Pain on the back of the heel if often caused by an overgrowth of bone on the back of the heel bone (calcaneus). This is called a retrocalcaneal exostosis. Retrocalcaneal exostosis problems are often related to chronic tugging of a tight Achilles tendon on the back of the heel. With time, there is the development of spurs on the back of the heel which cause pain with shoe and destroy the attachment of the Achilles tendon. Often, there is both extra bone formed and Achilles tendinosis or scar tissue in the Achilles tendon.
For conservative care, care, physical therapy and orthotics may be used. If surgery is necessary, removal of scar tissue may be used to removed the scar tissue and increase blood supply to the tendon. If spur removal is necessary, the procedure may be done arthroscopically to limited the incision and trauma to the area or may need to be done through an open incision is severe cases.
The key to a good outcome is a solid reattachment of the Achilles and complete removal of scar tissue and bone spurs. Our doctors have extensive knowledge in the conservative and surgical care of Achilles tendinosis and spur removal related to retrocalcaneal exostosis. We use the most advanced technology,a device called the Suture Bridge.