Calcaneal Bursitis Follow-up

Updated: Sep 12, 2019
  • Author: Patrick M Foye, MD; Chief Editor: Consuelo T Lorenzo, MD  more...
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Follow-up

Further Outpatient Care

See the list below:

  • The patient should return for re-evaluation every 4-6 weeks until the symptoms are resolved or under adequate control.

  • These follow-up visits provide the clinician with an opportunity to monitor the efficacy of the treatment plan and to make appropriate modifications if the patient's symptoms have not adequately improved.

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Deterrence

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  • The patient should avoid footwear that fits tightly at the posterior heel.

  • High-heeled shoes should be avoided.

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Complications

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  • Chronic or progressive posterior heel pain

  • Limping (antalgic gait)

  • Achilles tendon rupture occurring secondary to chronic inflammation or perhaps resulting from corticosteroid injection

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Prognosis

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  • Most patients respond well to a combination of local icing, oral anti-inflammatory medications, Achilles tendon stretching, and footwear modification.

  • Surgical intervention may provide good results for patients in whom conservative treatment has failed.

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Patient Education

See the list below:

  • The patient should be educated in the proper performance of Achilles tendon stretching.

  • The patient should understand the rationale for appropriate footwear.

  • A patient who is considering corticosteroid injection must understand the potential risks and benefits of this treatment.

  • For patient education resources, see the Foot, Ankle, Knee, and Hip Center, as well as Bursitis.

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