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		<title>Bursitis Following Foot Surgery - Historial de revisiones</title>
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		<updated>2026-05-10T04:07:51Z</updated>
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	<entry>
		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Following_Foot_Surgery&amp;diff=12053&amp;oldid=prev</id>
		<title>Wilma11J5516772 en 23:36 11 jun 2017</title>
		<link rel="alternate" type="text/html" href="http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Following_Foot_Surgery&amp;diff=12053&amp;oldid=prev"/>
				<updated>2017-06-11T23:36:07Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table class='diff diff-contentalign-left'&gt;
				&lt;col class='diff-marker' /&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 23:36 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;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Heel bursitis is specifically &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammation of the retrocalcaneal bursa, located at the back of the heel, under the Achilles tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; There &lt;/del&gt;are a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;handful &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;factors &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;put you at risk &lt;/del&gt;for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;developing heel &lt;/del&gt;bursitis&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;.&amp;#160; Long distance runners are prone &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel bursitis&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;due to repeated stress and pounding upon &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel joint.&amp;#160; Engaging in activities such as running&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bicycling&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;walking&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;jumping&lt;/del&gt;, and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;stair climbing for extended periods of time can overwork the heel joints and start &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;irritate &lt;/del&gt;the bursae. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; Suddenly changing &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a high-intensity workout regime puts a lot of stress on &lt;/del&gt;the heel, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;making &lt;/del&gt;it &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;vulnerable to injury&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; Hard blows/bumps to &lt;/del&gt;the heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can immediately damage the bursae&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;leading to swelling and inflammation.&amp;#160; Training at high intensities without stretching and warming up can also contribute to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;development &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel bursitis&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; Even improper footwear can be a big factor&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; Some other conditions can put you at risk as well, such as: tarsal tunnel syndrome, rheumatoid arthritis, plantar fasciitis, muscle weakness, joint stiffness, and &lt;/del&gt;[http://&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;norahredgatee&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;jimdo&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;com/2015/06/27&lt;/del&gt;/hammer-toe-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surgery&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;physical-therapy heel spurs].&amp;#160; It is very important to get a professional diagnosis if you are having heel pain because heel bursitis is often confused for Achilles tendonitis, and the proper &lt;/del&gt;treatments &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are very different&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; The pain could also be plantar fasciitis or general heel pain syndrome&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Causes&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Inflammation of the calcaneal bursae is most commonly caused by repetitive overuse &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cumulative trauma, as seen &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;runners wearing tight-fitting shoes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Such bursitis may also be associated with conditions such as gout, rheumatoid arthritis, &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;seronegative spondyloarthropathies&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;In some cases, subtendinous calcaneal &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is caused by bursal impingement between &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon and an excessively prominent posterior superior aspect of a calcaneus that has been affected by Haglund deformity&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;With 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;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Symptoms&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The signs and symptoms of heel bursitis &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;include heel pain wearing particular footwear, Pain or discomfort in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel when walking, jogging or running, Swelling or &lt;/del&gt;inflammation &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;When you are experiencing &lt;/del&gt;Achilles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain at &lt;/del&gt;the back of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your &lt;/del&gt;heel, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a visit to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;doctor &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;always recommended&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Getting a proper diagnosis is important so you &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;treat your condition correctly. A doctor visit is always recommended&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The most important factor in healing bursitis is resting your foot &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This can be difficult when you have &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;carry on with daily &lt;/del&gt;activities&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, but resting &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;elevating your foot whenever you can is recommended&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;During your recovery you will probably &lt;/del&gt;have &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;to modify or avoid &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;activities that stress your bursa until your pain &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammation settle&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;&lt;/del&gt;Surgery is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rarely need to treat most of these conditions. A patient with a soft tissue rheumatic syndrome may need surgery, however, if problems persist and other &lt;/del&gt;treatment &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;methods do &lt;/del&gt;not &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;help symptoms&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Once your pain and inflammation is gone, you can &lt;/del&gt;prevent &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;deformity by wearing &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;best shoes for your foot type. You should high-heels and pumps if possible. Wear orthotics (custom arch supports) or