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		<title>Bursitis Of The Foot Problems - Historial de revisiones</title>
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		<title>VirgieOddo14 en 22:05 11 jun 2017</title>
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				<updated>2017-06-11T22:05:57Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
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				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;← Revisión anterior&lt;/td&gt;
				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;Revisión de 22:05 11 jun 2017&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class='diff-marker'&gt;−&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The most common bursa to be inflamed in the foot &lt;/del&gt;is the retrocalcaneal bursa &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;(also referred to as &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;subtendinous calcaneal bursa). Located between &lt;/del&gt;the Achilles tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and the heel bone (calcaneus), this is &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;quot;true&amp;quot; bursa &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is present from birth&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;It acts as a cushion &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;protect the Achilles tendon from friction against the &lt;/del&gt;heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bone. Also commonly affected&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the subcutaneous calcaneal bursa (also referred &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;as the Achilles bursa), located between the Achilles tendon &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the skin, sits a little lower down the ankle towards &lt;/del&gt;the heel &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;than the retrocalcaneal bursa&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This bursa develops &lt;/del&gt;as &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;you age&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;an &amp;quot;adventitious&amp;quot; bursa&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;to protect the tendon from friction at the back &lt;/del&gt;of the heel.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Posterior heel pain can come from one of several causes. When a physician is talking about posterior heel pain, he or she is referring &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain behind &lt;/del&gt;the heel, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;not below &lt;/del&gt;it. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Pain underneath &lt;/del&gt;the heel, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;on &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bottom &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the foot, has several causes including Tarsal Tunnel Syndrome&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Plantar Fasciitis&lt;/del&gt;. [https://&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;melissahade&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;wordpress&lt;/del&gt;.com/2015/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;06&lt;/del&gt;/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;21&lt;/del&gt;/&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;hammertoe&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;treatment&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain Heel Spurs&lt;/del&gt;].&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Symptoms&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Nagging ache &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;swelling &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;or around a joint&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Painful &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;restricted movement in the affected joint&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Pain radiating into the neck or arms when &lt;/del&gt;bursitis &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;strikes &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoulder (the most common site)&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Fever&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;when associated with an infection&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Diagnosis&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Medical examination is not necessarily required in light cases where &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tenderness is minimal. In all cases where smooth improvement is not experienced, medical attention should be sought as soon as possible to exclude a (partial) rupture &lt;/del&gt;of the Achilles tendon or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rupture &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;soleus muscle&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This situation is best determined by use &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ultrasound scanning&lt;/del&gt;, as &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a number of injuries requiring treatment can easily be overlooked during a clinical &lt;/del&gt;examination &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;(Ultrasonic image)&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Ultrasound scanning enables an evaluation &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the extent of the change in the tendon&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammation of the tendon (tendinitis)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;development &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cicatricial tissue (tendinosis)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;calcification&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammation &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tissue surrounding &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon (peritendinitis), inflammation &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the bursa (bursitis)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;as well as (partial) rupture&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Treatment consists of anti-inflammatory therapy &lt;/del&gt;with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the use of ice&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;short term non steroidal therapy including ibuprofen and naproxen and selective use of cortisone injections&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Cortisone injections have been shown &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;be a highly effective anti&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammatory measure &lt;/del&gt;for &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;relieving foot and ankle pain&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Care must always be taken by &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;physician &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;insure that the injection is administered into the bursal sac &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;not &lt;/del&gt;the Achilles tendon &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;which can cause tendon injury&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Treatment also consists of the use of heel lifts &lt;/del&gt;or the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;temporary &lt;/del&gt;use &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;of a shoe with a low heel&lt;/del&gt;. The &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heel lift decreases the mechanical load &lt;/del&gt;on the Achilles tendon. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Gentle stretching of &lt;/del&gt;the Achilles &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tendon&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the possible use of &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;splint that is worn at night as well as physical &lt;/del&gt;therapy &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;as directed by your physician can be employed&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt; Temporary activity limitations for fitness must &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;incorporated into &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;treatment plan&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Any weight bearing activity for exercise that actively lifts your heel off &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ground including running, walking stair stepper will interfere with effective conservative care&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Low impact activity including biking and pool tend to &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;safe exercises during your recovery&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery is rarely done strictly for treatment of a bursitis. If any underlying cause is the reason, this may be addressed surgically. During surgery for other conditions, a bursa may be seen and removed surgically.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Protect that part of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;body &lt;/del&gt;that may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;be most vulnerable, If &lt;/del&gt;you &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;have &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;kneel a lot&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;get some knee pads&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Elbow braces can protect tennis &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;golf players&lt;/del&gt;. If you &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are an athlete &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;avid walker&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;invest &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;some good walking &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;running shoes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;When doing repetitive tasks have breaks&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Apart from taking regular breaks&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;try varying &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;movements &lt;/del&gt;so that you &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are using different parts of &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;body&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Warm up before exercise&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Before any type of vigorous exercise &lt;/del&gt;you &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;should warm up for at least 5 to 10 minutes. The warm up could include walking at &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;good speed, slow jogging&lt;/del&gt;, or a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cycling machine&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Strong muscles add extra protection to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;area&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;If you strengthen &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;muscles &lt;/del&gt;in the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;area where you had bursitis (after you are better)&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;especially &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;area around &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;joint, you will have extra protection from injury&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Make sure you do this well after your bursitis has gone completely&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class='diff-marker'&gt;+&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Heel bursitis &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;specifically the inflammation of &lt;/ins&gt;the retrocalcaneal bursa&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, located at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back of the heel, under &lt;/ins&gt;the Achilles tendon&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;.&amp;#160; There are &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;handful of factors &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;put you at risk for developing heel bursitis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Long distance runners are prone &lt;/ins&gt;to heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursitis&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;due &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;repeated stress &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pounding upon &lt;/ins&gt;the heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joint&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Engaging in activities such &lt;/ins&gt;as &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;running&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bicycling&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;walking, jumping, and stair climbing for extended periods &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;time can overwork &lt;/ins&gt;the heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joints and start to irritate the bursae&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Suddenly changing &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a high-intensity workout regime puts a lot of stress on &lt;/ins&gt;the heel, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;making &lt;/ins&gt;it &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;vulnerable to injury&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Hard blows/bumps to &lt;/ins&gt;the heel &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can immediately damage the bursae&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;leading to swelling and inflammation.&amp;#160; Training at high intensities without stretching and warming up can also contribute to &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;development &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel bursitis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Even improper footwear can be a big factor&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Some other conditions can put you at risk as well, such as: tarsal tunnel syndrome, rheumatoid arthritis, plantar fasciitis, muscle weakness, joint stiffness, and &lt;/ins&gt;[https://&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Sherleysecore&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wordpress&lt;/ins&gt;.com/2015/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;03&lt;/ins&gt;/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;29&lt;/ins&gt;/&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;understanding&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;aches heel spurs&lt;/ins&gt;]&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;.&amp;#160; It is very important to get a professional diagnosis if you are having heel pain because heel bursitis is often confused for Achilles tendonitis, and the proper treatments are very different.