Did you know that there are more than 250,000 Achilles tendon injuries in the United States every year? Of these injuries, virtually 25% require some kind of medical intervention to heal. A fully ruptured tendon demands surgery. Most other injuries could be treated conservatively and will resolve without having surgery.Probably the most poorly understood Achilles tendon injury is really not an injury of the tendon, but an inflammation of the bursa sac that separates the tendon insertion on the heel bone from the back of one’s ankle. The fluid inside the bursa really allows the tendon to move smoothly more than the bone. When the bursa sac becomes irritated from frequent or abnormal movement, it becomes inflamed and bursitis can set in.Achilles bursitis, also called retrocalcaneal bursitis, can be a common overuse injury in runners, hockey players, football player and several other athletes. Improper shoe gear and an excessive amount of, too soon, too fast syndrome are generally the result in of this discomfort in the heel. It could also be seen in non-athletes who wear poor shoe gear or low cut shoes. Usually it’s observed in individuals with rigid, high arched feet.Bursitis is really a painful swelling that occurs inside the back of the heel just deep to the Achilles tendon insertion on the heel bone. This inflammation makes it painful to squat, lunge or run uphill. Several shoes press on this area and make the pain worse. Even running on uneven or soft surfaces can increase the inflammation.First line therapy for Achilles bursitis is rest, ice, heel lifts or heel cups and gentle stretching. Several patients call for physical therapy and functional foot orthotics for complete relief of symptoms. Severe circumstances my even require a period of non-weight bearing casting or bracing before physical therapy in order to lower the inflammation of the bursa. Chronic cases may even require a lot more invasive therapy with extra corporeal shock wave therapy or injection of platelet rich plasma to jump begin the healing process. Surgery is seldom required unless bursitis is ignored for a substantial time frame.Long standing Achilles bursitis can cause substantial difficulty in ankle movement and frequently a spur will form inside the insertion of the tendon. Left untreated, this can at some point trigger a rupture from the Achilles tendon at the insertion and lead to life extended disability. Should you be experiencing painful swelling inside the back of one’s ankle, seek the help of your podiatrist early, so you can get back to running rapidly and avoid any long-term effects of this chronic inflammatory syndrome.