Bursitis is the painful swelling of a small sac of fluid called a bursa. Bursae (plural of bursa) cushion and lubricate areas where tendons, ligaments, skin, muscles, or bones rub against each other. People who repeat the same movement over and over or who put continued pressure on a joint in their jobs, sports, or daily activities have a greater chance of getting bursitis.
- Diffuse swelling on the arch of the foot.
- Tenderness and warmth on the medial side of the ankle along the course of the tendon.
- A gradual loss of the arch of the foot.
- Excessive heel wear on the medial side of the shoes.
- Gait can become unsteady.
- Difficulty rising onto the toes.
- Repetitive activity or motion that causes strain on the muscle and tendon.
- Direct Trauma.
- Poor foot structure causing excessive midfoot collapse.
- Tight calf muscles.
- Inflammatory processes such as Rheumatoid Arthritis.
- More prevalent in Females over the age of 40 years.
- Sudden increase in activity level.
- Increased BMI.
Treatment for Bursitis
- RICE – rest, ice, compression & elevation.
- Non-steroidal anti-inflammatory drugs (Nurofen etc).
- Strapping/Padding to offload stress on the joint.
- Activity modification or reduction.
- Footwear modification.
- Orthotic therapy for long term repositioning of the foot.
- Mobilise the joint.
What can you do?
- Reduce or modify current activities
- Gradually resume normal activity as symptoms resolve
- Ice after training/ activity 15 minutes on, 2 hours off, 15 minutes on
- Footwear assessment – it may be time for a new pair