over-&lt;/del&gt;the&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;-counter orthotic devices&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Perform frequent Achilles tendon stretching &lt;/del&gt;exercises to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;prevent it from becoming tight agian&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Avoiding running uphill when training. Try to run on softer surfaces &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;avoid concrete&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;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;There are over 150 bursae in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;human body&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Usually bursae &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;present from birth, but they may form in response to repeated pressure. Each sac contains &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;small amount &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;synovial fluid, a clear liquid &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;acts as a lubricant. Inflammation causes pain on movement. The most common site &lt;/ins&gt;for bursitis to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;occur is the shoulder (subdeltoid)&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;but it also is seen in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;elbows (olecranon)&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;hips (trochanteric)&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;knees&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heels (Achilles)&lt;/ins&gt;, and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;toes. The affected area may be referred &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;as &amp;quot;frozen,&amp;quot; because movement is so limited. In &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;knee there are four &lt;/ins&gt;bursae&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, and all can become inflamed with overuse&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Posterior heel pain can come from one of several causes. When a physician is talking about posterior heel pain, he or she is referring &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain behind &lt;/ins&gt;the heel, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;not below &lt;/ins&gt;it. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Pain underneath &lt;/ins&gt;the heel, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bottom &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the foot, has several causes including Tarsal Tunnel Syndrome&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Plantar Fasciitis&lt;/ins&gt;. [http://&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;jay6lancaster7&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;snack&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ws&lt;/ins&gt;/hammer-toe-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;home&lt;/ins&gt;-treatments.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;html Heel Spurs]&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Symptoms&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Nagging ache &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;swelling &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or around a joint&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Painful &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;restricted movement in the affected joint&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Pain radiating into the neck or arms when &lt;/ins&gt;bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;strikes &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoulder (the most common site)&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Fever&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;when associated with an infection&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Diagnosis&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Careful examination by your physician or physiotherapist &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;determine if &lt;/ins&gt;the inflammation &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is from &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon or from the retrocalcaneal bursa&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Tenderness due to insertional &lt;/ins&gt;Achilles &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendinitis is normally located slightly more distal where the tendon inserts into &lt;/ins&gt;the back of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the &lt;/ins&gt;heel, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;whereas tenderness caused by &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursa &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;normally palpable at the sides of the distal Achilles tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Diagnosis &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be confirmed with an ultrasound investigation, MRI or CT scan&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Gradual &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;progressive stretching of the Achilles tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Exercises &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;strengthen and support the ankle. Rest or reduced weight bearing &lt;/ins&gt;activities&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. Immobilisation in a cast for 4-6 weeks for severe cases. Ice. Proper fitting &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;supportive footwear&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Massage. Joint mobilisation. Anti-inflammatory medications: only if this does not &lt;/ins&gt;have &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;adverse results with &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;patient's current medication. Heel pads &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel lifts. Footwear Advice. Strapping and padding Orthoses/innersoles. The orthotics prescribed and designed by the podiatrists at the Heel and Arch Pain Clinic (affiliated with Beyond Podiatry) are made to align the foot in the correct posture&lt;/ins&gt;. Surgery is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;indicated in severe cases when conservative &lt;/ins&gt;treatment &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;has &lt;/ins&gt;not &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;resolved the problem&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;To &lt;/ins&gt;prevent bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;first place, always keep proper form during exercise&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In addition, don?t jump into &lt;/ins&gt;exercises &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;that are too intense without building up &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;them&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Strengthen &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;flex your ankle&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Wilma11J5516772</name></author>	</entry>

	<entry>
		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Following_Foot_Surgery&amp;diff=11591&amp;oldid=prev</id>
		<title>IsabelSchiffer en 21:48 11 jun 2017</title>
		<link rel="alternate" type="text/html" href="http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Following_Foot_Surgery&amp;diff=11591&amp;oldid=prev"/>
