Achilles bursitis

　　Achilles bursitis is the inflammation of the bursa below the Achilles insertion on the heel. It is related to trauma and inflammatory arthritis (such as rheumatoid arthritis). The cause of rheumatoid arthritis is not yet clear, and it is generally believed to be closely related to genetic, environmental, and infectious factors. The risk of disease in first-degree relatives of patients with rheumatoid arthritis is 1.5 times higher than that in the general population. Any condition that increases the strain on the Achilles tendon can be a cause of the disease, and hard or high shoe collars can also be a pathogenic factor.

　　The complications of this disease are rare, and the main manifestation is pain and swelling.

　　If the course of the disease is long and treatment is not timely, it is easy to lead to swelling and effusion of the anterior bursa, and in severe cases, there may be hemorrhagic fluid.

　　Achilles bursitis is a chronic injury, mainly manifested as pain and swelling of the Achilles tendon.

　　In the early stage, there may be a feeling of acidity, swelling, or mild pain in the lower posterior part of the ankle joint. As the condition progresses, it can become persistent pain, characterized by more obvious pain when starting to move, which significantly decreases after opening up, and the condition worsens again after rest. Often, due to this regular pain, the patient's ability to lift the heel and push off is limited.

　　The early pain of this disease is mainly caused by the injury of the peritenon tissue. When the patient gets up or walks continuously, the tendons move more in the peritenon tissue, so the pain worsens. Common symptoms include pain in the posterior heel space, swelling, fever, difficulty in walking, and difficulty in wearing shoes. Initially, the swelling is limited to the front of the Achilles tendon, but it quickly spreads to the inside and outside, causing swelling around the Achilles tendon.

　　The main prevention of this disease is to prevent the injury of the Achilles tendon, and at the same time, attention should be paid to rest and avoid overuse of the Achilles tendon. When exercising excessively, you can soak your feet in hot water. For patients with symptoms, heat application and rest can also alleviate pain. At the same time, appropriate massage of the foot acupoints can promote local blood circulation and accelerate the absorption of inflammation. If symptoms persist or worsen, it is necessary to seek medical attention actively to prevent further injury.

　　The common symptoms of this disease are posterior calcaneal interspace pain, swelling, fever, difficulty in walking and wearing shoes. Initially, the swelling is limited to the front of the Achilles tendon, but it expands to the medial and lateral sides soon. Clinically, the diagnosis of this disease is generally confirmed based on its clinical manifestations, and it is generally not necessary to perform auxiliary examinations. In some special cases or when there are suspected symptoms to exclude the existence of other diseases, X-ray examination can be performed.

　　What kind of food is good for the Achilles bursitis

　　It is advisable to eat foods that promote blood circulation and remove blood stasis, and open the orifices, such as Panax notoginseng, hawthorn, huoxiang, allium fistulosum, shepherd's purse, etc. In addition, eating more fresh vegetables, fruits, and legumes is a good choice. It should be avoided to eat fried, grilled, salty, or sweet foods in daily life. In the later stage of the disease, it is advisable to eat foods that invigorate Qi and nourish the blood, tonify the liver and kidney, and contain nutrition, such as grapes, black beans, wolfberry, longan, and turtle meat, and avoid spicy, greasy foods, and stimulants such as cigarettes and alcohol.

　　(The above information is for reference only, please consult a doctor for details.)

　　For the treatment of this disease, both symptomatic treatment and treatment for the cause should be carried out simultaneously:

　　1. Symptomatic treatment:Heat application and rest can also alleviate pain. For patients with severe pain, intra-articular injection of soluble corticosteroids and anesthetics can be performed, but it must be carefully avoided to inject the medication directly into the Achilles tendon.

　　2. Treatment for the cause:Carefully examine and differentiate the causes of the disease. If it is caused by Achilles tendinitis, attention should be paid to avoid it, and at the same time, increase rest time. If it is caused by rheumatoid arthritis, active treatment should be carried out.