, among which the most common are constant pressure on the heel area (this can be wearing uncomfortable shoes with hard backs, high heels).

As a rule, with mechanical action, inflammatory processes form for a long period of time, which often leads to chronic Achilles bursitis.

Other causes of tendon damage include:

  1. injury to the tendon location site with a violation of the integrity of the skin (minor cuts, abrasions) – pathogenic microflora penetrate the bursa cavity through skin lesions, which provokes the development of inflammation;
  2. pathological processes accompanied by purulent inflammation (boil, carbuncle, osteomyelitis);
  3. obesity (there is increased pressure on the joints);
  4. increased training for professional athletes (jogging or long-distance walking);
  5. flat feet (deformation of the foot, as a result of which shock absorbing functions are lost and the load on the joints increases);
  6. joint damage;
  7. metabolic disorder in the body.
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High risk factors include:

  • diabetes;
  • alcohol addiction;
  • decrease in protective properties;
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Achilles bursitis is manifested as follows:

  1. Aching pain in the tendon develops; during motor activity, the pain intensifies, sometimes spreading up the lower leg.
  2. Swelling and swelling appear above the heel.
  3. In the affected area (at the junction of the calcaneus and tendon), a painful protrusion forms, which causes significant discomfort when wearing shoes with backs.
  4. The Achilles tendon is slightly thickened when palpating.
  5. Acute inflammation is characterized by an increase in the temperature of the body to high levels (38, 5–39 degrees), worsening of the general condition, severe and severe pain.
  6. The chronic process is characterized by a less pronounced manifestation of symptoms, pain is felt when walking, running and other physical exertion, at rest there are no signs of the disease.

Treatment of the disease

The tactics of treatment of achillobursitis depends on the presence of an infectious and purulent process, the stage of the disease and the severity of the clinical picture.

First, an examination is carried out, during which the main cause of the disease is determined.

In most cases, the use of drug therapy and physiotherapeutic procedures is sufficient.

An auxiliary method is the use of traditional medicine, with which it is possible to significantly reduce the manifestation of pain and inflammation.

The treatment regimen for the disease is based on the following stages:

  • elimination of inflammatory processes;
  • restoration of cartilage and bone tissue;
  • lifestyle correction with a preventive purpose.

Together with drug therapy, it is necessary to ensure complete rest of the affected limb; for this, the joint is immobilized by means of an orthopedic splint.

Sometimes a puncture may be necessary to extract the pathological exudate from the synovial bag, followed by washing the cavity with an antiseptic and antibacterial solution. In severe cases, a partial or complete excision of the articular bag is performed.

Shoe Replacement

How can cure achillobursitis and prevent the development of inflammation in the bursa in the future? One of the important components of therapy is the replacement of uncomfortable, stiff shoes, as well as the exclusion of high heels in women.

It is recommended to wear comfortable soft shoes without hard and hard backs, mainly with a flat sole.

You should also visit an orthopedic surgeon who individually selects the necessary orthopedic products – these can be insoles or arch support.

Physiotherapy

After eliminating acute pains and inflammatory processes, various methods of physiotherapeutic procedures are prescribed.

These measures form the basis for the successful treatment of achilobursitis: their action is aimed at improving blood circulation, reducing inflammation, eliminating soreness, and restoring the elasticity of tissue structures.

The following physiotherapy techniques are used to treat Achilles tendon bursitis:

  1. Massage – the procedure is carried out by an experienced specialist who acts on certain points, kneading and rubbing are performed, all movements are smooth, without excessive pressure. For the best effect, massage is performed in conjunction with essential oils (lavender or eucalyptus) or with a special cream for a warming effect.
  2. Gymnastics – simple ankle movements are performed, certain exercises are selected by the doctor depending on the age of the patient and the severity of the disease.
  3. Shock wave therapy – is carried out after the relief of acute inflammation of achillobursitis. Acoustic waves stimulate regeneration processes in bone and cartilage tissues, improve local metabolic processes.
  4. Electrophoresis – a medicine is applied to the electrode pads, under the influence of an electric field, the substance penetrates into the damaged areas. The procedure effectively reduces swelling, soreness and inflammation.
  5. The impact of ultrasonic radiation (contribute to the thinning of viscous exudate, accelerate its excretion, relieving swelling).
  6. Laser therapy – an action aimed at improving tissue trophism, reducing inflammation, and improving blood circulation.

