Achilles Tendonitis and Injuries

What is Achilles Tendonitis?

Achilles Tendonitis is a condition characterized by inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. This condition commonly occurs due to overuse or repetitive strain, particularly in individuals involved in activities like running, jumping, or other high-impact sports. It can lead to pain, stiffness, and swelling along the back of the heel, making it difficult for individuals to perform regular activities comfortably.

What are Common Causes of Achilles Tendonitis?

- Sudden increase in Physical Activity
- Tight Calf Muscles
- Improper Footwear
- Flat Feet or Overpronation
- Age-Related Degeneration

What are the Symptoms of Achilles Tendonitis?

- Heel pain
- Stiffness in the Achilles tendon
- Swelling along the tendon
- Tenderness in the back of the ankle
- Pain that worsens with activity

FAQ

Achilles injuries can be broadly categorized into two types: Achilles Tendonitis and Achilles Tendon Rupture. Achilles Tendonitis involves inflammation and microtears in the tendon due to overuse, while an Achilles Tendon Rupture is a partial or complete tear of the tendon, often occurring suddenly due to high-impact activity or a sudden push-off movement.

Risk factors for Achilles injuries include activities that place excessive strain on the tendon, such as running, jumping, or sudden changes in direction, which are common in sports like basketball and tennis. Additionally, improper footwear, lack of stretching, and overtraining can increase the likelihood of injury. Individuals with tight calf muscles or poor flexibility are also at greater risk, as the Achilles tendon may be under more tension. Age plays a role as well—tendons tend to weaken with age, especially in those over 30. Finally, certain medical conditions, such as obesity or flat feet, can contribute to an increased risk of Achilles tendon injuries.

Achilles tendonitis is diagnosed through a physical examination where a podiatrist will evaluate symptoms like pain and swelling along the tendon. Imaging tests, such as ultrasound or MRI, may be used to confirm the diagnosis and assess the extent of the damage to the tendon.

Treatment for Achilles tendonitis typically starts with non-surgical methods such as rest, applying ice, anti-inflammatory medications, and physical therapy exercises to improve flexibility and strength. Heel lifts and orthotics may also be used to reduce strain on the tendon. In severe cases, surgery may be necessary to repair the tendon and remove damaged tissue.

You should see a podiatrist if you experience persistent pain, swelling, or stiffness in your Achilles tendon, particularly if the discomfort doesn’t improve with rest or over-the-counter treatments. Early intervention can prevent the condition from worsening and help develop a plan for effective treatment and recovery.

Foot & Ankle
Center of Ohio