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		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?action=history&amp;feed=atom&amp;title=Bursitis_Foot_Pad</id>
		<title>Bursitis Foot Pad - Historial de revisiones</title>
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		<updated>2026-04-06T08:35:27Z</updated>
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	<entry>
		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Foot_Pad&amp;diff=12928&amp;oldid=prev</id>
		<title>EmmettBancroft8 en 15:07 12 jun 2017</title>
		<link rel="alternate" type="text/html" href="http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Foot_Pad&amp;diff=12928&amp;oldid=prev"/>
				<updated>2017-06-12T15:07:43Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table class='diff diff-contentalign-left'&gt;
				&lt;col class='diff-marker' /&gt;
				&lt;col class='diff-content' /&gt;
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				&lt;tr style='vertical-align: top;'&gt;
				&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 15:07 12 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;Bursitis (ber-SEYE-tis) is swelling &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain of a bursa. A bursa is a fluid-filled sac &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;acts as a cushion or shock absorber between a tendon and a bone. A tendon &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a cord of tough tissue that connects muscles &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bones. Normally &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursa has a small amount &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;fluid &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;it. When injured&lt;/del&gt;, the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursa becomes inflamed (red and sore) and may fill with too much fluid. Achilles (ah-KIL-eez) tendon bursitis &lt;/del&gt;is a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;type &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle bursitis when &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursa between the Achilles tendon and the heel becomes inflamed&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;You &lt;/del&gt;may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;have Achilles bursitis and tendonitis (inflamed tendon) at &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;same time&lt;/del&gt;.&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;Posterior heel pain &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;come from one of several causes. When a physician is talking about posterior heel pain, he or she is referring to pain behind the heel, not below it. Pain underneath the heel, on the bottom of the foot, has several causes including Tarsal Tunnel Syndrome. Plantar Fasciitis. &lt;/del&gt;[&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;https&lt;/del&gt;://&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Yvoneseekins&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Wordpress&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;com&lt;/del&gt;/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;2015&lt;/del&gt;/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;03&lt;/del&gt;/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;13/adult-aquired-flatfoot Heel Spurs&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;Unlike Achilles tendinitis, which tends to manifest itself slightly higher on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;lower leg, Achilles tendon bursitis usually creates &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and irritation &lt;/del&gt;at the back of the heel. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Possible signs of bursitis &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles &lt;/del&gt;tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;include difficulty &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rise on toes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Standing &lt;/del&gt;on &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;your toes or wearing high heels may increase &lt;/del&gt;the heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain. Inflammation and tenderness&lt;/del&gt;. The &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;skin around your &lt;/del&gt;heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can become swollen and warm to the touch&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Redness may be visible. Pain in &lt;/del&gt;the heel&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Pain tends to become more prominent &lt;/del&gt;when &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;walking, running&lt;/del&gt;, or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;touching the inflamed area. Stiffness. The back of your ankle may feel a little stiff due to the swelling of the bursa&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;A good clinical practise includes evaluation of &lt;/del&gt;the tendon, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursa and calcaneum by, careful history, inspection &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;region for bony prominence and local swelling as well as palpation of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;area of maximal tenderness. Biomechanical abnormalities, joint stiffness and proximal soft tissue tightening can exacerbate an anatomical predisposition to retrocalcaneal bursitis, they warrant correction when present&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;Many cases &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal and retroachilles &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can be treated effectively at home. One &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;most important factors &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;eliminating shoe gear &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;presses against &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;back &lt;/del&gt;of the heel&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Comfortable&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;supportive footwear &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;frequently resting &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot will minimize friction at &lt;/del&gt;the heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and give &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammation a chance to subside&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;These steps&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;along &lt;/del&gt;with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;other methods to alleviate swelling, such as non-steroidal anti-inflammatory drugs &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;NSAIDs&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;e.g., ibuprofen&lt;/del&gt;)&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, icing &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel, &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;elevating &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are usually successful in treating retrocalcaneal bursitis&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery to remove the damaged bursa may be performed in extreme cases. If the bursitis is caused by an infection, then additional treatment is needed. Septic bursitis is caused by the presence of a pus-forming organism, usually staphylococcus aureus. This is confirmed by examining a sample of the fluid in the bursa and requires treatment with antibiotics taken by mouth, injected into a muscle or into a vein (intravenously). The bursa will also need to be drained by needle two or three times over the first week of treatment. When a patient has such a serious infection, there may be underlying causes. There could be undiscovered diabetes, or an inefficient immune system caused by human immunodeficiency virus infection (HIV).