### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi I have a an inflammation in both ankles especially the left side which was diagnosed as retrocalcaneal bursitis, i m 45 years old and non athlete. I suffer severe pain when starting walking then it declines and also when awakening from sleep and start moving. The area behind the left calcaneus is a bit swollen and very very tender I had Diprofos injection for the last 6 months twice , relieving at first then recurring again What to do?

### output:

Here the retro calcaneal pain could be due to a couple of region. It can be due to inflammation at local area in bone or soft tissue, it can be due to calcaneal bone extra growth at painful level, it can be calcaneal bursitis.However the conformation can be done with ct scan or MRI scan to know the proper cause. Now if It's just overuse inflammation then with physio therapy and cold pack usage it can be improved well. If it is calcaneal bone growth or bursitis then initially can be treated with physio therapy along with alternate hot and cold water use. Along with this one should also use soft footwear like microcellular polymer material. One can also use silicone sole for their footwear for extra softness. Suppose if it is not yet over with all above steps then there is HY Chat Doctor. Even if it is not becoming better with this means for calcaneal bone growth you need to undergo for minor surgical correction like removal of extra growth. But this treatment will be decided by your orthopedic doctor due to failure of all other primary treatment and precautions. Here you have mention you have tried with medicine but have never tried with physio therapy treatment, soft footwear use, silicon insole use, hot and cold water use by keeping feet in it and keeping it floating, so water can touch all around. So you can try with all this primary treatment steps. Along with this take simple stretching exercises with physio for your feet and heal. This will give you very good relief when it is followed all together. Take care.