Achilles Tendonitis

What is Achilles Tendonitis?

Achilles tendonitis occurs when the Achilles tendon is overused, which results in inflammation. This condition is commonly seen in middle-aged or older individuals who play sports and those who run on a regular basis. Achilles tendonitis can increase the risk of tendon tears when it’s left untreated since the tendon can grow weaker over time.

What are the Signs of Achilles Tendonitis?

Achilles tendonitis symptoms include pain that starts as a dull ache in the heel or just above it. This pain can also occur in the back of the affected leg. Pain from Achilles tendonitis usually starts or flares up after performing certain activities that put a lot of stress on this part of the foot, such as running. Other symptoms associated with this condition include stiffness, which usually occurs in the morning. The more active individuals are, the more severe the pain from Achilles tendonitis usually is.

What Causes Achilles Tendonitis?

Achilles tendonitis occurs when too much pressure or strain on this tendon causes inflammation. Since running, jumping, and other activities involve the use of this tendon, these activities increase the risk of Achilles tendonitis. Those who are older also have a higher risk of this condition, since this tendon becomes weaker over time. Other risk factors include wearing athletic shoes that provide little support, having high blood pressure, being obese, having flat feet, and taking certain antibiotics.

How is Achilles Tendonitis Diagnosed?

An Achilles tendonitis diagnosis involves a physical exam that helps doctors find out how tender or swollen the tendon is and how flexible the foot and ankle are. Imaging tests provide additional diagnostic information that is used to determine the right type of treatment. These tests include X-rays, ultrasounds, and magnetic resonance imaging scans.

How is Achilles Tendonitis Treated?

Nonsurgical treatments for Achilles tendonitis include over-the-counter pain relievers and anti-inflammatory medications, physical therapy, and the use of orthotic devices, such as shoe inserts. Other measures include resting the affected foot, applying ice packs, using wraps for compression, shockwave treatment, platelet-rich plasma injections and raising the affected foot. If these treatments aren’t effective, surgical options include procedures to repair tears in the Achilles tendon.