				<updated>2017-06-11T21:48:00Z</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 21:48 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;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;During contraction &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;calf muscle&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tension is placed through &lt;/del&gt;the Achilles tendon and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;this rubs against &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursa&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Compressive forces &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;friction may also be placed on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursa during certain ankle movements or by wearing excessively tight shoes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;When these forces are excessive due &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;too much repetition or &lt;/del&gt;high &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;force&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;irritation &lt;/del&gt;and inflammation &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursa may occur&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This condition is known &lt;/del&gt;as &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal &lt;/del&gt;bursitis.&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;Pain at &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;posterior heel or ankle &lt;/del&gt;is most commonly caused by &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pathology at either the posterior calcaneus (at the calcaneal insertion site of the Achilles tendon) or at its &lt;/del&gt;associated &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursae&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Two bursae are located just superior to the insertion of the Achilles (&lt;/del&gt;calcaneal&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;) tendon. Anterior or deep to the tendon &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the retrocalcaneal (subtendinous) bursa, which is located &lt;/del&gt;between the Achilles tendon and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the calcaneus. Posterior or superficial to the Achilles tendon is the subcutaneous calcaneal bursa, also called the Achilles bursa. This bursa is located between the skin and &lt;/del&gt;posterior aspect of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the distal Achilles tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Inflammation of either or both of these bursa can cause pain at the posterior heel and &lt;/del&gt;ankle &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;region&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;Pain &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tenderness usually develop slowly over time. Applying pressure to the back &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the &lt;/del&gt;heel can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cause &lt;/del&gt;pain&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Wearing shoes may become uncomfortable. The back of &lt;/del&gt;the heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may feel achy. Pain is exacerbated &lt;/del&gt;when &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the foot is pointed &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;flexed&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;because the swollen bursa can get squeezed. A person with retrocalcaneal bursitis may feel pain when standing on their toes. Fever &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;chills &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;addition to other bursitis symptoms can be a sign of septic bursitis. Though uncommon, septic retrocalcaneal bursitis is a serious condition, and patients should seek medical care to ensure &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;infection does not spread&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;When &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a patient has &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;in a joint&lt;/del&gt;, a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;careful physical examination is needed &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;determine what type of movement &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;affected and if there is any swelling present&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Bursitis will not show up on x-rays, although sometimes there are also calcium deposits in the joint that can be seen. Inserting &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;thin needle into the affected bursa and removing (aspirating) some of the synovial fluid for examination can confirm the &lt;/del&gt;diagnosis&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. In most cases, the fluid will not be clear. It &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;be tested for the presence of microorganisms, which would indicate an infection, and crystals, which could indicate gout&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;In instances where the diagnosis &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;difficult, a local anesthetic (a drug that numbs the area) is injected into the painful spot. If the discomfort stops temporarily, then bursitis is probably the correct diagnosis&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Relieving the symptoms of &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;initially focuses on taking the pressure off the bursa&lt;/del&gt;. This can be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;done &lt;/del&gt;with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;proper cushioning&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inserts, or footwear &lt;/del&gt;but &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may require surgery if it &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a bone formation problem (i&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;e. Huglund's Deformity). If &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursitis is caused by an infection (septic bursitis), the doctor &lt;/del&gt;will probably &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;drain &lt;/del&gt;the bursa &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;sac with a needle &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;prescribe antibiotics to treat the infection&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Bursectomy &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a surgical procedure used &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;remove an inflamed or infected bursa, which is a fluid-filled sac that reduces friction between tissues &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the body&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Because retrocalcaneal bursitis can cause chronic inflammation&lt;/del&gt;, pain and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;discomfort&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursectomy may be used as a treatment for &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;condition&amp;#160; carp work when it is persistent &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cannot be relived with other treatments&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;During this procedure, a surgeon makes small incisions so that a camera may be inserted into &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;joint&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This camera is called an arthroscope&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Another small incision is made so that surgical instruments can be inserted &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;remove the inflamed bursa&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;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Heel bursitis is specifically the inflammation &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursa&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;located at the back of the heel, under &lt;/ins&gt;the Achilles tendon&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;.&amp;#160; There are a handful of factors that put you at risk for developing heel bursitis.