Achilles Tendonitis

What is Achilles Tendonitis?

Achilles tendinitis is an overuse injury of the Achilles (uh-KILL-eez) tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone. Achilles tendinitis most commonly occurs in runners who have suddenly increased the intensity or duration of their runs. It's also common in middle-aged people who play sports, such as tennis or basketball, only on the weekends. Most cases of Achilles tendinitis can be treated with relatively simple, at-home care under your doctor's supervision.

Symptoms

Diagnosis

Diagnosis typically involves: • Physical examination to check for tenderness and swelling • Assessment of range of motion and flexibility • X-rays to help rule out other problems that can cause similar symptoms • MRI if symptoms are severe or don't improve with treatment • Ultrasound to see the Achilles tendon in motion and check for damage • Evaluation of training or activity patterns

Treatment

Treatment usually includes: • Rest from activities that stress the tendon • Ice application after activity or when painful • NSAIDs for pain and inflammation • Stretching and strengthening exercises (eccentric exercises particularly effective) • Physical therapy • Heel lifts to reduce strain on tendon • Supportive shoes with proper arch support • Cross-training with low-impact activities • Orthotics if biomechanical issues present • Surgery (debridement, tendon transfer) for chronic cases • Extracorporeal shock wave therapy • PRP injections for persistent symptoms