Achilles tendonitis is a common condition that causes pain, stiffness, and inflammation in the Achilles tendon—the largest and strongest tendon in the body, located at the back of the ankle. Whether you’re an athlete, a weekend warrior, or simply someone who spends a lot of time on your feet, Achilles tendonitis can disrupt your daily life and lead to more severe complications if left untreated. At Pearl Foot and Ankle, our expert podiatrists specialize in diagnosing and treating Achilles tendonitis with the latest medical advancements and personalized care.
What is Achilles Tendonitis?
Achilles tendonitis is an overuse injury that occurs when the Achilles tendon, which connects the calf muscles to the heel bone, becomes irritated or inflamed. This condition is often caused by repetitive stress or sudden increases in physical activity, making it a frequent complaint among runners, athletes, and active individuals.
There are two main types of Achilles tendonitis:
- Non-insertional Achilles Tendonitis – The fibers in the middle portion of the tendon degenerate, leading to swelling, thickening, and pain. This type is more common in younger, active individuals.
- Insertional Achilles Tendonitis – The lower portion of the tendon, where it attaches to the heel bone, becomes inflamed. Bone spurs often develop in this area, and it commonly affects middle-aged or older adults.
Common Causes of Achilles Tendonitis
Achilles tendonitis often develops due to repetitive strain or overuse of the tendon. Some common causes include:
- Sudden Increase in Activity – Rapidly increasing the intensity, duration, or frequency of physical activity can strain the tendon.
- Tight Calf Muscles – Stiff or inflexible calf muscles place excessive stress on the Achilles tendon.
- Poor Footwear – Wearing improper or worn-out shoes that lack arch support can increase strain on the tendon.
- Overpronation (Flat Feet) – When the foot rolls inward excessively while walking or running, it increases stress on the Achilles tendon.
- Aging and Reduced Blood Flow – As we age, the Achilles tendon receives less blood supply, making it more prone to injury.
- Hard or Uneven Surfaces – Running on hard pavement, hills, or uneven terrain can contribute to tendon irritation.
Symptoms of Achilles Tendonitis
Achilles tendonitis symptoms typically develop gradually and worsen over time. Common symptoms include:
✅ Pain and stiffness in the back of the heel or lower calf, especially in the morning or after periods of rest.
✅ Swelling and tenderness along the tendon.
✅ Thickening of the tendon in chronic cases.
✅ Pain that worsens with activity such as running, jumping, or climbing stairs.
✅ A cracking or creaking sensation when moving the ankle.
If left untreated, Achilles tendonitis can progress to a more serious condition, such as Achilles tendon rupture, which may require surgical intervention.
How is Achilles Tendonitis Diagnosed?
At Pearl Foot and Ankle, our experienced podiatrists will conduct a thorough evaluation, which includes:
🔹 Medical history review – We assess symptoms, physical activity level, and past injuries.
🔹 Physical examination – We check for tenderness, swelling, and range of motion in the ankle and foot.
🔹 Imaging tests – In some cases, we may use X-rays, ultrasound, or MRI scans to assess tendon damage and rule out other conditions like fractures or bursitis.
Treatment Options for Achilles Tendonitis
Treatment for Achilles tendonitis focuses on relieving pain, reducing inflammation, and promoting healing. Depending on the severity of the condition, treatment options may include:
1. Conservative Treatments (First Line of Defense)
✅ Rest & Activity Modification – Avoid activities that aggravate the condition and switch to low-impact exercises like swimming or cycling.
✅ Ice Therapy – Applying ice packs for 15-20 minutes several times a day can help reduce inflammation.
✅ Pain Relief Medications – Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and swelling.
✅ Stretching & Strengthening Exercises – Gentle calf and Achilles stretches improve flexibility and prevent stiffness.
✅ Custom Orthotics & Supportive Footwear – Proper arch support reduces stress on the tendon.
✅ Heel Lifts & Bracing – Wearing a heel lift or a night splint can ease strain on the Achilles tendon.
2. Advanced Treatments for Chronic or Severe Cases
💉 Shockwave Therapy (ESWT) – Uses sound waves to stimulate healing in chronic Achilles tendonitis.
💉 Platelet-Rich Plasma (PRP) Therapy – Injecting a concentration of your own platelets to accelerate tissue repair.
💉 Corticosteroid Injections (Used with Caution) – Provides temporary relief but may weaken the tendon if overused.
3. Surgical Treatment (For Severe or Ruptured Cases)
If conservative treatments fail, surgery may be necessary to remove damaged tissue, repair the tendon, or address bone spurs. Our podiatrists at Pearl Foot and Ankle specialize in minimally invasive procedures to ensure a faster and smoother recovery.
Preventing Achilles Tendonitis
📌 Gradually increase activity levels – Avoid sudden changes in intensity when starting a new workout routine.
📌 Warm-up before exercise – Gentle stretching and warming up help prepare the tendon for movement.
📌 Wear proper footwear – Supportive shoes with good cushioning reduce stress on the Achilles tendon.
📌 Strengthen calf muscles – Strong calf muscles help absorb shock and protect the tendon.
📌 Listen to your body – If you experience pain or discomfort, take breaks and avoid overuse.
Comprehensive Q&A Section
Q: How long does it take for Achilles tendonitis to heal?
A: Mild cases may heal within a few weeks, while chronic cases can take several months. Recovery depends on treatment adherence and severity.
Q: Can I continue exercising with Achilles tendonitis?
A: It’s best to avoid high-impact activities like running or jumping. Instead, switch to low-impact exercises like swimming or cycling until symptoms improve.
Q: When should I see a podiatrist for Achilles tendonitis?
A: If you experience persistent pain, swelling, or difficulty walking, it’s important to see a podiatrist for early intervention and treatment.
Q: Can Achilles tendonitis lead to a rupture?
A: Yes. Ignoring symptoms and continuing strenuous activity can weaken the tendon over time, increasing the risk of a complete rupture.
Q: Will I need surgery for Achilles tendonitis?
A: Most cases respond well to conservative treatments. However, if the tendon is severely damaged or ruptured, surgery may be necessary.
Schedule an Appointment with Pearl Foot and Ankle
If you’re experiencing Achilles tendon pain, don’t wait for it to worsen. Our expert podiatrists at Pearl Foot and Ankle are here to help you find relief and get back to doing what you love.
📍 Portland Office
1827 NE 44th Ave, Suite 100, Portland, OR 97213
📞 (503) 284-2000 | 📠 (503) 284-2002
📍 Gresham Office
2850 SE Powell Valley Rd, Suite 104, Gresham, OR 97080
📞 (503) 284-2000 | 📠 (503) 676-6152
📍 Beaverton Office
12672 NW Barnes Rd, #100, Portland, OR 97229
📞 (503) 284-2000 | 📠 (971) 228-8377
💻 Visit our website to book an appointment today!
Let Pearl Foot and Ankle help you take the next step toward pain-free movement! 🚶♂️💙