&amp;#160; The pain could also be plantar fasciitis or general heel pain syndrome&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Causes&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Inflammation of the calcaneal bursae is most commonly caused by repetitive overuse &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cumulative trauma, as seen &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;runners wearing tight-fitting shoes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Such bursitis may also be associated with conditions such as gout, rheumatoid arthritis, &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;seronegative spondyloarthropathies&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;In some cases, subtendinous calcaneal &lt;/ins&gt;bursitis &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is caused by bursal impingement between &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon and an excessively prominent posterior superior aspect of a calcaneus that has been affected by Haglund deformity&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;With Haglund disease&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;impingement occurs during ankle dorsiflexion&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Symptoms&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Pain at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back of the heel at the attachment site &lt;/ins&gt;of the Achilles tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;when running. Pain on palpation of the back of the heel &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bottom &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel. Pain when standing on tiptoes. Swelling and redness at &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;back and bottom of the heel&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Your doctor will examine you, including an evaluation &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your gait&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;while you are barefoot, your doctor will ask you to stand still and to walk in order to evaluate how your foot moves &lt;/ins&gt;as &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you walk. An &lt;/ins&gt;examination &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;of your feet&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Your doctor may compare your feet for any differences between them. Then your doctor may examine your painful foot for signs &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tenderness&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;swelling&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;discoloration, muscle weakness and decreased range &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;motion. A neurological examination. The nerves and muscles may be evaluated by checking strength&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sensation and reflexes. In addition to examining you&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your health care professional may want to examine your shoes. Signs &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;excessive wear in certain parts of a shoe can provide valuable clues to problems in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;way you walk and poor bone alignment. Depending on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;results &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your physical examination&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you may need foot X-rays or other diagnostic tests&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Many times, Achilles tendon bursitis can be treated &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;home care. However&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;if self-care remedies do not work, your doctor may need to administer additional treatments&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Home care. The most important thing you can do &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;help your healing is to refrain from activities that could further aggravate the bursitis. Typical home&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;care treatments &lt;/ins&gt;for &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Achilles tendon bursitis include Anti-inflammatory medication&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Take over-&lt;/ins&gt;the&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;-counter pain medication, like aspirin or ibuprofen, &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;reduce pain &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;swelling. Heel wedges. An over-the-counter or custom heel wedge can be placed in your shoe to minimize stress in &lt;/ins&gt;the Achilles tendon. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Ice. Apply ice &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;other cold therapy to your sore heel several times a day. Rest. Limit your activity on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;injured leg, avoid putting pressure on it whenever possible. Also, elevate your leg during non-&lt;/ins&gt;use &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;to help reduce the swelling&lt;/ins&gt;. The &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;above remedies may be used on their own or in combination with others &lt;/ins&gt;on the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;list. Physician-administered treatments. If the above self-care remedies are not effective, you should visit your doctor for additional treatment. Possible &lt;/ins&gt;Achilles tendon &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursitis treatments your doctor may administer include immobilization&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursitis is combined with &lt;/ins&gt;Achilles &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendonitis&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your doctor may place &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;temporary cast on the ankle to prevent movement and allow it to heal. Physical &lt;/ins&gt;therapy. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Exercises may &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;used to improve &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ankle's strength and flexibility&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Steroids. Injection &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;steroids into &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;retrocalcaneal bursa (not the Achilles tendon) may be necessary&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Surgery. In very rare circumstances, surgery may &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;needed to remove the retrocalcaneal bursa, however, this is typically a last resort&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery is rarely done strictly for treatment of a bursitis. If any underlying cause is the reason, this may be addressed surgically. During surgery for other conditions, a bursa may be seen and removed surgically.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It isn't always possible to avoid &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sudden blow, bump, or fall &lt;/ins&gt;that may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;produce bursitis. But &lt;/ins&gt;you &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can protect your body with measures similar &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;those that protect you from other kinds of overuse injuries&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;such as tendinitis&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Keep yourself in good shape. Strengthening &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;flexibility exercises tone muscles that support joints and help increase joint mobility. Don?t push yourself too hard (or too long)&lt;/ins&gt;. If you&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;?re engaged in physical labor, pace yourself and take frequent breaks. If you?re beginning a new exercise program &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a new sport&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;work up gradually to higher levels of fitness. And anytime you?re &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pain, stop. Work