OVERVIEW

What Is Achilles Tendonitis?

The largest tendon in the body, the Achilles tendon runs along the back of the leg from the calf to the heel. It moves our leg and foot when we run, walk, sprint and jump. Overuse of this tendon will cause it to swell and ache. Flat feet can also contribute to the condition.

Achilles tendonitis causes and risk factors

Achilles tendonitis is a common sports injury. People of all ages can get Achilles tendonitis. Some common causes and risk factors include:

• Runners who increase the intensity of their workouts
• New runners, or those who have not adequately prepared
• Exercising in cold weather or in hilly areas
• Inappropriate or worn shoes

SYMPTOMS

Achilles tendonitis symptoms and diagnosis.

Symptoms may come on gradually during activity. Sudden, extreme pain in the tendon, resulting in an inability to put weight on the foot, can indicate a rupture in the tendon. A ruptured tendon requires immediate medical attention and treatment.

Symptoms of Achilles tendonitis

Signs of Achilles tendonitis may include:

• Pain in the heel and along the tendon when walking, running, jumping or climbing stairs
• Stiffness
• Swelling
• Warmth in the tendon
• Pain on standing

Achilles tendonitis diagnosis

Routine Achilles tendonitis diagnosis may involve the following tests:

• X-ray to rule out bone problems
• Ultrasound to examine soft tissue structures 

TREATMENT

Achilles Tendonitis Treatment

Achilles tendonitis treatment includes:

• Limiting painful physical activity involving the leg
• Nonsteroidal anti-inflammatory drugs
• Physical therapy-stretching and strengthening exercises
• Orthotic devices in the shoes

Return to your workout routine gradually and warm up properly to prevent recurrence of your injury.

Achilles Tendon Surgery

Your physician may recommend Achilles tendon surgery when the tendon is ruptured.

During Achilles tendon surgery, your physician will make an incision on the back of the leg and repair the tendon. This procedure sometimes includes using other tendons to reinforce the Achilles tendon.

Achilles tendon surgery recovery

After Achilles tendon surgery, you can expect to be in a cast or walking boot for six to 12 weeks. Gradually, you may return to physical activity. Typically, a full recovery time after Achilles tendon surgery is approximately six months.

 

 

 

 

Content supplemented by UPMC Sports Medicine