The Achilles tendon connects the calf muscles to the heel bone and handles very heavy loads with every step, run and jump. When it is overloaded, it can become irritated and thickened, a condition called Achilles tendonitis or tendinopathy.
Symptoms
- Pain and stiffness at the back of the heel or a few centimeters above it
- Stiffness that is worst in the morning or after rest
- Pain that builds with activity
- Swelling, tenderness or a thickened area on the tendon
Why it develops
- A sudden increase in running, jumping or training
- Tight calf muscles
- Flat feet, high arches or other foot mechanics that strain the tendon
- Worn or unsupportive shoes
- Age-related changes in the tendon
- Certain medications, which your doctor can review
Treatment
- Relative rest and activity changes, with a gradual return
- A structured program of calf strengthening and stretching, which has the best evidence for tendinopathy
- Heel lifts, supportive shoes or orthotics
- A walking boot for a short time in severe cases
- Other options for stubborn symptoms, such as shockwave therapy
- Surgery is considered when symptoms persist after months of well-structured non-surgical care
Steroid injections into or around the Achilles tendon are generally avoided because they may weaken the tendon.
Warning signs of a rupture
A sudden pop or snap, sharp pain, new weakness, difficulty rising onto your toes, or a visible gap in the tendon can mean a tear or rupture. This needs prompt evaluation.
Recovery
Tendon problems heal slowly, often over weeks to months. Sticking with strengthening exercises, even after the pain improves, helps prevent recurrence. See also tendonitis and tendon injuries.
Dr. Ajdari sees patients in Metairie on the Southshore and in Slidell on the Northshore, serving the Greater New Orleans area. Request an appointment or call 985-326-8614.
This page is for general education and is not a substitute for an examination and advice from a qualified clinician. Treatment recommendations depend on your individual situation. If you think you may have a medical emergency, call 911.