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		<title>Bursa Foot Signs Or Symptoms - Historial de revisiones</title>
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		<updated>2026-04-25T03:36:20Z</updated>
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		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursa_Foot_Signs_Or_Symptoms&amp;diff=11198&amp;oldid=prev</id>
		<title>AllisonCrider en 20:11 11 jun 2017</title>
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				<updated>2017-06-11T20:11:28Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table class='diff diff-contentalign-left'&gt;
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				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;← Revisión anterior&lt;/td&gt;
				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;Revisión de 20:11 11 jun 2017&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class='diff-marker'&gt;−&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;Retrocalcaneal Bursitis. This bursa is located at the back of the heel. Bursitis in this area is often associated with conditions such as ankylosing spondylitis or rheumatoid arthritis. It can occur in healthy individuals who wear improperly fitted shoes. Symptoms include painful swelling that develops at the back of the heel. Calcaneal Bursitis. This bursa is located at the sole or bottom of the heel. Inflammation usually produces pain in the heel when standing. Causes include [http://&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;jenebliler&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;jimdo&lt;/del&gt;.com/2015/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;03&lt;/del&gt;/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;27&lt;/del&gt;/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;understanding-heel-soreness &lt;/del&gt;heel spurs], excess weight, injury, and wearing improperly fitted shoes.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Overtraining in an athlete&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Tight or poorly &lt;/del&gt;fitting shoes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;that produce excessive pressure at &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;posterior heel. Haglund deformity. Altered joint axis. Inflammation of the calcaneal bursae is most commonly caused by repetitive &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cumulative&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;trauma &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;overuse&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;condition is aggravated by pressure&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;such as when athletes wear tight-fitting shoes. Retrocalcaneal bursitis may also be associated with &lt;/del&gt;conditions &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;such as gout&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rheumatoid arthritis&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and seronegative spondyloarthropathies. In some cases&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursitis may be caused by bursal impingement between the Achilles tendon &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;an excessively prominent posterosuperior aspect of the calcaneus (Haglund deformity). In Haglund disease&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;impingement occurs during ankle dorsiflexion&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The following are &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;most common symptoms &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursitis. However, each individual may experience symptoms differently. Bursitis &lt;/del&gt;can cause pain&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, localized tenderness, and limited motion&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Swelling and redness &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;occur if &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflamed bursa &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;close to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surface (superficial)&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Chronic &lt;/del&gt;bursitis may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;involve repeated attacks of &lt;/del&gt;pain&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, swelling, and tenderness, which may lead &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the deterioration of muscles and &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;limited range &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;motion&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The symptoms of &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may resemble other &lt;/del&gt;medical &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;conditions or problems. Always consult your doctor for a diagnosis&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Medical examination is not necessarily required in light cases where &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tenderness is minimal. In all cases where smooth improvement is not experienced&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;medical attention should be sought as soon as possible &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;exclude a (partial) rupture of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon or rupture of the soleus muscle&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This situation &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;best determined by use of ultrasound scanning, as a number of injuries requiring treatment &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;easily be overlooked during a clinical examination (Ultrasonic image)&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Ultrasound scanning enables an evaluation of the extent of the change in the tendon, inflammation of the tendon (tendinitis), development of cicatricial tissue (tendinosis), calcification, inflammation of the tissue surrounding the tendon (peritendinitis), inflammation of the bursa (bursitis), as well as (partial) rupture&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;In &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;some cases, physicians may recommend drugs or medications like NSAIDs (non-steroidal anti-inflamatory drugs) &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;manage pain and inflammation&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Alternative medications like cortisone injections &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;NOT advised for any type &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles Tendon injury &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;condition&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This is because there is an increased risk &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rupture of the tendon following a cortisone injection&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Medical evidence shows that cortisone shots &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;damage &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surrounding tissue, fray the Achilles tendon, &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;even trigger a rupture&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Most side effects are temporary, &lt;/del&gt;but &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;skin weakening (atrophy) &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;lightening of the skin (depigmentation) can be permanent&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery. Though rare&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;particularly challenging cases of retrocalcaneal bursitis might warrant &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursectomy, &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;which &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;troublesome bursa is removed from &lt;/del&gt;the back of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle. Surgery &lt;/del&gt;can be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;effective, but operating on this boney area can cause complications, such as trouble with skin healing at the incision site&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;In addition to removing the bursa, a doctor may use the surgery to treat another condition associated &lt;/del&gt;with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the retrocalcaneal bursitis&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;For example, a surgeon may remove a sliver of bone from the back of the heel to alter foot mechanics &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;reduce future friction&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Any bone spurs located where &lt;/del&gt;the Achilles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;attaches to the heel may also be removed&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Regardless of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;conservative treatment that &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;provided, &lt;/del&gt;it is important to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;wait until all pain and swelling around &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;back &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the heel &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;gone before resuming activities&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;take several weeks. Once symptoms are gone&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a patient may make a gradual return to his or her activity level before their bursitis &lt;/del&gt;symptoms &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;began. Returning to activities that cause friction or stress on the bursa before it is healed will likely cause bursitis symptoms to flare up again&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class='diff-marker'&gt;+&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;Retrocalcaneal Bursitis. This bursa is located at the back of the heel. Bursitis in this area is often associated with conditions such as ankylosing spondylitis or rheumatoid arthritis. It can occur in healthy individuals who wear improperly fitted shoes. Symptoms include painful swelling that develops at the back of the heel. Calcaneal Bursitis. This bursa is located at the sole or bottom of the heel. Inflammation usually produces pain in the heel when standing. Causes include [http://&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;margheritaansel&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;hatenablog&lt;/ins&gt;.com&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;/entry&lt;/ins&gt;/2015/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;06&lt;/ins&gt;/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;28&lt;/ins&gt;/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;083606 &lt;/ins&gt;heel spurs], excess weight, injury, and wearing improperly fitted shoes.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;There are several factors which can predispose patients to developing this condition&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;These need to be assessed and corrected with direction from a physiotherapist and may include poor foot biomechanics (particularly flat feet), inappropriate footwear (e.g. excessively tight &lt;/ins&gt;fitting shoes&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;), muscle weakness (particularly &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;calf, quadriceps and gluteals), muscle tightness &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;particularly the calf&lt;/ins&gt;)&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, joint stiffness (particularly the ankle, subtalar joint &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot)&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bony anomalies of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel bone&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inappropriate or excessive training or activity, inadequate recovery periods from sport or activity, inadequate warm up, inadequate rehabilitation following a previous Achilles injury, change in training &lt;/ins&gt;conditions &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or surfaces&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inappropriate running technique&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inadequate fitness&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;poor pelvic &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;core stability&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;poor proprioception or balance, being overweight&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Pain and tenderness usually develop slowly over time. Applying pressure to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the heel &lt;/ins&gt;can cause pain. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wearing shoes &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;become uncomfortable. The back of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel may feel achy. Pain &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;exacerbated when &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot is pointed or flexed, because the swollen bursa can get squeezed&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A person with retrocalcaneal &lt;/ins&gt;bursitis may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;feel &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;when standing on their toes. Fever or chills in addition &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;other bursitis symptoms can be &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sign &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;septic bursitis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Though uncommon, septic retrocalcaneal &lt;/ins&gt;bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is a serious condition, and patients should seek &lt;/ins&gt;medical &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;care to ensure the infection does not spread&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;When you are experiencing Achilles pain at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back of your heel&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a visit &lt;/ins&gt;to the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;doctor is always recommended&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Getting a proper diagnosis &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;important so you &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;treat your condition correctly&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A doctor visit is always recommended&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;In &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;addition &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;R&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;I.C.E., there &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a number &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;other treatments to reduce swelling and any associated pain &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;discomfort due to heel bursitis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Orthotics or change &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;footwear&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wearing an orthotic device such as a heel insert &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;encourage better mechanics in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;reduce