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Symptoms vary from localized warmth and erythema (redness) [1] to joint pain and stiffness, to stinging pain that surrounds the joint around the inflamed bursa. Bursitis could possibly also cause a snapping, grinding or popping sound – known as snapping scapula syndrome – when it occurs in the shoulder joint. This is not necessarily painful.
The most common symptoms are pain and swelling around the back of the ankle. [1] The pain is typically worse at the start of exercise and decreases thereafter. [3] Stiffness of the ankle may also be present. [2] Onset is generally gradual. [1] Achilles tendinopathy is idiopathic, meaning the cause is not well understood.
Achilles bursitis is bursitis (inflammation of synovial sac) of bursa situated above the insertion of tendon to calcaneus. [1] It results from overuse and wearing of tight shoes. [ 2 ] [ 3 ]
Middle age is the most common age of affection, females are more affected than males, and the occurrence is often bilateral. A clinical feature of this condition is pain in the back of the heel, which is more after rest. Clinical evaluation and lateral radiographs of the ankle are mostly enough to make a diagnosis of Haglund's syndrome. [2]
Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
Retrocalcaneal bursitis is an inflammation of the bursa located between the calcaneus and the anterior surface of the Achilles tendon. [1] It commonly occurs in association with rheumatoid arthritis, spondyloarthropathies, gout, and trauma. [2] The pain is usually on the back of the heel and swelling appears on lateral or medial side of the tendon.
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