&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;Is bursitis in your heel or ankle causing pain &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;discomfort &lt;/ins&gt;that is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;affecting your ability &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;participate in sports, exercise or even possibly beginning to take &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;toll &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your work and life &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;general? Heel bursitis can be extremely painful and debilitating&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;what more &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;such &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;hard area &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;body to properly rest as we are constantly on our feet&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cause extreme emotional stress on even &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;most strongly minded individual&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;The calcaneal bursa &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;become inflamed in patients with &lt;/ins&gt;[&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;http&lt;/ins&gt;://&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;plaza&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;rakuten&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;co.jp&lt;/ins&gt;/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;yuonnepeinado&lt;/ins&gt;/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;diary&lt;/ins&gt;/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;201507110001 heel spurs&lt;/ins&gt;] &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or in patients with poor-fitting shoes (eg, high heels). Inflammation can occur secondarily from Achilles tendinitis, especially in young athletes. Patients exhibit tenderness to palpation of the bursa anterior to the Achilles tendon on both the medial and lateral aspects. They have pain with movement, which is worsened with 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;You might have Retrocalcaneal Bursitis if you notice any of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;following symptoms. You have &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or tenderness &lt;/ins&gt;at the back of the heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;where the Achille's tendon attaches&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Have swelling near the attachment &lt;/ins&gt;of the tendon to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the heel bone&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;You have noticed a slowly growing bump &lt;/ins&gt;on &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the back of &lt;/ins&gt;the heel. The &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back of the &lt;/ins&gt;heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;turns red after getting rubbed in shoes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The back of &lt;/ins&gt;the heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;hurts worse &lt;/ins&gt;when &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you run&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;walk up hill &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;wear high heels&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;The diagnosis is based on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;symptoms and an examination. For anterior Achilles &lt;/ins&gt;tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursitis&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;doctors use x-rays to rule out a fracture &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel bone or damage to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel bone caused by rheumatoid arthritis or other inflammatory arthritis&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;There are a variety &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;treatments for &lt;/ins&gt;bursitis of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel. Bursitis on the bottom of your heel (which &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;called infracalcaneal bursitis) is common in heels with thinning fat pads. Gel heel cushions or custom made orthotics (&lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;have a horse-shoe cut and extra foam in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel) can be lifesavers in reducing the pain. For bursitis &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;posterior &lt;/ins&gt;heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;(retrocalcaneal bursitis)&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;try to avoid going barefoot &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;to reduce &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;stress on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon by not over flexing your &lt;/ins&gt;heel&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tighter your Achilles becomes, the more you compress the bursa sacs of the posterior heel&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Heel lifts can help this&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or wearing shoes &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;elevated heels &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;note that this method is not sanctioning high heels&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;as high heels can provide little comfort or support and usually are tight in the areas where your bursitis is most inflamed&lt;/ins&gt;)&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. Products such as AirHeel made by Aircast can help massage &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bottom &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;helping to decrease pain&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery to remove the damaged bursa may be performed in extreme cases. If the bursitis is caused by an infection, then additional treatment is needed. Septic bursitis is caused by the presence of a pus-forming organism, usually staphylococcus aureus. This is confirmed by examining a sample of the fluid in the bursa and requires treatment with antibiotics taken by mouth, injected into a muscle or into a vein (intravenously). The bursa will also need to be drained by needle two or three times over the first week of treatment. When a patient has such a serious infection, there may be underlying causes. There could be undiscovered diabetes, or an inefficient immune system caused by human immunodeficiency virus infection (HIV).&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>EmmettBancroft8</name></author>	</entry>

	<entry>
		<id>http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Foot_Pad&amp;diff=11398&amp;oldid=prev</id>
		<title>SUBAudra0044650 en 21:00 11 jun 2017</title>
		<link rel="alternate" type="text/html" href="http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Bursitis_Foot_Pad&amp;diff=11398&amp;oldid=prev"/>