Medication

The treatment of achillobursitis with the help of medications is carried out in order to eliminate inflammatory phenomena and painful sensations.

In the presence of infection, antibacterial agents, NSAIDs, the administration of glucocorticoid hormonal drugs into the joint, and chondroprotectors are prescribed.

The duration of the course is up to 10 days, after which physiotherapeutic treatment is prescribed.

Together with injections and oral medication, ointments and solutions for compresses are used:

  • Solcoseryl ointment (improves metabolism in tissues, thereby accelerating regenerative processes);
  • Levomekol (has an antibacterial and healing effect);
  • Dimexide solution for compresses (the drug has antibacterial, anti-inflammatory and analgesic effects);
  • Teraflex ointment (the action is aimed at restoring cartilage tissue, stimulating collagen production and widening blood vessels).

Folk methods

Treatment with folk remedies for achillobursitis – accelerates and enhances the effect of drug therapy and physiotherapeutic procedures, helps to eliminate inflammation, swelling and pain.

Before using traditional medicine, it is recommended to consult with your doctor, since the basis of these recipes are herbal components that can provoke an allergic reaction.

The most effective include:

  1. crushed to a pulp state, the radish is wrapped in gauze and applied to the affected area of ​​the leg, cellophane is applied on top and insulated with a towel; the duration of the procedure is 60 minutes; during the day, the compress is repeated up to 3 times a day;
  2. a compress for the night from the horseradish root – a pre-crushed plant is wrapped in several layers of gauze, applied to the affected area, wrapped in cellophane, put on warm socks; before performing the compress, glycerin is applied to the skin; the course of treatment is 10 days;
  3. a compress of salt heated in a dry frying pan – before applying salt wrapped in gauze, glycerin, petroleum jelly or oil is applied to the skin; the procedure lasts no more than 30-40 minutes, is performed daily;
  4. warming with fresh pork fat – at first the leg is steamed well in the bath, you can add herbal water to the water, then a piece of bacon is applied to the diseased area, a warm sock is put on top; the procedure is performed at night;
  5. a compress of fresh cabbage leaf to the area of ​​location of the Achilles tendon – the leaf is applied at night, previously beaten until the juice appears; they wrap a foot over it with polyethylene and a warm towel.

Conclusion

It is very important to contact a medical institution in a timely manner at the first manifestations of pain and discomfort.

However, in addition to the treatment of the disease, preventive measures are important, which can prevent such a dangerous disease and its consequences.

It is recommended to use only high-quality steamed products containing an increased amount of vitamins and minerals, treat acute and chronic inflammations present in the body in a timely manner, wear only comfortable shoes, eliminate the increased load on the legs, and professional athletes need to take chondoprotective drugs.

V >

The mythical hero Achilles possessed remarkable strength, capable of overcoming any enemies. However, he had a weak spot – the heel, which today is called in honor of this hero “Achilles”. Perhaps the glorious hero had a disease, like any other person who simply did not treat her. Inflammation in the Achilles heel is called Achilles bursitis. Read all about inflammation of the joint (synovial) bag on the site vospalenia.ru.

What is achillobursitis?

Achillobursitis is an inflammatory process that occurs in the articular (synovial) sac located on the calcaneus with the Achilles tendon. Two bags are located here: between the bone and tendon and between the skin and tendon. These bags have a cushioning effect when walking. In the process of inflammation of the lining bags, epithelial cells begin to secrete an excessively large amount of fluid, which is expressed as a lump in the region of the Achilles heel. This leads to joint motor dysfunction and pain.

