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Tendonitis & Tendon Injuries of the Foot & Ankle

Tendons connect muscle to bone and handle enormous load with every step. When they are overloaded, they can become painful, thickened, or even torn.

Tendonitis and tendinopathy

Many problems called tendonitis involve wear and overload of the tendon itself (tendinopathy) rather than simple inflammation. The difference affects treatment, which is one reason an examination is useful.

Tendons commonly affected

  • Achilles tendon at the back of the ankle
  • Posterior tibial tendon along the inner ankle, which helps support the arch
  • Peroneal tendons along the outer ankle
  • Tendons along the top of the foot and the big toe

Symptoms

  • Pain or stiffness along the tendon, often worse with activity or after rest
  • Swelling, thickening or tenderness
  • Weakness, or a change in the shape of the arch
  • A sudden pop with pain, which can mean a tear and needs prompt evaluation

Why it happens

Common contributors include a sudden increase in activity, tight calf muscles, foot mechanics such as flat feet or high arches, unsupportive footwear, prior injury, and age-related changes in the tendon.

Treatment

  • Activity changes and relative rest
  • Targeted strengthening and stretching, often with physical therapy
  • Footwear, orthotics, bracing or a walking boot to unload the tendon
  • Anti-inflammatory medication when appropriate for you
  • Other in-office options for stubborn cases, chosen case by case

When surgery is considered

Surgery may be recommended for a significant tear, a tendon that is not responding to an adequate course of non-surgical care, or a tendon that is failing to support the foot. Procedures can include cleaning up damaged tendon tissue, tendon repair, or reconstruction, depending on the findings.

What to expect at your visit

A first visit typically includes a review of your symptoms and history, an examination of the foot and ankle (often including how you stand and walk), and imaging such as X-rays when needed. Dr. Ajdari will explain your options, including non-surgical care, so the two of you can choose a plan that fits your goals. Dr. Ajdari sees patients in Metairie on the Southshore and in Slidell on the Northshore, serving the Greater New Orleans area.

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.