ABSTRACT
Achilles tendinopathy is a common cause of heel pain and disability and is categorised into two types based on its location insertional Achilles tendinopathy or non-insertional Achilles tendinopathy. In contrast corticosteroid injections may be considered to treat retrocalcaneal bursitis where they appear to result in significant improvements in pain. Unfortunately a small number of AT ruptures have been reported following retrocalcaneal bursal injections, which may be explained by small anatomic connections between the retrocalcaneal bursa and AT. To reduce the risk of soft tissue break down, the retrocalcaneal bursa and Haglund's deformity can be excised endoscopically. Unfortunately, endoscopic surgery does not allow for the debridement and repair of a degenerate AT thereby limiting its use in the management of IAT. MRI and US are the two most useful radiological modalities for NIAT, and have similar diagnostic sensitivities.
