Heel Bursitis Operations/Surgeries (Runner's World Forums) | Surgery for Retrocalcaneal Bursitis: A Tendon-splitting versus a Lateral Approach

  • Posted by a hidden member.
    Log in to view his profile

    Jan 04, 2017 9:02 PM GMT
    Surgery for Retrocalcaneal Bursitis: A Tendon-splitting versus a Lateral Approach

    For patients with refractory retrocalcaneal bursitis (Haglund’s syndrome), the most effective surgical approach has not been defined. We asked whether patients undergoing the tendon-splitting approach and the lateral approach would have comparably effective relief of pain for both types of calcaneal ostectomies. We retrospectively reviewed 30 patients (31 feet) who underwent the tendon-splitting approach and compared their results with 32 previous patients (35 feet) who had a lateral incision. Minimum followup was 12 months (mean, 16 months; range, 12–23 months) for the tendon-splitting group and 15 months (mean, 51 months; range, 15–109 months) for the lateral group. The mean American Orthopaedic Foot and Ankle Society score improved from 43 points preoperatively to 81 points (range, 8–100 points) postoperatively in the tendon-splitting group and from 54 points to 86 points (range, 55–100 points) in the lateral group. The mean physical component score of the Short Form-36, version 2, at followup was 52 (range, 22–61) in the tendon-splitting group and 49 (range, 34–63) in the lateral group. The median return to normal function was 4.1 months (range, 3–13 months) in the tendon-splitting group and 6.4 months (range, 4–20 months) in the lateral group. Both approaches to calcaneal ostectomy provided symptomatic pain relief. However, patients in the tendon-splitting group returned to normal function quicker than patients in the lateral group.

    Level of Evidence: Level III, retrospective comparative study. See the Guidelines for Authors for a complete description of levels of evidence.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2505264/
  • Posted by a hidden member.
    Log in to view his profile

    Jan 26, 2017 3:25 AM GMT
    Stretching my ankle to the outside and to the inside helps (15%).

    A new pair of cross-trainers that positions the foot for mid-foot running (the warning label stated) also helps (25%).
    This is the link to the shoe.


    Men's Cross-Training Shoes
    Weight: 292 grams (10.2 oz)

    Run and train your way in the multi-tasking New Balance Minimus 40 cross trainer. Our most run-friendly Minimus trainer to date, this men’s shoe feature a Rapid Rebound midsole to help cushion and energize your runs — plus REvlite in the heel for added stability while you lift.

    http://www.newbalance.com/pd/minimus-40-trainer/MX40-V1.html?dwvar_MX40-V1_color=Grey#color=Grey