on technique. Make sure your technique is correct if you play tennis, golf, &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;any sport that may strain your shoulder&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Watch out for ?elbow-itis&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;? If you habitually lean on your elbow at your work desk&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;this may be a sign that your chair is uncomfortable or the wrong height. Try to arrange &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;work space &lt;/ins&gt;so that you &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;don?t have to lean on &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;elbow to read, write, or view your computer screen&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Take knee precautions&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If &lt;/ins&gt;you &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;have &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;task that calls for lots of kneeling (for example&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;refinishing &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;waxing &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;floor), cushion your knees, change position frequently, and take breaks&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wear &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;right shoes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;High-heeled or ill-fitting shoes cause bunions, and tight shoes can also cause bursitis in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heel. Problems &lt;/ins&gt;in the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;feet can also affect the hips. In particular&lt;/ins&gt;, the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;tendons and bursae in &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;hips can be put under excessive strain by worn-down heels&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Buy shoes that fit and keep them in good repair. Never wear a shoe that?s too short or narrow. Women should save their high heels for special occasions only. Avoid staying in only one position for too long. Get up and walk around for a while or change positions frequently&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>VirgieOddo14</name></author>	</entry>

	<entry>
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		<title>TorriPickett: Página creada con «Overview&lt;br&gt;The most common bursa to be inflamed in the foot is the retrocalcaneal bursa (also referred to as the subtendinous calcaneal bursa). Located between the Achille...»</title>
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				<updated>2017-06-11T21:57:32Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;The most common bursa to be inflamed in the foot is the retrocalcaneal bursa (also referred to as the subtendinous calcaneal bursa). Located between the Achille...»&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nueva&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;The most common bursa to be inflamed in the foot is the retrocalcaneal bursa (also referred to as the subtendinous calcaneal bursa). Located between the Achilles tendon and the heel bone (calcaneus), this is a &amp;quot;true&amp;quot; bursa that is present from birth. It acts as a cushion to protect the Achilles tendon from friction against the heel bone. Also commonly affected, the subcutaneous calcaneal bursa (also referred to as the Achilles bursa), located between the Achilles tendon and the skin, sits a little lower down the ankle towards the heel than the retrocalcaneal bursa. This bursa develops as you age, an &amp;quot;adventitious&amp;quot; bursa, to protect the tendon from friction at the back of the heel.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Posterior heel pain can come from one of several causes. When a physician is talking about posterior heel pain, he or she is referring to pain behind the heel, not below it. Pain underneath the heel, on the bottom of the foot, has several causes including Tarsal Tunnel Syndrome. Plantar Fasciitis. [https://melissahade.wordpress.com/2015/06/21/hammertoe-treatment-pain Heel Spurs].&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Symptoms&amp;lt;br&amp;gt;Nagging ache and swelling in or around a joint. Painful and restricted movement in the affected joint. Pain radiating into the neck or arms when bursitis strikes the shoulder (the most common site). Fever, when associated with an infection.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Medical examination is not necessarily required in light cases where the tenderness is minimal. In all cases where smooth improvement is not experienced, medical attention should be sought as soon as possible to exclude a (partial) rupture of the Achilles tendon or rupture of the soleus muscle. This situation is best determined by use of ultrasound scanning, as a number of injuries requiring treatment can easily be overlooked during a clinical examination (Ultrasonic image). Ultrasound scanning enables an evaluation of the extent of the change in the tendon, inflammation of the tendon (tendinitis), development of cicatricial tissue (tendinosis), calcification, inflammation of the tissue surrounding the tendon (peritendinitis), inflammation of the bursa (bursitis), as well as (partial) rupture.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;Treatment consists of anti-inflammatory therapy with the use of ice, short term non steroidal therapy including ibuprofen and naproxen and selective use of cortisone injections. Cortisone injections have been shown to be a highly effective anti-inflammatory measure for relieving foot and ankle pain. Care must always be taken by the physician to insure that the injection is administered into the bursal sac and not the Achilles tendon which can cause tendon injury. Treatment also consists of the use of heel lifts or the temporary use of a shoe with a low heel. The heel lift decreases the mechanical load on the Achilles tendon. Gentle stretching of the Achilles tendon, the possible use of a splint that is worn at night as well as physical therapy as directed by your physician can be employed.  Temporary activity limitations for fitness must be incorporated into the treatment plan. Any weight bearing activity for exercise that actively lifts your heel off of the ground including running, walking stair stepper will interfere with effective conservative care. Low impact activity including biking and pool tend to be safe exercises during your recovery.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Surgery is rarely done strictly for treatment of a bursitis. If any underlying cause is the reason, this may be addressed surgically. During surgery for other conditions, a bursa may be seen and removed surgically.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;Protect that part of the body that may be most vulnerable, If you have to kneel a lot, get some knee pads. Elbow braces can protect tennis and golf players. If you are an athlete or avid walker, invest in some good walking or running shoes. When doing repetitive tasks have breaks. Apart from taking regular breaks, try varying your movements so that you are using different parts of your body. Warm up before exercise. Before any type of vigorous exercise you should warm up for at least 5 to 10 minutes. The warm up could include walking at a good speed, slow jogging, or a cycling machine. Strong muscles add extra protection to the area. If you strengthen the muscles in the area where you had bursitis (after you are better), especially the area around the joint, you will have extra protection from injury. Make sure you do this well after your bursitis has gone completely.&lt;/div&gt;</summary>
		<author><name>TorriPickett</name></author>	</entry>

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