The hallmark is pain and stiffness along the tendon, especially upon taking the first steps in the morning. This pain often lessens with mild activity but then worsens after prolonged exercise.
Achilles tendonitis, also spelled tendinitis, is a common overuse injury characterized by pain along the tendon running from the back of the leg to the heel. This condition affects the Achilles tendon, the largest and thickest tendon of the human body, which connects the calf muscles to the heel bone.
Repetitive overuse is a common trigger and can cause small tears in the tendon. The body’s attempt to repair this damage can lead to heel pain and Achilles tendonitis, or inflammation of the tendon. Achilles tendon injury is common among:
Other contributing factors can predispose a person to the injury. Some possible elements that cause heel pain extending to the calf muscles include:
Achilles tendonitis is often confused with or grouped with other conditions, such as tendinosis, a chronic, non-inflammatory degeneration of a tendon. Although these conditions fall under the same general umbrella, tendonitis has distinct characteristics.
Common signs to look out for:
The hallmark is pain and stiffness along the tendon, especially upon taking the first steps in the morning. This pain often lessens with mild activity but then worsens after prolonged exercise.
The pain tends to be reported as most intense a few centimeters above the heel bone.
The area may show noticeable swelling or a persistent lump. It is often very tender when touched or squeezed.
In chronic cases, the injured part of the tendon may feel thicker or have a palpable lump compared to the uninjured side.
Getting a diagnosis is the first step toward a solution. Treatment starts with a thorough evaluation by a specialist to confirm the diagnosis and rule out other issues.
Many cases can improve with nonsurgical treatment. Common nonsurgical treatments for Achilles tendonitis include:
The Rest, Ice, Compression and Elevation steps are often used to manage acute pain and reduce swelling.
Temporarily switching from high-impact activities to low-impact exercises may help reduce strain on the Achilles tendon.
A physical therapist may recommend a program that includes eccentric strengthening and stretching exercises.
Simple heel lifts or custom-molded shoe inserts can help cushion the heel and correct alignment issues such as overpronation, which happens when the foot rolls inward too much while walking.
Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, can help reduce pain and swelling.
Seek medical advice if there is a sudden “pop” at the time of injury, if the pain persists or becomes severe after several days and if walking or daily routine is affected. If Achilles tendon pain is interfering with your routine, schedule an appointment online with Fondren Orthopedic Group to get personalized guidance on your symptoms and treatment options.
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