This Bursitis usually arises from emanating from the footwear pressure and is located immediately above the upper shoe posterior edge between skin and Achilles tendon. The diagnosis is made clinically. The treatment consists in a modification of the footwear.

This Bursitis usually arises from emanating from the footwear pressure and is located immediately above the upper shoe posterior edge between skin and Achilles tendon. The diagnosis is made clinically. The treatment consists in a modification of the footwear.

(See also overview of diseases of the feet and ankles.) This bursitis occurs mostly through emanating from footwear pressure and is located just above the posterior upper shoe edge between the skin and the Achilles tendon. The diagnosis is made clinically. The treatment consists in a modification of the footwear. The disorder occurs mainly in young women. Wearing high-heeled shoes is a risk factor. Another risk factor is a bone projection (Haglund’s deformity) at the heel bone. This deformity predisposes to Bursa Education Repeated irritation from the shoe edge. Symptoms and signs The symptoms of posterior bursitis of the Achilles tendon develops just above the posterior upper shoe edge and is in the early stages often of redness, pain and warmth. Later, a superficial skin erosion can happen. After months or even later, a fluctuating pressure painful, cystic, red or flesh-colored nodes developed with a diameter of 1-3 cm. He is red or skin colored. In chronic cases, the bursa is fibrotic and calcified. Diagnostic symptoms and a small pressure and painful skin colored or red nodes proving diagnosis is the detection of a small, pressure-painful and flesh-colored or red node in a patient with corresponding symptoms. In rare cases, a tendon xanthomas can occur at the same location, but this is painless and rather pink. The enthesopathy the Achilles tendon causes pain in the first place on the tendon, less common but also on the upper shoe edge but still missing the Weichteill√§sion. Therapy modification of the footwear Good fitting shoes with flat heels are therapeutically essential. A heel pad of foam rubber or felt may be necessary to raise the heel to the point where the upper edge shoes exert no attraction. Protective gel packs, padding around the bursa around or wearing shoes without heel may be useful to alleviation of inflammation. Orthotics can increase the stability of the back foot and help to reduce irritating movements on the back heel bone while walking. Warm or cold compresses, NSAIDs and the injection of a combination of local anesthetic and corticosteroid in the Bursa also offer a temporary relief, but the tendon itself should not be taken. The surgical removal of a portion of the underlying bone may also be rarely necessary to reduce the soft tissue impingement.

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