				<updated>2017-06-11T21:00:41Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table class='diff diff-contentalign-left'&gt;
				&lt;col class='diff-marker' /&gt;
				&lt;col class='diff-content' /&gt;
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				&lt;tr style='vertical-align: top;'&gt;
				&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 21:00 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;Bursae &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;two or more bursa&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are small, fluid-filled sacs that cushion the bones, tendons &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;muscles surrounding your joints&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; They contain &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;lubricating &lt;/del&gt;fluid that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;reduces friction, allowing tissues in the body to glide past each other smoothly.&amp;#160; Imagine the bursa &lt;/del&gt;as a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;protective layer that helps keep &lt;/del&gt;a tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;or muscle from fraying or getting aggravated as it eases over &lt;/del&gt;a bone &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;or around a corner&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Bursitis &lt;/del&gt;is a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;condition &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;occurs when &lt;/del&gt;a bursa becomes inflamed&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;: irritated, &lt;/del&gt;red and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;filled &lt;/del&gt;with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;more &lt;/del&gt;fluid &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;than normal&lt;/del&gt;.&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;Wearing poorly fitting or constrictive footwear can cause the &lt;/del&gt;heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;to become irritated and inflamed. Shoes that dig into the back &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the &lt;/del&gt;heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are the primary cause of retroachilles bursitis. Foot &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ankle deformity. A foot or ankle deformity can make it more likely &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;develop retrocalcaneal bursitis. For example, some people can have an abnormal, prominent shape of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;top of their &lt;/del&gt;heel, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;known as a Haglund's deformity&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This condition increases &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;chances of irritating the bursa. A trauma to the affected &lt;/del&gt;heel, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;such as inadvertently striking &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;heel against a hard object&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can cause the bursa to fill with fluid, which in turn can irritate and inflame the bursa's synovial membrane&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Even though the body usually reabsorbs the fluid, the membrane may stay inflamed, causing bursitis symptoms&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;A dull ache under &lt;/del&gt;the heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;when not weight bearing&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Sometimes severe &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;when walking&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Pain &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;increase after resting (sleeping or sitting) then standing &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;placing pressure on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;area again&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Throbbing under the heel. Swelling &lt;/del&gt;may be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;identified as a discernible lump under &lt;/del&gt;the heel. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This is &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;swollen calcaneal bursa itself&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Tingling under &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel as &lt;/del&gt;swelling &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;affect &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;plantar nerves. Pains shooting into the foot or up the leg&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;Before making a diagnosis &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursitis, a doctor must rule out other possible problems, such as arthritis, a fracture or tumor. A doctor also will try to determine if &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles &lt;/del&gt;tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;itself is a source of pain. To make a diagnosis&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a doctor will use some or all of the diagnostic tools below Patient interview. A doctor will ask a patient about medical &lt;/del&gt;history, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and to describe the onset &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;his or her symptoms, &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pattern of pain &lt;/del&gt;and swelling&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, and how symptoms affect lifestyle. For example, doctors may ask patients what [https://siobhankallbrier.wordpress.com/2014/12/30/caring-for-bunions-&lt;/del&gt;the&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;-best-methods types &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoes] they wear and what they do for exercise&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;A patient's reported symptoms are important to diagnosis and treatment. The doctor will also ask what home treatments have helped the condition. Physical exam. A doctor will examine the patient's foot&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;noting swelling, tenderness &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain points&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and range of motion. The doctor also may ask the patient to point and flex the feet and stand on his or her toes&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;Treatment is primarily comprised &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;relief from the painful activity (running)&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It is &lt;/del&gt;important that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoes do not pinch &lt;/del&gt;the heel. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;If satisfactory progress is not made during &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rehabilitation&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;medical treatment can be considered in the form of rheumatic medicine &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;NSAID&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;or injection of corticosteroid in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursa. Injections should be performed under ultrasound guidance to ensure optimal effect &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;reduce the risk of injecting into &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Achilles itself. If progress is not made neither through rehabilitation nor medicinal treatment&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surgical treatment can be attempted&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;Only if non-surgical attempts at treatment fail, will it make sense &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;consider surgery&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Surgery for retrocalcanel &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can include many different procedures&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Some of these include removal of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursa, removing any excess bone at the back &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the heel (calcaneal exostectomy)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and occasionally detachment and re-attachment of the Achilles tendon&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;If the foot structure and shape of the heel bone &lt;/del&gt;is a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;primary cause &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bursitis&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;surgery to re-align the heel bone &lt;/del&gt;(&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;calcaneal osteotomy&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may be considered. Regardless of which exact surgery is planned, the goal is always to decrease pain and correct the deformity&lt;/del&gt;. The &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;idea is to get you back to the activities that you really enjoy. Your foot and ankle surgeon &lt;/del&gt;will &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;determine the exact surgical procedure that is most likely &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;correct &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;problem in your case&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;But if you have to have surgery&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;you can work together to develop a plan that will help assure success&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;Bursitis &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ber-SEYE-tis&lt;/ins&gt;) &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is swelling &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain of a bursa&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A bursa is &lt;/ins&gt;a fluid&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;-filled sac &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;acts &lt;/ins&gt;as a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cushion or shock absorber between &lt;/ins&gt;a tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;and &lt;/ins&gt;a bone. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A tendon &lt;/ins&gt;is a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cord of tough tissue &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;connects muscles to bones. Normally &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa has a small amount of fluid in it. When injured, the &lt;/ins&gt;bursa becomes inflamed &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;(&lt;/ins&gt;red and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sore) and may fill &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;too much &lt;/ins&gt;fluid&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. Achilles (ah-KIL-eez) tendon bursitis is a type of ankle bursitis when the bursa between the Achilles tendon and the heel becomes inflamed. You may have Achilles bursitis and tendonitis (inflamed tendon) at the same time&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;Posterior &lt;/ins&gt;heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain can come from one &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;several causes. When a physician is talking about posterior &lt;/ins&gt;heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain, he &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;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 it&lt;/ins&gt;. &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 the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;has several causes including Tarsal Tunnel Syndrome&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Plantar Fasciitis. [https://Yvoneseekins.Wordpress.com/2015/03/13/adult-aquired-flatfoot Heel Spurs]&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;Unlike Achilles tendinitis, which tends to manifest itself slightly higher on the lower leg, Achilles tendon bursitis usually creates pain and irritation at the back of &lt;/ins&gt;the heel. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Possible signs of bursitis of the Achilles tendon include difficulty to rise on toes. Standing on your toes or wearing high heels may increase the heel &lt;/ins&gt;pain. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Inflammation and tenderness. The skin around your heel &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;become swollen &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;warm to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;touch&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Redness &lt;/ins&gt;may be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;visible. Pain in &lt;/ins&gt;the heel. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Pain tends to become more prominent when walking, running, or touching &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflamed area&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Stiffness. The back of your ankle may feel a little stiff due to &lt;/ins&gt;the swelling &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa&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;A good clinical practise includes evaluation &lt;/ins&gt;of the tendon, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa and calcaneum by, careful &lt;/ins&gt;history, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inspection &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;region for bony prominence &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;local &lt;/ins&gt;swelling &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;as well as palpation of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;area &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;maximal tenderness&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Biomechanical abnormalities&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joint stiffness &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;proximal soft tissue tightening can exacerbate an anatomical predisposition to retrocalcaneal bursitis&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;they warrant correction when present&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;Many cases &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal and retroachilles bursitis can be treated effectively at home&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;One of the most &lt;/ins&gt;important &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;factors is eliminating shoe gear &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;presses against the back of &lt;/ins&gt;the heel. