Achilles Tendonitis/Tendinosis is inflammation of the Achilles tendon.
Achilles Tendonitis/Tendinosis is most often caused by:
- Overuse or repetitive motion during sports, work or other activities.
- Injury from repeated push-offs or a stop-and-go motion, common in activities such as running, basketball, tennis or ballet dancing.
- Poor conditioning or poor warm-up.
- Shoes that do no cushion the heel or support the arch sufficiently.
Symptoms may include:
- Mild or severe pain in the back of the heel, sometimes with swelling.
- Tenderness in the Achilles tendon area, which may be more noticeable in the morning.
- Stiffness that subsides as the tendon warms up with use.
- Decreased strength and movement, or a feeling of sluggishness in the leg.
Treatment may include:
- Rest, avoiding any hard or intense activity for 6 to 12 weeks and until symptoms go away.
- Modification of sports/activities that may have caused the tendinopathy.
- Wearing well-cushioned shoes, heel pads, or orthotics if they help relieve pain.
- Reducing pain by using ice or taking over-the-counter pain relievers or nonsteroidal anti-inflammatories.
- Gentle stretching, daily and before strenuous activity.
- Physical therapy, including stretching and strengthening exercises, massage, heat or ultrasound.
- Use of a night brace or walking boot, depending on severity
- Surgery, if pain persists after more than six months of consistent treatment and rest