Bursitis can develop at the inferior calcaneus, near the insertion of the plantar fascia. (See also Overview of Foot and Ankle Disorders.)
Symptoms and signs of inferior calcaneal bursitis include throbbing heel pain, particularly when walking barefoot on hard surfaces. Mild warmth and swelling may be present. The pain is most pronounced when the heel first contacts the ground during walking or running activity.
How to Examine the Foot
How to Examine the Ankle
Treatment of Inferior Calcaneal Bursitis
Injection of a corticosteroid/anesthetic solution and modification of footwear
Treatment of inferior calcaneal bursitis is injection of a local anesthetic/corticosteroid mixture and soft-soled shoes with added protective heel cushion padding (see Considerations for Using Corticosteroid Injections).