What is Achilles tendonitis?

Achilles tendonitis is an inflammation or irritation of the Achilles tendon, the large band of tissue that connects your calf muscles to your heel bone.

What are the symptoms of Achilles tendonitis?

The symptoms of Achilles tendonitis may vary in intensity but commonly include:

  • Pain or tenderness along the Achilles tendon, particularly after physical activity
  • Swelling or warmth around the tendon
  • Stiffness, especially in the morning or after periods of rest
  • Limited range of motion in the ankle
  • A thickened or enlarged appearance of the tendon over time
  • A feeling of weakness or discomfort when walking, running, or climbing stairs

What causes Achilles tendonitis?

Achilles tendonitis is typically caused by repetitive stress or overuse of the tendon. Common factors that contribute to the condition include sudden increases in physical activity, such as running longer distances or adding intensity to workouts, which put extra strain on the tendon. Tight calf muscles can also increase pressure on the Achilles tendon, while improper footwear that lacks adequate support may contribute to strain.

Other times, our age or foot abnormalities can increase the risk of Achilles tendonitis. As we age, the tendon naturally weakens and becomes less flexible, making it more susceptible to injury. Foot abnormalities – like flat feet or high arches – can also cause abnormal stress on the tissue, increasing the risk of tendonitis.

How do you treat Achilles tendonitis?

Early intervention is key to preventing long-term damage and getting you back to pain-free movement. Treatment for Achilles tendonitis typically involves a combination of rest, therapy, and sometimes medication.

At-home treatments include resting the tendon by reducing physical activity, applying ice to the affected area to reduce inflammation, and elevating the foot above heart level to help with swelling.

Over-the-counter pain relievers like ibuprofen can help manage pain and inflammation, while gentle stretching and strengthening exercises for the calf muscles can improve flexibility and prevent further injury. Additionally, wearing supportive shoes or using heel lifts can also reduce pressure on the tendon.

However, if the condition is more severe, physical therapy or surgical intervention may be necessary to repair the tendon.

When is it time to see a podiatrist?

If you’re experiencing persistent or severe pain, swelling, or stiffness in your Achilles tendon that doesn’t improve with home treatments, it’s time to consult with a podiatrist.

You should also see a podiatrist if you have difficulty walking or performing everyday activities, if the pain worsens over time, or if there is a noticeable decrease in strength or mobility. The podiatrists at Volunteer Podiatry can assess the severity of your condition, recommend appropriate treatments, and help you develop a recovery plan tailored to your needs.