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Footnotes / Blog

Sunday, August 20th, 2017 Elizabeth Anthony

What is Achilles Tendonitis?

Achilles tendonitis is the inflammation of the Achilles tendon, the large tendon located at the back of the ankle near the heel. This condition is often caused by repetitive stress and strain on the tendon, which is engaged during activities like walking, running, and jumping.

Symptoms of Achilles Tendonitis

Common symptoms of Achilles tendonitis include:

  • Swelling and tenderness along the back of the ankle, especially near the Achilles tendon
  • Pain that may start as a mild ache and progress to sharper, more intense pain during physical activity
  • Stiffness or reduced flexibility in the foot and ankle

This condition is particularly common in runners and individuals who have recently increased their physical activity level.

Diagnosis of Achilles Tendonitis

To diagnose Achilles tendonitis, your doctor will conduct a thorough physical exam, which includes:

  • Pressing gently along the tendon to locate areas of pain and tenderness
  • Assessing the flexibility, range of motion, and reflexes of the foot and ankle

X-rays may be taken to rule out any bony issues that could be causing the symptoms, though tendonitis itself does not typically appear on X-rays.

MRI scans are the most effective imaging tool for visualizing the Achilles tendon. An MRI can show the tendon’s thickness, any tears, and the presence of inflammatory fluid in the affected area.

Treatment for Achilles Tendonitis

Non-Surgical Treatment

The majority of Achilles tendonitis cases can be treated conservatively:

  • NSAIDs: Non-steroidal anti-inflammatory drugs like Ibuprofen and Naproxen are effective at reducing pain and inflammation.
  • Physical Therapy: Stretching and strengthening exercises, either at home or with a licensed physical therapist, are crucial for healing. Strengthening the Achilles tendon and surrounding muscles helps alleviate stress on the tendon.
  • Orthotics: Custom shoe inserts with added heel lifts can reduce strain on the Achilles tendon by improving foot alignment and supporting the arch.

Surgical Treatment

If conservative treatments do not provide relief after several months, surgery may be recommended. Surgical options include:

  • Open surgery: A traditional surgical approach to repair the tendon.
  • Minimally invasive surgery: A less invasive option that uses smaller incisions for quicker recovery.

When to Seek Treatment

Achilles tendonitis can cause significant pain and limit physical activity. If you experience persistent pain or difficulty with movement, it’s important to consult a specialist.

At Innovative Foot & Ankle, our licensed podiatrists are trained in both conservative and surgical treatments for Achilles tendonitis. We have offices in Union County, Hudson County, Essex County, and Bergen County, New Jersey.

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