Achilles Tendonitis

Achilles tendonitis is a common condition that affects the Achilles tendon. This painful disorder can range from mild discomfort to severe inflammation, often impacting athletes and active adults.

Reach out to the experts at Precision Orthopaedic Specialties today to address any pain or discomfort you may be experiencing. We have four offices located in Northeast Ohio for your convenience!

Types of Achilles Tendonitis

There are two main types of Achilles tendonitis, each affecting different parts of the tendon:

  • Insertional Achilles Tendinitis: This type occurs when the Achilles tendon attaches to the heel bone. It’s often seen in active and non-active individuals, particularly those over 40.
  • Noninsertional Achilles Tendinitis: This form affects the fibers in the middle of the tendon, often resulting in microtears. It is more common among younger, active individuals, such as runners or athletes.
A man holding his ankle in pain due to Achilles tendonitis in Northeast, Ohio.

Causes and Risk Factors

Achilles tendonitis can be caused by various factors, including:

Certain factors, such as obesity, poor footwear, and insufficient warm-up before physical activity, can further raise the risk of developing Achilles tendonitis.

Symptoms of Achilles Tendonitis

The symptoms of Achilles tendonitis can vary based on the severity of the condition. Some common signs include:

  • Pain or stiffness in the Achilles tendon, especially in the morning or after physical activity
  • Swelling along the tendon or at the heel bone
  • Tenderness or warmth around the tendon area
  • Limited range of motion in the foot and ankle
  • A noticeable thickening of the tendon

How is Achilles Tendonitis Diagnosed?

To diagnose Achilles tendinitis, a healthcare provider will usually begin with a physical examination, assessing the flexibility and range of motion in the foot and ankle. They will also check for tenderness or swelling along the tendon.

Imaging tests, such as X-rays or MRIs, may be used to rule out other conditions or assess the extent of tendon damage. Early diagnosis is key to avoiding further complications like Achilles tendinosis or a complete tendon rupture.

Achilles Tendonitis Treatment Options

Treatment options for Achilles tendinitis include nonsurgical treatment and surgical treatment in cases where at least 6 months of nonsurgical treatment has not provided relief.

Conservative Treatment

Most cases of Achilles tendonitis respond well to non-surgical treatments, including:

  • Rest and Activity Modification: Reducing or modifying physical activities that cause strain on the tendon can promote healing.
  • Physical Therapy: A structured physical therapy program can strengthen the calf muscles, improve flexibility, and help reduce the risk of future tendon injuries.
  • Anti-inflammatory Medications: Over-the-counter pain relievers can help manage pain and reduce inflammation.
  • Ice Therapy: Applying ice to the affected area can minimize swelling and discomfort.
  • Orthotics or Heel Lifts: Custom orthotics can address foot structure issues, while heel lifts reduce strain on the Achilles tendon.
 

If conservative treatments fail, an orthopedic specialist may recommend Achilles tendon surgery. Surgical options can include repairing or removing damaged tissue and, in some cases, tendon transfer to reinforce the injured area.

Surgical Treatment

For chronic or severe cases, Achilles tendinitis surgery may be necessary. This can involve removing damaged portions of the tendon or correcting tendon ruptures. Post-surgery, physical therapy is crucial for restoring strength and flexibility in the foot and ankle.

Complications of Achilles Tendonitis

When left untreated, Achilles tendonitis can lead to chronic pain or more serious conditions such as Achilles tendinosis, where the tendon degenerates over time. Additionally, there’s a risk of tendon rupture, which often requires surgery and extended recovery. Recurrent Achilles tendonitis can also lead to long-term stiffness and reduced mobility.

Can Achilles Tendonitis Be Prevented?

Preventing Achilles tendonitis involves making lifestyle adjustments and paying close attention to your foot health. Here are some prevention strategies:

  • Warm-Up Properly: Ensure you warm up and stretch your calf muscles before engaging in any physical activity.
  • Gradually Increase Activity: Avoid sudden spikes in the intensity or duration of your workouts.
  • Wear Proper Footwear: Choose shoes that provide adequate support for your feet and ankles.
  • Maintain Flexibility: Regularly stretch your Achilles tendon and calf muscles to keep them limber.
 

In the event of an acute tendon injury or worsening symptoms, seeking prompt medical care is important.

Take the Next Step

If you’re struggling with Achilles tendonitis or any foot and ankle pain, Precision Orthopaedic Specialties can help. With experienced podiatry professionals across our four Northeast Ohio locations, we provide comprehensive treatment plans tailored to your needs. Don’t let heel pain slow you down—schedule an appointment today!

Medically reviewed by Mark J. Mendeszoon, D.P.M.