  1. According to the form:
    • Acute is characterized by a sharp and painful onset, is the cause of infection;
    • Subacute;
    • Chronic is a consequence of other foot diseases, the symptoms are mild and incomprehensible;
    • Recurrent.
  2. By pathogen:
    • Nonspecific;
    • Specific: gonorrheal, brucellosis, tuberculosis, syphilitic.
  3. By exudate:
    • Serous;
    • Purulent;
    • Hemorrhagic.
  4. In appearance:
    • Purulent;
    • Infectious;
    • Viral;
    • Bacterial.
  5. By location:
  • Haglund deformity (posterior bursitis) – inflammation of the synovial sac between the ligament and skin;
  • Anterior bursitis is a swelling between the thick connective tissue and bone;
  • Albert’s disease – inflammation in front at the site of attachment of the bone and tendon;
  • Subcutaneous calcaneal bag – formed in front.

Causes of achillobursitis

There are such diverse causes of achillobursitis:

  • Rheumatoid arthritis;
  • Bruises, injuries, dislocations, abrasions that contribute to secondary infection and infection;
  • Mechanical irritation in the form of physical exertion, wearing uncomfortable shoes, infections, high heels, overweight. The joint does not have time to recover from the load, which leads to inflammation;
  • Overload on the tendon;
  • Bone deformation;
  • Infections
  • Diseases of bones, blood vessels, nerves of a chronic nature.

Symptoms and signs

Symptoms and signs of achillobursitis of the articular bag of the heel are:

  • Swelling in the area of ​​the Achilles heel;
  • Pain below the knees;
  • Throbbing pain;
  • Redness of the swelling and around them;
  • Edema;
  • Fever in the heel up to 39-40ºС;
  • Crunches are heard when walking;
  • Lameness occurs.

Symptoms may increase so much that a person stops walking due to pain.

Achillobursitis in adults

Achillobursitis occurs in adults for typical reasons:

  1. In women, often because of the high heel, which is difficult for them to walk;
  2. In men, often due to tight fit or physical strain on the tendons during exercise.

Sprains – everyone is familiar with this. Long walking in uncomfortable shoes – if there is no money for high-quality shoes, then this reason becomes priority. An adult often walks a lot, and must follow the dress code, where shoes are not always light and comfortable. This makes achillobursitis a frequent occurrence. Cases of overweight, which can be observed in both women and men, are frequent.

In the elderly, the disease develops against a background of loss of tendon strength and changes in its structure. Leg pain occurs, scar tissue forms.

Inflammation of the joint bag of the heel in children

In children, inflammation of the joint bag of the heel is quite rare. Bruises and dislocations, which are a frequent occurrence in children’s “moving” years, become common causes. Parents do not skimp on comfortable shoes that the child gladly shoes. However, physical injury is a common cause here. Therefore, explanatory discussions should be held with the child about how to play so as not to harm their health.

Being overweight is a rare occurrence among young children. However, genetic disorders and hormonal pathologies can cause obesity, which affects the condition of the calcaneal tendon.

Diagnosis of inflammation of the synovial heel bag

Diagnosis of inflammation of the synovial heel bag is carried out in stages. It all starts with a survey of the patient, what symptoms he cares about, what happened during the period when the disease arose, what lifestyle he leads, whether there were injuries or abrasions. A general examination by a doctor confirms the patient’s suspicions. Visually, the symptoms of the disease become visible, which are checked by additional procedures:

  1. X-ray, which allows you to identify the causes and examine the condition of the tendon;
  2. A blood test to detect uric acid;
  3. Synovial bag fluid analysis.

Treatment

Proper diagnosis of the disease allows you to prescribe an effective treatment for achillobursitis. It consists of three stages:

  1. The first is the repayment of the inflammatory process;
  2. The second is the restoration of cartilage and bone structures;
  3. The third is preventive measures against re-illness.

