
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
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.
