What causes retrocalcaneal bursitis?

Posterior calcaneal bursitis is generally caused by factors such as bone structural abnormalities, inflammatory conditions, and chronic injuries. Appropriate treatment measures should be selected based on the underlying causes and symptoms. A detailed analysis is as follows:

1. Bone Structural Abnormalities

If high-heeled or narrow shoes are worn for prolonged periods, local compression on the calcaneus may occur, along with friction on prominent areas. Over time, this can lead to changes in bone structure and trigger an inflammatory response. It is recommended to wear comfortable footwear and avoid shoes that are too small or tight.

2. Inflammatory Factors

If the local tissue around the calcaneus suffers trauma from external force and is not treated promptly, bacterial infection may easily develop, leading to inflammatory symptoms such as joint pain, swelling, and limited mobility. In such cases, medication should be taken under medical guidance. Drugs like celecoxib capsules, diclofenac sodium sustained-release capsules, and loxoprofen sodium tablets can help achieve anti-inflammatory and analgesic effects.

3. Chronic Injury

Long-term walking or lifting heavy objects can repeatedly cause friction on the local area of the calcaneus, resulting in overuse damage to soft tissues and joints. In severe cases, bone spurs may form. Without effective treatment, this may lead to inflammation of the retrocalcaneal bursa. For this condition, alternating cold and heat therapy may be used to help reduce pain and discomfort.

In addition, other possible causes include rheumatoid arthritis, bone spurs (osteophytes), gout, and similar conditions. It is advisable to seek timely medical attention at a hospital to identify the exact cause and follow professional treatment recommendations, while avoiding excessive fatigue.