&amp;#160; Long distance runners are prone to heel bursitis, due to repeated stress &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pounding upon &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel joint&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Engaging in activities such as running, bicycling, walking, jumping, &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;stair climbing for extended periods of time can overwork &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel joints and start to irritate the bursae&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Suddenly changing &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a &lt;/ins&gt;high&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;-intensity workout regime puts a lot of stress on the heel&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;making it vulnerable to injury.&amp;#160; Hard blows/bumps to the heel can immediately damage the bursae, leading to swelling &lt;/ins&gt;and inflammation&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;.&amp;#160; Training at high intensities without stretching and warming up can also contribute to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;development of heel bursitis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Even improper footwear can be a big factor.&amp;#160; Some other conditions can put you at risk as well, such &lt;/ins&gt;as&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;: tarsal tunnel syndrome, rheumatoid arthritis, plantar fasciitis, muscle weakness, joint stiffness, and [http://norahredgatee.jimdo.com/2015/06/27/hammer-toe-surgery-physical-therapy heel spurs].&amp;#160; It is very important to get a professional diagnosis if you are having heel pain because heel &lt;/ins&gt;bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is often confused for Achilles tendonitis, and the proper treatments are very different.&amp;#160; The pain could also be plantar fasciitis or general heel pain syndrome&lt;/ins&gt;.&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;Inflammation of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;calcaneal bursae &lt;/ins&gt;is most commonly caused by &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;repetitive overuse and cumulative trauma, as seen in runners wearing tight-fitting shoes. Such bursitis may also be &lt;/ins&gt;associated &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;with conditions such as gout, rheumatoid arthritis, and seronegative spondyloarthropathies&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In some cases, subtendinous &lt;/ins&gt;calcaneal &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursitis &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;caused by bursal impingement &lt;/ins&gt;between the Achilles tendon and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an excessively prominent &lt;/ins&gt;posterior &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;superior &lt;/ins&gt;aspect of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a calcaneus that has been affected by Haglund deformity&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;With Haglund disease, impingement occurs during &lt;/ins&gt;ankle &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;dorsiflexion&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;The signs &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;symptoms &lt;/ins&gt;of heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursitis &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;include heel &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;wearing particular footwear, Pain or discomfort in &lt;/ins&gt;the heel when &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;walking, jogging &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;running&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Swelling &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammation &lt;/ins&gt;in the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;When &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you are experiencing Achilles &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;at the back of your heel&lt;/ins&gt;, a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;visit &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the doctor &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;always recommended&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Getting &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;proper &lt;/ins&gt;diagnosis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is 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 &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;always recommended&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The most important factor in healing &lt;/ins&gt;bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is resting your foot and ankle&lt;/ins&gt;. This can be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;difficult when you have to carry on &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;daily activities&lt;/ins&gt;, but &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;resting and elevating your foot whenever you can &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;recommended&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;During &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;recovery you &lt;/ins&gt;will probably &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;have to modify or avoid &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;activities that stress your &lt;/ins&gt;bursa &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;until your pain &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammation settle&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Surgery &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;rarely need &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;treat most &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;these conditions&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A patient with a soft tissue rheumatic syndrome may 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 symptoms.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;Once your &lt;/ins&gt;pain and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammation is gone&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you can prevent retrocalcaneal bursitis deformity by wearing &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;best shoes for your foot type. You should high-heels &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pumps if possible&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wear orthotics (custom arch supports) or over-&lt;/ins&gt;the&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;-counter orthotic devices&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Perform frequent Achilles tendon stretching exercises to prevent it from becoming tight agian&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Avoiding running uphill when training. Try &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;run on softer surfaces and avoid concrete&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>IsabelSchiffer</name></author>	</entry>

	<entry>
		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Following_Foot_Surgery&amp;diff=7775&amp;oldid=prev</id>
		<title>MargoRepin en 04:11 11 jun 2017</title>
