Heel Bursitis (Retrocalcaneal or Subcutaneous Bursitis)

What Is Bursitis?

Heel bursitis occurs when one of the small fluid-filled sacs at the back of the heel becomes inflamed. This can happen between the Achilles tendon and heel bone (retrocalcaneal bursitis) or between the skin and tendon (subcutaneous bursitis).

Common Symptoms

  • Pain at the back of the heel

  • Swelling or warmth

  • Pain when wearing shoes that rub

  • Stiffness around the Achilles

  • Pain when squeezing the sides of the heel

Typical Causes

  • Repetitive pressure or friction

  • Tight calf muscles

  • High-impact activities

  • Haglund’s bump

  • Poorly fitting shoes

  • Overuse or sudden increase in training

Treatment Options

  • MSL Laser therapy

  • Reducing aggravating activities

  • Ice and inflammation management

  • Soft-heeled footwear

  • Orthotics or heel lifts

  • Calf stretching

  • Taping or padding

  • In severe cases, onward referral may be considered

When to Seek Help

If bursitis symptoms persist longer than 1–2 weeks or worsen, professional treatment can prevent chronic inflammation and tendon involvement.