ACHILLES TENDONITIS
ACHILLES TENDONITIS
Achilles Tendonitis: Understanding and Treatment
If you are experiencing symptoms of Achilles tendonitis or have questions about treatment options, contact Ryan Foot and Ankle Clinic. Our experienced podiatrists are available at our locations in Charlotte, Concord, and Harrisburg. Call us today to schedule an appointment and get expert care for your Achilles tendon issues.
What Is Achilles Tendonitis?
Achilles tendonitis is an inflammation of the Achilles tendon, the longest tendon in the human body. Despite its strength—capable of withstanding forces of over 1000 pounds—the Achilles tendon is prone to injury. Tendonitis occurs when the fibers in the tendon become irritated and inflamed, leading to pain and swelling at the back of the ankle or near the heel where it attaches to the heel bone. Symptoms of Achilles Tendonitis:
Pain
Typically located at the back of the heel or ankle, often worsening after periods of rest. The pain may feel deep, pulling, throbbing, or burning.
Stiffness
A “sluggish” feeling in the leg, especially in the morning or after sitting for long periods.
Swelling
Noticeable swelling around the back of the heel or ankle.
Pain During Activity
Localized pain during or after physical activities, particularly running.
Common Causes of Achilles Tendonitis
Achilles tendonitis can be triggered by several factors, including:
Hill Running or Stair Climbing
Activities that place additional strain on the tendon.
Overuse
Especially if the calf muscles lack flexibility or if there is a rapid increase in exercise intensity.
Sudden Activity
Starting exercise or sports too quickly without adequate warm-up and stretching.
Trauma
Sudden or intense contractions of the calf muscles, such as during a sprint.
Improper Footwear
Shoes that do not provide adequate support or contribute to overpronation.
Treatment for Achilles Tendonitis
To diagnose Achilles tendonitis, the podiatrists at Ryan Foot and Ankle Clinic will perform a thorough examination of your leg and ankle. They may use ultrasound or X-rays to rule out other conditions and confirm the diagnosis. Non-Surgical Treatments Include:
Rest
Essential for allowing the tendon to heal.
Decreasing Inflammation
Using ice packs and anti-inflammatory medications to reduce swelling and pain.
Supportive Devices
Ankle braces, walking casts, or night splint devices to stabilize and support the tendon.
Stretching and Strengthening
Specific exercises to improve flexibility and strengthen the calf muscles.
Custom Orthotics
Shoe inserts designed to provide proper support and reduce strain on the tendon.
What to Expect if Surgery Is Recommended
Surgery is rarely needed but may be considered if there are bone abnormalities or if conservative treatments fail. Outpatient surgical procedures can be successful in resolving Achilles tendonitis, but recovery involves a significant period of limited activity and restricted walking.
