The Achilles tendon is the largest tendon in the body, joining the lower portion of the calf to the heel bone. Although it is able to withstand forces of around 1,000 pounds, it is the most frequently ruptured tendon in the body. Typically, injury of the Achilles tendon is caused by athletic activities. Sometimes the degeneration involves the site where the Achilles tendon attaches to the heel bone. In rare cases, chronic degeneration with or without pain may result in rupture of the tendon.
One of the main causes of Achilles tendonitis is when patients don’t wear the proper footwear, causing over-pronation which can make the Achilles tendon more aggravated. Patients with excessive pronation tend to develop Achilles tendonitis more often than other patients. Changing your footwear can help prevent this injury from reoccurring in the future.
Symptoms:
- Tenderness
- Pain
- Aching
- Stiffness
- “Snapping” or “popping” in calf
Treatment:
- Immobilization
- Resting
- Using a walking boot
- Icing
- To reduce swelling
- Medication
- NSAIDS (such as ibuprofen)
- Physical Therapy
- Stretching exercises
- Manual massage
- Promote strengthening exercises
- Surgery
- Your provider will determine which procedure is right for you.
Prevention Tips:
- Warm up before exercise and stretch regularly
- Wear supportive shoes with proper heel cushioning
- Avoid sudden increases in activity intensity
- Crosstrain to reduce repetitive strain
- Listen to your body—don’t ignore early signs of pain
Please consult your provider before taking any medications. Schedule an appointment with Dr. Rappette or Dr. Pandya to be evaluated for any foot concerns and choose the best treatment plan for you.
This information is provided by the American College of Foot and Ankle Surgeons.