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				<updated>2017-06-11T04:11:59Z</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 04:11 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;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;utilize feet http://bambilaxson.weebly.com/blog/hammer-toes-surgery-procedure. &lt;/del&gt;Overview&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Bursitis commonly affects joints used in repeated motions such as throwing a ball, or joints that bear pressure from being in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;same position for a while&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;such as leaning on your elbows.&amp;#160; The most common spots for bursitis are &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoulders, elbows or hips&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; Bursitis can &lt;/del&gt;also &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;affect &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;knees (sometimes called ?housemaid?s knee? &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;?vicar?s &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;preacher?s knee?)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the heel &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot or the base of the big toe&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The good news &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursitis usually goes away with simple self-care treatments.&amp;#160; However, not all cases of bursitis are from overuse, it can also be caused by an infection (called septic bursitis) or another condition such &lt;/del&gt;as &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;arthritis. Therefore, it?s important to talk to your doctor if you think you have &lt;/del&gt;bursitis.&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;A bursa acts as a cushion and lubricant between tendons &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;muscles sliding over bone. There are bursas around &lt;/del&gt;most &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;large joints in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;body, including &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The retrocalcaneal bursa is &lt;/del&gt;located &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;back &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle by the heel&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;where &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;large &lt;/del&gt;Achilles tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;connects &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;calf muscles to the heel bone&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Repeated &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;too much use of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle can cause this &lt;/del&gt;bursa &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;to become irritated and inflamed. Possible causes are too much walking&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;running, or jumping&lt;/del&gt;. This &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;condition &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;usually linked to &lt;/del&gt;Achilles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendinitis&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Sometimes retrocalcaneal bursitis may be mistaken for Achilles tendinitis. Risks for this condition include starting an aggressive workout schedule, &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;suddenly increasing activity level without &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;right conditioning&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;Common signs and symptoms associated with infracalcaneal bursitis include redness under the heel. &lt;/del&gt;Pain and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;swelling under the heel&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Pain or ache in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;middle part of the underside &lt;/del&gt;of the heel&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Heel &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;or discomfort that increases with prolonged weight-bearing activities&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Magnetic resonance imaging (MRI) &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;demonstrate bursal inflammation, but this modality probably does not offer much more information than that found by careful physical examination&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Theoretically, MRI could help the physician to determine whether &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammation &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;within &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;subcutaneous bursa&lt;/del&gt;, the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;subtendinous &lt;/del&gt;bursa&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, or even within the tendon itself, however, such testing is generally not necessary&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Ultrasonography &lt;/del&gt;may be a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;potentially useful tool for diagnosing pathologies &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Non Surgical Treatment&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The &lt;/del&gt;patient &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;with retrocalcaneal bursitis should be instructed to apply ice to the posterior heel and ankle &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the acute period of the bursitis. Icing can be performed several times &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;day&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;for 15-20 minutes each. Some clinicians also advocate the use &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;contrast baths&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Gradual progressive stretching of the Achilles tendon may help relieve impingement &lt;/del&gt;on the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;subtendinous bursa and &lt;/del&gt;can be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;performed in the following manner&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Stand in front of &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;wall, with &lt;/del&gt;the affected &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot flat on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;floor&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Lean forward toward &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;wall until a gentle stretching is felt within the ipsilateral Achilles tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Maintain the stretch &lt;/del&gt;for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;20-60 seconds and then relax. Perform &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;stretches with the knee extended &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;then again with the knee flexed&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;To maximize &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;benefit of the stretching program&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;repeat &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;above steps for several stretches per set, several times daily. Avoid ballistic (ie, abrupt, jerking&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;stretches. Other treatment options are microcurrent therapy and corticosteriod injection &lt;/del&gt;into the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursa&lt;/del&gt;. If &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;conservation treatment fails &lt;/del&gt;then &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surgery &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;indicated&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Surgery. Though rare, particularly challenging cases &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;might warrant a bursectomy, in which &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;troublesome &lt;/del&gt;bursa &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is removed from the back of the ankle&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Surgery &lt;/del&gt;can be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;effective&lt;/del&gt;, but &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;operating on this boney area can cause complications&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;such as trouble with skin healing at &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;incision site. In addition to removing &lt;/del&gt;the bursa&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;doctor may use the surgery &lt;/del&gt;to treat &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;another condition associated with &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursitis&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;For example, &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surgeon may &lt;/del&gt;remove a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;sliver &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bone from &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;back of the heel to alter foot mechanics &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;reduce future friction. Any bone spurs located where the Achilles attaches to the heel &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;also &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;removed. Regardless of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;conservative treatment that is provided, &lt;/del&gt;it is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;important to wait until all pain &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;swelling around the back of the heel is gone before resuming activities&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This may take several weeks. Once symptoms are gone&lt;/del&gt;, a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;patient &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;make a gradual return to his or her activity level before their bursitis symptoms began&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Returning &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;activities that cause friction or stress on &lt;/del&gt;the bursa &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;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;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;During contraction of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;calf muscle&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tension is placed through &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon and this rubs against the retrocalcaneal bursa&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Compressive forces and friction may &lt;/ins&gt;also &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be placed on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursa during certain ankle movements &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;by wearing excessively tight shoes. When these forces are excessive due to too much repetition &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;high force&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;irritation and inflammation &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa may occur&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This condition &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;known &lt;/ins&gt;as &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal &lt;/ins&gt;bursitis.&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;Pain at the posterior heel &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ankle is &lt;/ins&gt;most &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;commonly caused by pathology at either &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;posterior calcaneus (at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;calcaneal insertion site of the Achilles tendon) or at its associated bursae&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Two bursae are &lt;/ins&gt;located &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;just superior to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;insertion &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles (calcaneal) tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Anterior or deep to the tendon &lt;/ins&gt;is the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal (subtendinous) bursa, which is located between the &lt;/ins&gt;Achilles tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;and &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;calcaneus&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Posterior &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;superficial to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon is the subcutaneous calcaneal &lt;/ins&gt;bursa, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;also called the Achilles bursa&lt;/ins&gt;. This &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;located between the skin and posterior aspect of the distal &lt;/ins&gt;Achilles &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendon&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Inflammation of either &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;both of these bursa can cause pain at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;posterior heel and ankle region&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;Pain and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tenderness usually develop slowly over time&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Applying pressure to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back &lt;/ins&gt;of the heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can cause &lt;/ins&gt;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&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;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&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;because &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;swollen &lt;/ins&gt;bursa &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can get squeezed&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A person with retrocalcaneal bursitis &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;feel pain when standing on their toes. Fever or chills in addition to other bursitis symptoms can &lt;/ins&gt;be 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. Though uncommon, septic retrocalcaneal bursitis is a serious condition, and patients should seek medical care to ensure &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;infection does not spread&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Diagnosis&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;When a &lt;/ins&gt;patient &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;has pain &lt;/ins&gt;in a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joint&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a careful physical examination is needed to determine what type &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;movement is affected and if there is any swelling present&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Bursitis will not show up &lt;/ins&gt;on &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;x-rays, although sometimes there are also calcium deposits in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joint that &lt;/ins&gt;can be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;seen&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Inserting &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;thin needle into &lt;/ins&gt;the affected &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa and removing (aspirating) some of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;synovial fluid for examination can confirm the diagnosis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In most cases, &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;fluid will not be clear&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It can be tested &lt;/ins&gt;for the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;presence of microorganisms, which would indicate an infection, &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;crystals, which could indicate gout&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In instances where &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;diagnosis is difficult&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a local anesthetic (a drug that numbs &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;area&lt;/ins&gt;) &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is injected &lt;/ins&gt;into the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;painful spot&lt;/ins&gt;. If &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the discomfort stops temporarily, &lt;/ins&gt;then &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursitis &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;probably the correct diagnosis&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Non &lt;/ins&gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Relieving the symptoms &lt;/ins&gt;of bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;initially focuses on taking the pressure off &lt;/ins&gt;the bursa. