Tendonitis
Tendonitis is inflammation of the tendons that connect muscle to bone, and it’s one of the most common sources of foot and ankle pain we see. Left untreated, it can worsen and limit your mobility.
Request an AppointmentTendonitis develops when the strong, flexible tissues linking muscle to bone become inflamed and irritated. In the foot and ankle, it’s usually caused by repetitive motion or overuse, though poor stretching habits and improper technique during exercise can contribute as well.
Common Symptoms
Tendonitis can come on suddenly or build gradually over time. Early on, symptoms often include a persistent dull ache; as it progresses, pain can become sharper and may radiate through the foot or ankle. Other symptoms may include:
- Joint stiffness
- Swelling in the affected area
- Muscle weakness
- Tenderness to the touch
Types of Tendonitis We Treat
Several tendons in the foot and ankle are prone to inflammation, including:
- Achilles Tendonitis: Affects the tendon connecting the calf muscles to the heel, causing pain along the back of the lower leg and heel. Learn more about our Achilles tendonitis treatment.
- Posterior Tibial Tendonitis: Affects the tendon along the inside of the ankle that supports the foot’s arch, and can become irritated or torn from overuse.
- Peroneal Tendonitis: Affects the tendons along the outer ankle that help stabilize the foot, often from repetitive stress.
- Flexor Tendonitis: Affects the tendons that assist toe movement and arch support, causing pain in the inner ankle or bottom of the foot.
Diagnosing Tendonitis
Prompt diagnosis is important to prevent further tendon damage. During your visit, we’ll assess your symptoms through a physical exam and review of your medical history, checking for tenderness, swelling, or instability, and ruling out related conditions such as stress fractures or arthritis.
Treatment Options
Mild cases are often managed with conservative measures, including:
- Supportive footwear
- Custom orthotics or arch supports
- Temporary bracing or taping
If these approaches aren’t effective, we may recommend anti-inflammatory medication or corticosteroid injections. In rare, persistent cases, minimally invasive surgery may be recommended to repair or relieve the damaged tendon.
Tendonitis often overlaps with other overuse conditions we treat, including plantar fasciitis, ankle pain, and neuromas. If you’re experiencing ongoing foot or ankle pain, don’t wait for it to worsen. New patients can find helpful details on our new patients page, and you’re welcome to meet the doctor before your visit.
Frequently Asked Questions
What causes tendonitis in the foot and ankle?
Tendonitis is most often caused by repetitive motion or overuse, though poor stretching habits and improper exercise technique can also contribute.
How is tendonitis different from a stress fracture?
Tendonitis involves inflammation of the tendons, while a stress fracture is a small crack in the bone. Both can cause similar pain, so a proper exam is important to tell them apart.
Can tendonitis heal on its own?
Mild tendonitis may improve with rest and activity modification, but ongoing or worsening symptoms should be evaluated to prevent further tendon damage.
Is Achilles tendonitis treated the same way as other types?
Treatment approaches are similar, though the specific plan depends on which tendon is affected. Learn more about our approach to Achilles tendonitis specifically.
Will I need surgery for tendonitis?
Most cases are treated successfully with conservative care. Surgery is only considered in rare, persistent cases that don’t respond to other treatments.
Can custom orthotics help with tendonitis?
Yes, custom orthotics can help reduce strain on the affected tendon and support proper foot alignment.
When should I see a podiatrist for tendon pain?
If you notice persistent stiffness, swelling, or pain in your foot or ankle, especially after activity, it’s a good idea to be evaluated before the condition progresses.
