University Foot & Ankle Institute
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  • University Foot & Ankle, a Preferred Provider to:
  • UCLA Health System - UCLA Medical Group
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  • And consulting physicians for:
  • C&S - Cedars-Sinai
  • Saint John's Health Center

Heel Conditions: Retrocalcaneal Exostosis

Retrocalcaneal Exostosis and its symtoms

Heel Spur, UFAI Los Angeles

 

Retrocalcaneal exostosis (also known as Achilles bone/heel spur) presents with pain and swelling on the back of the heel — caused by an overgrowth of bone. The condition is often related to chronic tugging of a tight Achilles tendon on the back of the heel (calcaneus).  As bone spurs develop, it becomes increasingly painful to wear shoes. The spurs can also destroy the attachment of the Achilles tendon.

 

Patients may experience pain, tenderness, swelling and redness along the back of the heel bone. Symptoms often increase with activity or shoes that rub the back of the heel. This condition typically affects adults, and because of the types of shoes women wear, they are more at risk.

 

The University Foot and Ankle Institute doctors have extensive knowledge in the conservative (non-surgical) and surgical care of Achilles tendinosis and spur removal related to retrocalcaneal exostosis.

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Treatment of Achilles Heel Spurs

 

Retrocaneal Exotosis - Achilles Heel Spur, UFAI

Non-surgical Care of retrocalcaneal exostosis

Conservative treatment of retrocalcaneal exostosis directly correlates with the condition’s severity. Therapies include:

  • Oral anti-inflammatory medication
  • Physical therapy to increase flexibility and reduce inflammation of the tendon
  • Orthotics to reduce pull on the Achilles tendon and support the arch
  • Cast immobilization
  • Immobilization in a boot

 

Surgical Care of retrocalcaneal exostosis

If surgery becomes necessary, removal of scar tissue with the Topaz procedure may be used to remove scar tissue and increase blood supply to the tendon. This does not eliminate the heel bone spur, but can relieve swelling to the Achilles and reduce pain.

 

If spur removal is required, the procedure may be done arthroscopically to limit the incision and trauma to the area. Surgery with an open incision may be needed in severe cases. The key to a good outcome is a solid reattachment of the Achilles tendon and complete removal of scar tissue and bone spurs.

 

Why University Foot and Ankle Institute for Retrocalcaneal Exostosis treatment?

 

The Foot and Ankle Institute doctors have extensive knowledge in the conservative and surgical care of Achilles tendinosis and spur removal related to retrocalcaneal exostosis. We offer a full level of care including physical therapy, bracing and surgical options.

 

 

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