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This &lt;/ins&gt;can be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;done with proper cushioning&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inserts, or footwear &lt;/ins&gt;but &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;may require surgery if it is a bone formation problem (i.e. Huglund's Deformity). If your bursitis is caused by an infection (septic bursitis)&lt;/ins&gt;, the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;doctor will probably drain &lt;/ins&gt;the bursa &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sac with &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;needle and prescribe antibiotics &lt;/ins&gt;to treat the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;infection&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Bursectomy is &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;surgical procedure used to &lt;/ins&gt;remove &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an inflamed or infected bursa, which is &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;fluid-filled sac that reduces friction between tissues &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;body. Because retrocalcaneal bursitis can cause chronic inflammation, pain &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;discomfort, bursectomy &lt;/ins&gt;may be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;used as a treatment for &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;condition&amp;#160; carp work when &lt;/ins&gt;it is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;persistent &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cannot be relived with other treatments&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;During this procedure&lt;/ins&gt;, a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;surgeon makes small incisions so that a camera &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be inserted into the joint&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This camera is called an arthroscope. Another small incision is made so that surgical instruments can be inserted &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;remove &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflamed &lt;/ins&gt;bursa.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>MargoRepin</name></author>	</entry>

	<entry>
		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Following_Foot_Surgery&amp;diff=7659&amp;oldid=prev</id>
		<title>Meghan99L84: Página creada con «utilize feet http://bambilaxson.weebly.com/blog/hammer-toes-surgery-procedure. Overview&lt;br&gt;Bursitis commonly affects joints used in repeated motions such as throwing a ball...»</title>
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				<updated>2017-06-11T03:36:22Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «utilize feet http://bambilaxson.weebly.com/blog/hammer-toes-surgery-procedure. Overview&amp;lt;br&amp;gt;Bursitis commonly affects joints used in repeated motions such as throwing a ball...»&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nueva&lt;/b&gt;&lt;/p&gt;&lt;div&gt;utilize feet http://bambilaxson.weebly.com/blog/hammer-toes-surgery-procedure. Overview&amp;lt;br&amp;gt;Bursitis commonly affects joints used in repeated motions such as throwing a ball, or joints that bear pressure from being in the same position for a while, such as leaning on your elbows.  The most common spots for bursitis are the shoulders, elbows or hips.  Bursitis can also affect the knees (sometimes called ?housemaid?s knee? or ?vicar?s or preacher?s knee?), the heel of the foot or the base of the big toe. The good news is bursitis usually goes away with simple self-care treatments.  However, not all cases of bursitis are from overuse, it can also be caused by an infection (called septic bursitis) or another condition such as arthritis. Therefore, it?s important to talk to your doctor if you think you have bursitis.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;A bursa acts as a cushion and lubricant between tendons or muscles sliding over bone. There are bursas around most large joints in the body, including the ankle. The retrocalcaneal bursa is located in the back of the ankle by the heel. It is where the large Achilles tendon connects the calf muscles to the heel bone. Repeated or too much use of the ankle can cause this bursa to become irritated and inflamed. Possible causes are too much walking, running, or jumping. This condition is usually linked to Achilles tendinitis. Sometimes retrocalcaneal bursitis may be mistaken for Achilles tendinitis. Risks for this condition include starting an aggressive workout schedule, or suddenly increasing activity level without the right conditioning.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;Common signs and symptoms associated with infracalcaneal bursitis include redness under the heel. Pain and swelling under the heel. Pain or ache in the middle part of the underside of the heel. Heel pain or discomfort that increases with prolonged weight-bearing activities.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Magnetic resonance imaging (MRI) may demonstrate bursal inflammation, but this modality probably does not offer much more information than that found by careful physical examination. Theoretically, MRI could help the physician to determine whether the inflammation is within the subcutaneous bursa, the subtendinous bursa, or even within the tendon itself, however, such testing is generally not necessary. Ultrasonography may be a potentially useful tool for diagnosing pathologies of the Achilles tendon.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;The patient with retrocalcaneal bursitis should be instructed to apply ice to the posterior heel and ankle in the acute period of the bursitis. Icing can be performed several times a day, for 15-20 minutes each. Some clinicians also advocate the use of contrast baths. Gradual progressive stretching of the Achilles tendon may help relieve impingement on the subtendinous bursa and can be performed in the following manner. Stand in front of a wall, with the affected foot flat on the floor. Lean forward toward the wall until a gentle stretching is felt within the ipsilateral Achilles tendon. Maintain the stretch for 20-60 seconds and then relax. Perform the stretches with the knee extended and then again with the knee flexed. To maximize the benefit of the stretching program, repeat the above steps for several stretches per set, several times daily. Avoid ballistic (ie, abrupt, jerking) stretches. Other treatment options are microcurrent therapy and corticosteriod injection into the retrocalcaneal bursa. If conservation treatment fails then surgery is indicated.&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>Meghan99L84</name></author>	</entry>

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