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Comfortable, supportive footwear and frequently resting &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot will minimize friction at the heel and give the inflammation a chance to subside. These steps&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;along with other methods to alleviate swelling, such as non-steroidal anti-inflammatory drugs &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;NSAIDs, e.g., ibuprofen&lt;/ins&gt;)&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, icing &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel, &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;elevating &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;are usually successful in treating retrocalcaneal bursitis&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;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;remove the damaged bursa may be performed in extreme cases&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If the &lt;/ins&gt;bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is caused by an infection, then additional treatment is needed&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Septic bursitis is caused by &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;presence &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a pus-forming organism&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;usually staphylococcus aureus&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;This &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;confirmed by examining &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sample &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;fluid in the bursa and requires treatment with antibiotics taken by mouth&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;injected into a muscle or into a vein &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;intravenously&lt;/ins&gt;). The &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa &lt;/ins&gt;will &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;also need &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be drained by needle two or three times over &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;first week of treatment&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;When a patient has such a serious infection&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;there may be underlying causes. There could be undiscovered diabetes, or an inefficient immune system caused by human immunodeficiency virus infection (HIV)&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>SUBAudra0044650</name></author>	</entry>

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		<title>AmparoMcclintock: Página creada con «Overview&lt;br&gt;Bursae (two or more bursa) are small, fluid-filled sacs that cushion the bones, tendons and muscles surrounding your joints.  They contain a lubricating fluid t...»</title>
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				<updated>2017-06-11T16:37:20Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;Bursae (two or more bursa) are small, fluid-filled sacs that cushion the bones, tendons and muscles surrounding your joints.  They contain a lubricating fluid t...»&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;Bursae (two or more bursa) are small, fluid-filled sacs that cushion the bones, tendons and muscles surrounding your joints.  They contain a lubricating fluid that reduces friction, allowing tissues in the body to glide past each other smoothly.  Imagine the bursa as a protective layer that helps keep a tendon or muscle from fraying or getting aggravated as it eases over a bone or around a corner. Bursitis is a condition that occurs when a bursa becomes inflamed: irritated, red and filled with more fluid than normal.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Wearing poorly fitting or constrictive footwear can cause the heel to become irritated and inflamed. Shoes that dig into the back of the heel are the primary cause of retroachilles bursitis. Foot or ankle deformity. A foot or ankle deformity can make it more likely to develop retrocalcaneal bursitis. For example, some people can have an abnormal, prominent shape of the top of their heel, known as a Haglund's deformity. This condition increases the chances of irritating the bursa. A trauma to the affected heel, such as inadvertently striking the back of the heel against a hard object, can cause the bursa to fill with fluid, which in turn can irritate and inflame the bursa's synovial membrane. Even though the body usually reabsorbs the fluid, the membrane may stay inflamed, causing bursitis symptoms.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;A dull ache under the heel when not weight bearing. Sometimes severe pain when walking. Pain can increase after resting (sleeping or sitting) then standing and placing pressure on the area again. Throbbing under the heel. Swelling may be identified as a discernible lump under the heel. This is the swollen calcaneal bursa itself. Tingling under the heel as swelling affect the plantar nerves. Pains shooting into the foot or up the leg.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Before making a diagnosis of retrocalcaneal bursitis, a doctor must rule out other possible problems, such as arthritis, a fracture or tumor. A doctor also will try to determine if the Achilles tendon itself is a source of pain. To make a diagnosis, a doctor will use some or all of the diagnostic tools below Patient interview. A doctor will ask a patient about medical history, and to describe the onset of his or her symptoms, the pattern of pain and swelling, and how symptoms affect lifestyle. For example, doctors may ask patients what [https://siobhankallbrier.wordpress.com/2014/12/30/caring-for-bunions-the-best-methods types of shoes] they wear and what they do for exercise. A patient's reported symptoms are important to diagnosis and treatment. The doctor will also ask what home treatments have helped the condition. Physical exam. A doctor will examine the patient's foot, noting swelling, tenderness and pain points, and range of motion. The doctor also may ask the patient to point and flex the feet and stand on his or her toes.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;Treatment is primarily comprised of relief from the painful activity (running). It is important that shoes do not pinch the heel. If satisfactory progress is not made during the rehabilitation, medical treatment can be considered in the form of rheumatic medicine (NSAID) or injection of corticosteroid in the bursa. Injections should be performed under ultrasound guidance to ensure optimal effect and reduce the risk of injecting into the Achilles itself. If progress is not made neither through rehabilitation nor medicinal treatment, surgical treatment can be attempted.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Only if non-surgical attempts at treatment fail, will it make sense to consider surgery. Surgery for retrocalcanel bursitis can include many different procedures. Some of these include removal of the bursa, removing any excess bone at the back of the heel (calcaneal exostectomy), and occasionally detachment and re-attachment of the Achilles tendon. If the foot structure and shape of the heel bone is a primary cause of the bursitis, surgery to re-align the heel bone (calcaneal osteotomy) may be considered. Regardless of which exact surgery is planned, the goal is always to decrease pain and correct the deformity. The idea is to get you back to the activities that you really enjoy. Your foot and ankle surgeon will determine the exact surgical procedure that is most likely to correct the problem in your case. But if you have to have surgery, you can work together to develop a plan that will help assure success.&lt;/div&gt;</summary>
		<author><name>AmparoMcclintock</name></author>	</entry>

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