Heel Conditions: All about Retrocalcaneal Exostosis (Achilles Heel Spurs)

Updated 12/10/2018
Sue discusses her Achilles bone spur surgery and overall experience at University Foot and Ankle Institute.

Retrocalcanealexostosis (also known as an Achilles bone/heel spur) is the overgrowth of bone on the back of the heel.

This painful condition is often related to the chronic tugging of a tight Achilles tendon on the heel bone (calcaneus).
The bone spurs can destroy the attachment of the Achilles tendon so it is important to seek proper medical attention at the onset of the condition.


The team of physicians at University Foot and Ankle Institute have decades of  extensive experience treating Achilles conditions and spur removal related to retrocalcaneal exostosis.

Achilles Heel Spur Symptoms

Dr Baravarian explains heel spurs: what causes them, symptoms and revolutionary treatment options available at UFAI

Patients may experience pain, swelling, redness and a bony bump 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.


As the bone spur develops, it becomes increasingly painful to wear shoes.


Treatment of Achilles Heel Spurs

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 to decrease stress on the Achilles
  • 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. Read more about the Topaz procedure here.


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?

Achilles Bone Spur, Retrocalcaneal Exostosis Surgery

The Foot and Ankle Institute doctors have decades of combined experience in the conservative and surgical care of Achilles tendinosis and spur removal related to retrocalcaneal exostosis.


We are pleased to offer multiple locations throughout Greater Los Angeles and Southern California.  Our Valencia, Sherman Oaks, Beverly Hills, Manhattan Beach, West Los Angeles, West Hills, Santa Barbara and Santa Monica Podiatry locations offer a range of services including full radiology, MRI, neurosensory nerve testing, and ultrasound. This means you will rarely have to go from office to office if tests are ordered.


We are also proud to offer state of the art surgical centers and physical therapy services conveniently located within our Valencia and Santa Monica Podiatry offices and close to our other locations. Our advanced services get you back on your feet and back to your life in the least amount time possible!

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