irritation of the retrocalcaneal bursa&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Some people do not need special orthotics &lt;/ins&gt;but &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;simply need to stop wearing shoes with rigid heel &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ankle construction and instead wear more supportive, comfortable shoes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Shoes with an &amp;quot;Achilles notch&lt;/ins&gt;,&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;quot; &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;groove &lt;/ins&gt;in the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;collar at &lt;/ins&gt;the back of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoe to protect the Achilles tendon, &lt;/ins&gt;can be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;particularly helpful&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;(Almost all running shoes are designed &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an Achilles notch&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;) Stretching &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;physical therapy&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Stretching &lt;/ins&gt;the Achilles &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendon often helps alleviate pain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Once &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;resolved &lt;/ins&gt;it is important &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;for the patient &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;continue a regular stretching program. Regular stretching reduces &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;chance &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;recurrence.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;rarely need to treat most of these conditions&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A patient with a soft tissue rheumatic syndrome &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;need surgery&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;however, if problems persist and other treatment methods do not help &lt;/ins&gt;symptoms.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>AllisonCrider</name></author>	</entry>

	<entry>
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		<title>ErnieGreenberg: Página creada con «Overview&lt;br&gt;Retrocalcaneal Bursitis. This bursa is located at the back of the heel. Bursitis in this area is often associated with conditions such as ankylosing spondylitis...»</title>
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				<updated>2017-06-11T19:11:14Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;Retrocalcaneal Bursitis. This bursa is located at the back of the heel. Bursitis in this area is often associated with conditions such as ankylosing spondylitis...»&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nueva&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;Retrocalcaneal Bursitis. This bursa is located at the back of the heel. Bursitis in this area is often associated with conditions such as ankylosing spondylitis or rheumatoid arthritis. It can occur in healthy individuals who wear improperly fitted shoes. Symptoms include painful swelling that develops at the back of the heel. Calcaneal Bursitis. This bursa is located at the sole or bottom of the heel. Inflammation usually produces pain in the heel when standing. Causes include [http://jenebliler.jimdo.com/2015/03/27/understanding-heel-soreness heel spurs], excess weight, injury, and wearing improperly fitted shoes.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Overtraining in an athlete. Tight or poorly fitting shoes that produce excessive pressure at the posterior heel. Haglund deformity. Altered joint axis. Inflammation of the calcaneal bursae is most commonly caused by repetitive (cumulative) trauma or overuse, and the condition is aggravated by pressure, such as when athletes wear tight-fitting shoes. Retrocalcaneal bursitis may also be associated with conditions such as gout, rheumatoid arthritis, and seronegative spondyloarthropathies. In some cases, retrocalcaneal bursitis may be caused by bursal impingement between the Achilles tendon and an excessively prominent posterosuperior aspect of the calcaneus (Haglund deformity). In Haglund disease, impingement occurs during ankle dorsiflexion.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;The following are the most common symptoms of bursitis. However, each individual may experience symptoms differently. Bursitis can cause pain, localized tenderness, and limited motion. Swelling and redness may occur if the inflamed bursa is close to the surface (superficial). Chronic bursitis may involve repeated attacks of pain, swelling, and tenderness, which may lead to the deterioration of muscles and a limited range of motion. The symptoms of bursitis may resemble other medical conditions or problems. Always consult your doctor for a diagnosis.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Medical examination is not necessarily required in light cases where the tenderness is minimal. In all cases where smooth improvement is not experienced, medical attention should be sought as soon as possible to exclude a (partial) rupture of the Achilles tendon or rupture of the soleus muscle. This situation is best determined by use of ultrasound scanning, as a number of injuries requiring treatment can easily be overlooked during a clinical examination (Ultrasonic image). Ultrasound scanning enables an evaluation of the extent of the change in the tendon, inflammation of the tendon (tendinitis), development of cicatricial tissue (tendinosis), calcification, inflammation of the tissue surrounding the tendon (peritendinitis), inflammation of the bursa (bursitis), as well as (partial) rupture.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;In some cases, physicians may recommend drugs or medications like NSAIDs (non-steroidal anti-inflamatory drugs) to manage pain and inflammation. Alternative medications like cortisone injections are NOT advised for any type of Achilles Tendon injury or condition. This is because there is an increased risk of rupture of the tendon following a cortisone injection. Medical evidence shows that cortisone shots can damage the surrounding tissue, fray the Achilles tendon, and even trigger a rupture. Most side effects are temporary, but skin weakening (atrophy) and lightening of the skin (depigmentation) can be permanent.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery. Though rare, particularly challenging cases of retrocalcaneal bursitis might warrant a bursectomy, in which the troublesome bursa is removed from the back of the ankle. Surgery can be effective, but operating on this boney area can cause complications, such as trouble with skin healing at the incision site. In addition to removing the bursa, a doctor may use the surgery to treat another condition associated with the retrocalcaneal bursitis. For example, a surgeon may remove a sliver of bone from the back of the heel to alter foot mechanics and reduce future friction. Any bone spurs located where the Achilles attaches to the heel may also be removed. Regardless of the conservative treatment that is provided, it is important to wait until all pain and swelling around the back of the heel is gone before resuming activities. This may take several weeks. Once symptoms are gone, a patient may make a gradual return to his or her activity level before their bursitis symptoms began. Returning to activities that cause friction or stress on the bursa before it is healed will likely cause bursitis symptoms to flare up again.&lt;/div&gt;</summary>
		<author><name>ErnieGreenberg</name></author>	</entry>

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