Achilles Tendonitis
Achilles tendonitis is a common overuse injury that affects the Achilles tendon, the strong band of tissue that connects your calf muscles to your heel bone. This tendon plays a key role in walking, running, and jumping by helping lift your heel off the ground. When it becomes irritated or inflamed, it can cause pain and stiffness, especially during movement. Achilles tendonitis often develops gradually and can worsen over time if not addressed. It is especially common in runners, active adults, and people who suddenly increase their level of physical activity.
Achilles tendonitis is typically caused by repetitive stress on the tendon. This can happen when you push your body too hard or too quickly without giving it enough time to adjust.
Common causes include:
- Sudden increase in the intensity, duration of exercise or frequency of running, jumping or walking longer distances, or adding hills to a workout.
- Tight calf muscles can also place extra strain on the tendon, making it more vulnerable to injury.
- Wearing worn-out or unsupportive shoes can contribute as well, especially during high-impact activities.
- Middle aged individuals and those with high blood pressure o obesity are at increased risk.
- People with flat feet or abnormal walking patterns may also increase stress on the tendon. In some cases, age-related changes make the tendon less flexible and more prone to injury.
- Certain medications and medical conditions can also weaken the tendon, increasing the risk of inflammation.
The most common symptom of Achilles tendonitis is pain along the back of the leg near the heel. This pain may start as a mild ache after activity and gradually become more noticeable. Many people feel stiffness in the tendon, especially in the morning or after sitting for long periods. The area be swollen or may feel tender to the touch.
As the condition progresses, the pain may occur during exercise rather than just after it. In more severe cases, it can interfere with everyday activities like walking or climbing stairs. Some people may have trouble standing on tiptoe or while pushing off during walking.
Some people also notice a thickening of the tendon or a feeling of warmth in the affected area. Ignoring these symptoms can lead to more serious problems, including small tears in the tendon.
Achilles tendonitis is usually diagnosed through a physical exam and a discussion of your symptoms and activity level. A healthcare provider will ask about when the pain started, what activities make it worse, and whether there have been any recent changes in your routine.
During the exam, they will check for tenderness, swelling, and range of motion in your ankle and foot. They may also observe how you walk or stand to look for signs of strain on the tendon. In most cases, imaging tests are not needed. However, if the diagnosis is unclear or if a more serious injury is suspected, your provider may recommend an ultrasound or MRI. These tests will help reveal the condition of the tendon and rule out a tear or other problems.
When you are in pain, call us to schedule a consult with one of our board-certified and fellowship trained orthopedic surgeons who can help you get back to the life you love.
