Understanding Achilles Tendinitis: Causes, Symptoms, and Treatment at Advanced Foot and Ankle Clinic

Achilles tendinitis is a common condition that affects many people, particularly those who are physically active. At Advanced Foot and Ankle Clinic, we specialize in diagnosing and treating this painful condition to help our patients get back on their feet quickly and safely.

What is Achilles Tendinitis?

Achilles tendinitis is an overuse injury of the Achilles tendon, the band of tissue that connects the calf muscles at the back of your lower leg to your heel bone. This tendon is crucial for walking, running, and jumping, as it allows you to lift your heel off the ground.

Causes of Achilles Tendinitis

The primary cause of Achilles tendinitis is repetitive stress on the tendon. It often occurs in athletes, particularly runners, who suddenly increase the intensity or duration of their workouts. However, it can also affect individuals who aren't regularly active, especially if they engage in activities that put a sudden strain on their Achilles tendon. Other contributing factors include:

• Improper Footwear: Wearing shoes that don’t support your feet properly can increase strain on your Achilles tendon.
• Tight Calf Muscles: Limited flexibility in your calf muscles can put extra stress on the Achilles tendon.
• Age: As you age, the Achilles tendon becomes less flexible and more prone to injury.
• Flat Feet: This foot structure can add stress to the Achilles tendon by causing it to overpronate or roll inward excessively.

Symptoms to Watch For

Achilles tendinitis usually starts with a mild ache at the back of the leg or above the heel after running or engaging in other physical activities. Over time, the pain may increase, and you may experience:

• Stiffness and tenderness in the Achilles tendon, especially in the morning.
• Swelling along the tendon.
• Pain that worsens with activity and eases with rest.
• Difficulty flexing the foot or pointing the toes.

Diagnosis and Treatment at Advanced Foot and Ankle Clinic

At Advanced Foot and Ankle Clinic, we use a comprehensive approach to diagnose Achilles tendinitis. Our specialists will review your medical history, conduct a thorough physical examination, and may recommend imaging tests like an ultrasound or MRI to assess the extent of the injury.

Treatment Options:

• Rest and Activity Modification: Reducing or temporarily stopping activities that aggravate the tendon is crucial.
• Ice Therapy: Applying ice can help reduce pain and inflammation.
• Physical Therapy: A tailored program of stretching and strengthening exercises can improve flexibility and relieve pressure on the tendon.
• Orthotics: Custom orthotic devices can correct foot mechanics and reduce strain on the Achilles tendon.
• Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to manage pain and swelling.
• Advanced Therapies: In some cases, treatments like shockwave therapy or platelet-rich plasma (PRP) injections may be used to promote healing.

When Surgery is Necessary:

If conservative treatments fail to provide relief after several months, surgery may be considered to repair the damaged tendon. Our podiatric surgeons are experienced in performing these procedures with the goal of restoring full function and minimizing recovery time.

Preventing Achilles Tendinitis

Prevention is key to avoiding Achilles tendinitis. Here are some tips to keep your Achilles tendon healthy:

• Gradually increase activity levels to avoid sudden strain.
• Wear supportive footwear that is appropriate for your activity.
• Incorporate stretching and strengthening exercises for your calf muscles into your routine.
• Warm-up properly before engaging in physical activities.

Why Choose Advanced Foot and Ankle Clinic?

At Advanced Foot and Ankle Clinic, we understand the impact that Achilles tendinitis can have on your life. Our team is dedicated to providing personalized care and effective treatment options to help you recover and return to the activities you love. If you’re experiencing symptoms of Achilles tendinitis, don’t wait—schedule an appointment with us today and take the first step towards relief.