Retrocalcaneal Bursitis Medication

Updated: Sep 12, 2019
  • Author: Patrick M Foye, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Medication

Medication Summary

Retrocalcaneal bursitis is a musculoskeletal condition; thus, medications are used primarily to decrease the associated pain and inflammation. The most common medications are oral nonsteroidal anti-inflammatory drugs (NSAIDs) that are used in conjunction with the rehabilitation program.

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Nonsteroidal anti-inflammatory drugs (NSAIDs)

Class Summary

Various oral NSAIDs can be used to decrease pain and inflammation, and the drug of choice (DOC) is largely a matter of convenience (eg, what is the best dosing frequency to achieve adequate analgesic and anti-inflammatory effects?), safety profile, and cost.

Ibuprofen (Motrin, Advil, Nuprin, Rufen)

A commonly used NSAID. DOC for patients with mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis. Many doses are available without a prescription.

Ketoprofen (Orudis, Oruvail, Actron)

For relief of mild to moderate pain and inflammation.

Small dosages are initially indicated for small and elderly patients and in those with renal or liver disease.

Doses over 75 mg do not increase therapeutic effects. Administer high doses with caution, and closely observe the patient for response.

Naproxen (Naprelan, Naprosyn, Anaprox)

For relief of mild to moderate pain; inhibits inflammatory reactions and pain by decreasing cyclooxygenase activity, which results in a decrease of prostaglandin synthesis.

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Nonsteroidal anti-inflammatory drug (NSAIDs), Topical

Class Summary

Topical NSAIDs are able to deliver a large dose of anti-inflammatory medication to a focal painful area with minimal systemic distribution.

Diclofenac topical (Flector)

Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.

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