Ankle bursitis occurs when the bursa, a small fluid-filled sac that cushions and protects joints, becomes irritated or inflamed. In the ankle, bursae are located near the Achilles tendon, heel, and sides of the joint—reducing friction between tendons, bones, and skin.
When these sacs become inflamed, they can cause significant pain, swelling, and tenderness—making it uncomfortable to walk, wear shoes, or stand for long periods.
At Dr. Burke Orthopedics, we help patients across Pearland, Houston, Friendswood, and Southeast Texas recover from ankle bursitis through accurate diagnosis, advanced orthopedic treatments, and guided rehabilitation. Dr. Robert L. Burke, a board-certified orthopedic surgeon, provides expert, compassionate care to relieve pain and restore joint function.
Ankle bursitis typically develops due to repetitive motion, pressure, or trauma around the joint. Inflammation can also occur from underlying orthopedic or systemic conditions.
Common causes and contributing factors include:
- Repetitive overuse from running, jumping, or prolonged standing
- Poorly fitted footwear that irritates the heel or ankle bones
- Direct trauma or pressure to the ankle (kneeling, leaning, or bumping)
- Ankle arthritis or other chronic joint inflammation
- Infection (septic bursitis) caused by bacteria entering the bursa
- Previous ankle injuries or structural misalignment
- Bone spurs that irritate nearby soft tissues
Identifying the underlying cause is essential for lasting relief and prevention of recurrence.
Symptoms can range from mild discomfort to significant swelling and restricted motion.
Common signs include:
- Localized pain and tenderness around the back or sides of the ankle
- Swelling or a soft lump that worsens with activity or pressure
- Warmth and redness, especially if infection is present
- Limited range of motion or stiffness when flexing the ankle
- Pain when wearing tight shoes or walking uphill
If left untreated, bursitis can become chronic, leading to persistent inflammation or thickening of the bursal wall.
Dr. Burke begins with a comprehensive clinical evaluation to determine whether the pain originates from a bursa, tendon, or other joint structure.
Diagnostic assessments may include:
- Physical examination — identifying swelling, tenderness, and motion limitations
- Ultrasound imaging — to visualize fluid buildup and bursal inflammation
- X-rays — to rule out bone spurs, fractures, or arthritis
- MRI — for complex cases involving deep bursae or coexisting soft-tissue injuries
- Fluid aspiration (if needed) — to test for infection or gout crystals in the bursa
A precise diagnosis ensures targeted and effective treatment.
Non-Surgical Treatments
Most cases of ankle bursitis respond well to conservative management focused on reducing inflammation and preventing recurrence.
Non-surgical treatment options include:
- Rest and activity modification to reduce pressure on the ankle
- Ice therapy and elevation to minimize swelling
- Anti-inflammatory medications (oral or topical)
- Footwear modification or heel cushions to relieve irritation
- Ultrasound-guided corticosteroid injections to decrease persistent inflammation
- Bracing or compression wraps for temporary support
- For strengthening and restoring range of motion
Proper rehabilitation helps restore mobility and prevents flare-ups caused by overuse or biomechanical imbalances.
Surgical Treatments
Surgery is rarely required but may be recommended for chronic or infected bursitis that does not respond to conservative care.
Surgical options include:
- Bursectomy — removal of the inflamed bursa when it causes repeated irritation
- Bone spur removal if structural abnormalities contribute to irritation
- Infection drainage and debridement for septic bursitis
Dr. Burke performs minimally invasive procedures whenever possible to reduce recovery time and post-operative discomfort.
Recovery and Prevention
Recovery time depends on the cause and severity of inflammation:
- Mild bursitis: 2–4 weeks with rest, bracing, and therapy
- Chronic or post-surgical bursitis: 6–8 weeks or longer with guided rehabilitation
Prevention strategies:
- Wear properly fitted, cushioned footwear
- Avoid repetitive ankle stress without rest breaks
- Stretch and warm up before physical activity
- Gradually increase activity intensity
- Maintain good posture and foot alignment
- Keep the ankle and Achilles region flexible through regular stretching
When to Seek Medical Care
You should seek orthopedic evaluation if:
- Ankle pain or swelling lasts longer than one week
- A visible lump forms and becomes painful
- The area feels warm, red, or is accompanied by fever (possible infection)
- You have difficulty walking or doing daily activities
- Pain persists despite rest and over-the-counter care
Early diagnosis and treatment prevent chronic complications or infection.
At Dr. Burke Orthopedics, we’re proud to serve Pearland, Houston, Friendswood, and Southeast Texas, providing exceptional orthopedic care focused on patient education, prevention, and long-term recovery. Whether treating acute injuries or chronic inflammation, our mission is to restore comfort and mobility to every patient.
Find Relief from Ankle Bursitis Pain
If ankle bursitis is limiting your movement or daily activities, expert orthopedic care can help you recover quickly and safely.
Call (713) 436-3488 or Request an Appointment Online to schedule an evaluation with Dr. Robert L. Burke, board-certified orthopedic surgeon serving Pearland, Houston, Friendswood, and Southeast Texas.
Our team provides comprehensive ankle and foot care — from diagnosis to rehabilitation — helping you get back on your feet with confidence.
