Achilles Tendonitis
Achilles tendonitis is one of the most common overuse injuries we see, especially among runners and athletes. Left untreated, it can worsen and limit your ability to stay active.
Request an AppointmentAchilles tendonitis develops from overuse of the Achilles tendon, the band of tissue that connects your calf muscle to your heel bone. Repeated stress on the tendon causes small amounts of irritation and inflammation that build up over time, leading to pain along the back of the lower leg and heel.
Who’s at Risk?
Runners engaged in intense training are among those most commonly affected, along with middle-aged adults who participate in sports only occasionally. Sudden increases in activity, inadequate stretching, and tight calf muscles can all increase your risk.
Symptoms
Common signs of Achilles tendonitis include:
- A dull ache or stiffness along the back of the lower leg, especially in the morning
- Pain that worsens with activity and improves with rest
- Swelling or tenderness along the tendon
- A creaking or crackling sensation when moving the ankle
How We Treat Achilles Tendonitis
Most cases respond well to conservative treatment, including rest, ice, stretching, and supportive footwear. We may also recommend custom orthotics to reduce strain on the tendon, or a period of bracing for more significant cases. Our general approach to tendonitis covers additional treatment options that may apply to your specific case. In rare, persistent cases, further intervention may be needed.
Preventing Achilles Tendonitis
Gradually increasing activity levels, stretching your calves regularly, and wearing supportive shoes can all help lower your risk. If you’re already dealing with heel or lower leg pain, it’s worth getting evaluated before the condition worsens, since Achilles tendonitis can sometimes overlap with related issues like Haglund’s deformity or a stress fracture.
If you’re new to our practice, visit our new patients page or meet the doctor before your first visit.
Frequently Asked Questions
What causes Achilles tendonitis?
Achilles tendonitis is caused by overuse of the Achilles tendon, often from a sudden increase in activity, inadequate stretching, or tight calf muscles.
Can Achilles tendonitis heal without surgery?
Yes, most cases improve with conservative treatment such as rest, stretching, and supportive footwear. Surgery is rarely needed.
How long does Achilles tendonitis take to heal?
Recovery time varies, but many patients see improvement within several weeks of consistent conservative treatment.
Is Achilles tendonitis the same as a tendon rupture?
No, tendonitis is inflammation of the tendon, while a rupture is a tear. Ruptures are more serious and typically require prompt medical attention.
Can custom orthotics help with Achilles tendonitis?
Custom orthotics can help reduce strain on the tendon by improving foot alignment during activity.
Who is most at risk for Achilles tendonitis?
Runners in intense training and middle-aged adults who play sports occasionally are among those most commonly affected.
When should I see a podiatrist for heel or lower leg pain?
If pain persists for more than a few days or worsens with activity, it’s a good idea to be evaluated before the condition progresses.
