Achilles tendinitis is a common condition that affects the tendon that connects your calf muscles to your heel bone.
What Are the Symptoms?
Achilles tendinitis often starts subtly and worsens over time. Common symptoms include:
Pain and stiffness along the back of the heel, especially in the morning
Swelling or tenderness in the area
Increased pain after activity, particularly running or climbing stairs
Thickening of the tendon
Difficulty standing on your toes or pushing off the foot
A warm sensation or redness around the tendon
If you hear a sudden pop or experience sharp pain, it could be a tendon rupture and you should seek urgent medical attention.
Diagnosis typically begins with a physical exam including:
Pressing on the tendon to check for tenderness or swelling
Observing how your foot and ankle move
Assessing your range of motion and strength
To confirm the diagnosis or rule out other conditions, imaging tests may be used:
Ultrasound to visualize the tendon in motion and assess blood flow
MRI for detailed images of tendon damage
X-rays to rule out bone-related issues
Most cases of Achilles tendinitis can be treated without surgery. Earlier treatment provides better results to avoid chronic scarring which can be more difficult to treat. Treatment options include:
Self-Care and Lifestyle Adjustments
Modify activities that aggravate the tendon
Compression and elevation to manage inflammation
Supportive footwear or heel lifts to reduce strain
Medical and Physical Therapy
Anti-inflammatory medications
Physical therapy with stretching and strengthening exercises
Orthotic devices to improve foot alignment and reduce stress on the tendon
Advanced Treatments
Surgery
If conservative treatments don’t help after several months, or if the tendon is torn, surgery may be recommended.