An inflammed calcaneal bursa will, just like achilles tendinosis/tendinitis, give stiffness through the first steps in the morning and in the warm-up of every run. Then, when your circulation gets going, this stiffness or pain will decrease and go away. In most cases it comes back a while after the run.
achilles-tendinitis/-nosis hurts 3-5 cm up from the heel on the achilles-tendon. In some cases the pain is situated on the heel bone itself, in the insertion of the tendon.
Pain due to
bursitis is situated on the back of the heel bone(calcaneus) and increases if you apply pressure to it. Try to knock on it with your fist and see if the pain comes with an aching caracter(inflammation).
Bursitits in the deep retrocalcaneal bursa can be differentiated from achilles-tendinitis/-nosis by first knocking on the spot with the tendon stretched, and then afterwards with your foot hanging loose(ex. with your foot hanging over the edge of a a table or chair). Knocking with stretch should give no pain whilst knocking with your foot hanging loose should give aching pain if there is an inflammation in the retrocalcaneal bursa.
Mechanisms behind injury is often one or several of mentioned below:
- sudden increase in amount of training.
- new shoes
- change in running style (ex. fore-foot running)
- new/different surface of track
- one night with tight shoes with no cussion and hard surface.
Consult a Naparapath or other practitioner with sports-medicine knowledge for further investigation and treatment if you recognize the symptoms.
Posted: 08/11/2011 at 21:24