Achilles Tendonitis

The Achilles Tendon runs from the heel of the foot and attaches into the calf muscles. It is responsible for helping you to walk, run, climb stairs, jump, and stand on your tiptoes. 

Achilles tendonitis is a condition characterized by inflammation and irritation of the Achilles tendon. This tough, fibrous band is located behind the ankle and connects the heel of the foot to the calf muscles. It is responsible for your ability to push off of the ankle.  While the Achilles tendon can withstand great forces it is prone to overuse and degeneration which leads to tendonitis. 

Typically, the inflammation and irritation of Achilles tendonitis results from overuse and improper stretching. Although many cases are mild, certain cases of Achilles tendonitis can lead to a series of tears within the tendon, putting it at risk for a rupture in the future. 

 

Causes

• overuse injury
• repetitive stress to the tendon
• sudden increase in the amount or intensity of exercise
• Tight calf muscles
• Bone Spur

 

Symptoms

• inflammation and irritation of the Achilles Tendon
• Pain and Stiffness around the achilles tendon in the morning
• Pain that may be severe the day after exercise
• Thickening of the tendon
• Always present swelling that may increase as day goes on

 

When should I seek further evaluation?

Further evaluation should be sought if you notice swelling or a defect in the tendon behind your ankle. There should also be a concern if you notice a foot drop or weakness in your foot.

 

What can you do to help prevent injury?

• Proper stretching of the calf muscles
• Wearing supportive shoewear
• Increasing activity gradually
• Doing a proper cool down and stretching after activity

 

What should you expect from your orthopaedic appointment?

Your physician will evaluate your symptoms first through a physical examination. They will also most likely want to look at an x-ray to determine if there is any calcification to the achilles tendon and to examine a clear image of the bones. An MRI may be ordered next if surgery is being considered so as to be able to determine the extent of the achilles tendon damage. 

 

Treatment Options You May Experience

There are typically two routes of treatment available for Achilles tendonitis pain: non-operative and surgical. In most cases, a non-operative treatment is selected to treat the condition. This approach may include:

• Rest

• Immobilization

• An orthotic such as a heel wedge

• Ice

• Anti-inflammatory medications

• Physical therapy

In most cases, a combination of the options above and following the instructions of your physician, is sufficient for treating the pain of Achilles tendonitis.

However, in rare cases of recurring injury to the Achilles tendon, a surgical approach may be necessary to repair damaged areas of the tendon.

 

Choosing Physicians For Achilles Tendonitis

When you look for physicians for Achilles tendonitis, you should seek out experts who have specialized in the foot and ankle. With in-depth experience in this particular area of orthopaedics, your Rothman Orthopaedic Institute physician will be able to expertly incorporate the latest technology and techniques for treating your condition.

If you are looking for experienced specialists who can provide you the diagnosis and treatment you need for the pain of Achilles tendonitis, turn to the team at Rothman Orthopaedic Institute today. With uniquely specialized experts and access to the latest orthopaedic technology, our team can provide you with the best care.