How to treat achillobursitis? Apply cold packets to the affected area, compress the joint with bandages, and make a therapeutic massage. Medication

  • In the acute form, treatment is prescribed with the help of anti-inflammatory non-steroid drugs, antibiotics, injections of hormones into the joint. A plaster cast is applied to ensure the heel is still.
  • In the chronic form, the synovial bag is cleaned of exudate and disinfected with antiseptics to prevent recurrence of inflammation. Medications are used, as in the acute form. If these measures do not work, then they resort to surgical intervention when a part of the calcaneus is removed.
  • With a purulent form, punctures are performed and the synovial bag is washed. Surgical bone removal is possible.

General treatment for any type of disease is:

    1. Glucocorticosteroid injections reduce the inflammatory process by reducing the activity of macrophages;
    2. Shock-wave (acoustic) therapy restores the cellular structure, relieves pain, breaks down bone growths, improves blood circulation, and resolves fibrosis.
    3. Acupuncture and ariukolotherapy.
    4. Bed rest to rest your legs.

What kind of shoes does a man wear? This issue becomes relevant here, since a common cause of the disease is just uncomfortable, squeezing and high shoes. Hard backs should be avoided. You need to choose lightweight shoes with flat soles. If a woman likes a high heel, then it is necessary to choose a moderate height and rarely change a high heel to a flat sole.

Nutrition in the treatment of inflammation of the joint bag of the heel is having an effect. If the cause was overweight, which is often observed in people with achillobursitis, then urgent reduction should be addressed. You don’t need to go on a diet. It should be balanced and nutritious, but low-calorie. Include in the menu:

  1. vegetables and fruits,
  2. lean meat
  3. fish,
  4. porridge
  5. liver,
  6. whole wheat bread,
  7. pumpkin and zucchini,
  8. onion and garlic,
  9. pumpkin and sunflower seeds.

Products must contain vitamins and gelatin.

There are many folk remedies that can be used at home to treat the disease in question:

  • Grated radish compresses periodically apply until swelling subsides.
  • Baths of fresh needles: 200 g of grass in 5 liters of water, insist 12 hours and carry out procedures for 20 minutes.
  • Dressings from fat, which are done at night to remove toxins and relieve inflammation.
  • Butter and propolis (7: 1) – take the infusion before meals.
  • Tincture of lilac and alcohol.
  • Compress of honey, aloe and vodka.
  • Compresses from cabbage leaves.

Many other recipes of alternative methods can be found in other articles on the site vospalenia.ru and on the Internet. There are so many of them that you can’t list everything. But the main thing here is not the number of methods, but the constancy of application in order to eliminate the symptom.

Surgical intervention is prescribed for a chronic and purulent form of the course of the disease. It includes:

    1. excision of the articular bag;
    2. plugging of the joint bag;
    3. puncture of exudate;
    4. removal of part of the synovial bag;
    5. removal of the articular bag without opening.

Preventive work should be carried out both before the onset of the disease, and after treatment:

      • Before sports, it is necessary to warm up the muscles well and wear comfortable shoes;
      • Observe proper nutrition;
      • Monitor your own weight;
      • Avoid various situations in which injuries are possible;
      • Wear high-quality shoes, if possible do not wear high heels;
      • At the first symptoms, go to the doctor immediately.

Lifespan

Achillobursitis does not affect the life expectancy of the patient. How many live with inflammation of the synovial heel bag? You can live your whole life. Here, the main thing is not duration, but quality of life, since the disease affects the mobility and performance of a person. Ignore the disease will not work, so various folk and drug methods will be used. It is better to be treated in the early stages, so as not to lead to the need for surgical intervention.

The most dangerous may be the loss of walking ability. If you do not undergo treatment and do not care about the health of the tendon, which is the most durable in the whole body, then you can lose your motor ability, that is, become disabled.

Shishkevich Vladimir
Shishkevich Vladimir
Orthopedic doctor, traumatologist
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I have been treating joints for many years. I can say with confidence that the joints are always treatable, even in the very ripe old age.

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