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Diagnosed With Retrocalcaneal Spur/ Bursitis. Suggested Surgical Treatment. What To Do?
Retrocalcaneal Spur/ bursitis (both the heels)
Hello Doctors,
Recently I have been diagnosed with Retrocalcaneal Spur/ bursitis. I need some information & your valuable advice on the same. I am 34 yrs pld, since I delivered my baby through C-section two years back, my feet’s started paining. They were bad initially however they subsided after some months & i thought they took care of themselves. But since last 6 months the pain started coming back in both the feet’s & got aggravated. Finally I took an appointment with an Ortho. Doctor, who saw my feet & diagnosed that I was suffering from Retrocalcaneal Spur/ bursitis. To confirm the same he also got the X-rays done..and the results proved him absolutely correct. He has told me that it can be taken care thru non-surgical way but the results would be temporary. Only surgical treatment can give me a permanent solution. He has prescribed the following course of action:
1) T. Hifenac -p (whenever the pain is unbearable) 1-0-1
2) Oxalgin Nano Gel
3) IFT & Foot & ankle stretches
4) T. Ultra D3
Also the doctor was asked me to get the following blood test reports(Uric acid, Creatinine, RA factor, FBS PLBS, CBC, ESR) & thankfully all the results were normal.
My question is what other non surgical options do i have to get rid of this problem permanently? Will eating Hifenac-p twice a day once every week in case of unbearable pain have any kind of long term side effects. Also will IFT help me reduce the intensity of the pain permanently or temporarily? I am 5 2inches in height & weigh 55kgs...I want to reduce atleast 4-5kgs in coming months...so i am planning to either join a gym or do brisk walking....will this aggravate my pain in my feet. My Doctor has advised me not to walk on any kind of inclined surface & stay away from steps. Please help out with the above queries & I would be highly grateful. I am extremely thankful to both Healthcaremagic as well as the doctors for helping me out in my previous queries as well. Thankyou all!
Regards
FouZia Ajay Dere
Tue, 30 Jul 2013
Hi, thanks for writing to HCM.
Retrocalcaneal bursitis (RCB) presents as painful bumps on the back of the heels. Friction due to wearing of tight fitting shoes is a contributing factor.
The conservative management is as follows -
* Analgesic antiinflammatory medications (you are already on them)
* maintaining body weight at optimum level
* avoid wearing high heeled foot wear (these worsens the symtoms)
* Padding of the heel
Operative treatment involves removal of the bump (Dorsal wedge osteotomy of the calcaneum). But the results are UNPREDICTABLE.
Definitely, analgesic medications taken over a prolonged time will lead to number of side effects and the most common of them is "Analgesic nephropathy" (damage to Kidneys).
So as of now, I dont think either conservative management or surgery will offer you complete cure.
Hope this information helps
Retrocalcaneal bursitis (RCB) presents as painful bumps on the back of the heels. Friction due to wearing of tight fitting shoes is a contributing factor.
The conservative management is as follows -
* Analgesic antiinflammatory medications (you are already on them)
* maintaining body weight at optimum level
* avoid wearing high heeled foot wear (these worsens the symtoms)
* Padding of the heel
Operative treatment involves removal of the bump (Dorsal wedge osteotomy of the calcaneum). But the results are UNPREDICTABLE.
Definitely, analgesic medications taken over a prolonged time will lead to number of side effects and the most common of them is "Analgesic nephropathy" (damage to Kidneys).
So as of now, I dont think either conservative management or surgery will offer you complete cure.
Hope this information helps
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Hi, thanks for a detailed information. Of course pain killers have a short term and long term side effects. Short term like gastritis, vomiting and constipation and long term like kidney failure when taken daily for many years. So take them only if necessary after a short course of 5-7 days. Also if you are feeding your child, most of the drugs are not safe. You can take physiotherapy for a longer time which does not have side effects. Also i would suggest to wear a special foot wear called M.C.R ( Micro cellular rubber) for most of the hours in a day. You can have two pairs of footwear one at home and one to use outside. Also try contrast bath that is immersing your foot in warm water with a pinch of salt.You can try all these non surgical methods. If still symptoms are unbearable surgery could be the last option. Thanks and take care.
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