When nagging pain and stiffness in the back of your heel keep you from your morning run or evening walk, you know something isn't right. Achilles tendonitis has a way of sneaking up, gradually worsening until even simple activities become uncomfortable.
At Marvel Foot & Ankle Centers, we understand how frustrating Achilles tendon pain can be. It doesn't just affect your physical health; it can impact your overall quality of life. Our experienced podiatry team is dedicated to providing the most advanced and effective treatments to help you get back on your feet—without surgery whenever possible.
What is Achilles Tendonitis?
The Achilles tendon is the largest and strongest tendon in your body, withstanding forces of over 1,000 pounds when you walk, run, and jump. But like any tendon, it has its limits. Repeated stress from overuse or a sudden increase in activity can cause microtears and inflammation, leading to Achilles tendonitis.
There are two main types of Achilles tendonitis:
- Noninsertional Achilles tendonitis: Affecting the middle portion of the tendon, this is the more common type. It's often seen in younger, active individuals.
- Insertional Achilles tendonitis: This occurs at the point where the tendon inserts into the heel bone. It can affect anyone, even those who are less active.
While Achilles tendonitis is most prevalent in runners, it can impact people of all ages and activity levels. Other factors that may contribute to developing this condition include:
- Tight calf muscles
- Bone spurs
- Flat feet or high arches
- Obesity
- Diabetes
- Taking certain antibiotics (quinolones)
Abruptly increasing the intensity or duration of your workouts, wearing worn-out or unsupportive shoes, and having poor form during exercise can all place extra strain on the Achilles tendon, making it more susceptible to inflammation and microtears.
Symptoms of Achilles Tendonitis
The primary symptoms of Achilles tendonitis include:
- Pain and stiffness. You may experience mild aching, stiffness, or tenderness in the back of the heel, particularly in the morning or after prolonged periods of rest. The discomfort often improves with mild activity but worsens with prolonged or strenuous exercise.
- Swelling and thickening. As the tendon becomes irritated and inflamed, you may notice swelling or thickening along the back of your heel and ankle. The area may be warm to the touch.
- Limited range of motion. Achilles tendon pain and stiffness can make it difficult to flex your foot, point your toes, or push off when walking.
In severe cases, you might feel a popping sensation followed by sudden, sharp pain—a sign you may have torn or ruptured your Achilles tendon. This requires immediate medical attention to prevent further damage and optimize healing.
If you experience any of these symptoms, it's essential to consult with a skilled podiatrist promptly. Ignoring the pain and continuing to put stress on the tendon can lead to chronic inflammation, scarring, and a lengthier recovery process.
Diagnosing Achilles Tendonitis
At Marvel Foot & Ankle Centers, we begin with a thorough evaluation, which includes a physical examination and a discussion of your symptoms and daily activities. We may also use imaging tests to rule out other conditions and guide treatment, such as:
- X-rays to check for heel bone damage or calcification
- Ultrasound or MRI to visualize tendon damage and inflammation
Our state-of-the-art diagnostic tools allow us to pinpoint the precise location and extent of your Achilles tendon injury, enabling us to develop a targeted treatment plan for optimal results.
Effective Achilles Tendonitis Treatments
Our East Valley podiatrists are dedicated to providing the most advanced, evidence-based treatments for Achilles tendonitis. We always start with conservative options and progress as needed to relieve your pain and restore function.
Your personalized treatment plan may include:
- Rest and activity modification. Cutting back on high-impact activities and sports allows the inflamed tendon to heal. We can guide you on staying safely active during recovery with low-impact exercises, such as swimming, cycling, or using an elliptical machine.
- Ice and elevation. Applying ice for 15 to 20 minutes several times a day and elevating your leg above your heart helps reduce swelling and pain, especially after activity.
- Anti-inflammatory medication. Over-the-counter NSAIDs, such as ibuprofen, can help reduce inflammation and discomfort. We may prescribe stronger medication if needed.
- Physical therapy. Stretching and strengthening exercises improve flexibility, correct muscle imbalances, and prevent future strain. Our skilled team can teach you techniques to perform at home and monitor your progress.
- Orthotic devices. Custom shoe inserts provide arch support and lift the heel to reduce tendon stress. We offer 3D scanning for a precise fit and can recommend supportive footwear tailored to your unique needs.
- Regenerative medicine. Platelet-rich plasma (PRP) cell injections use concentrated healing factors from your own blood or donor cells to stimulate tissue repair and speed recovery. Leneva injections and DPMx injections use similar materials to support healing. Our podiatrists are trained in the latest techniques for optimal results.
- Radial pulse wave therapy. This non-invasive treatment employs sound waves to enhance blood flow, reduce inflammation, and stimulate healing. It's highly effective for chronic tendonitis and offers a comfortable, quick recovery.
- Laser therapy. The Remy laser is a Class IV therapeutic laser system that uses synchronized wavelengths to restore normal cell function. Laser treatments may help you avoid the need for surgery.
- Surgery. If conservative treatments don't provide relief after several months, we may recommend minimally invasive surgical procedures to remove damaged tissue, repair tears, or lengthen the calf muscle. Our podiatric surgeons utilize advanced techniques to achieve smaller incisions, reduced pain, and a faster recovery.
Preventing Future Achilles Tendon Problems
Once your Achilles tendonitis has healed, taking proactive steps can help prevent recurrence:
- Stretch your calves and Achilles tendons daily
- Gradually increase workout intensity and duration
- Cross-train with low-impact activities
- Replace worn-out shoes and wear appropriate footwear for your sport
- Maintain a healthy weight to reduce strain on your tendons
- Consider custom orthotics for extra support
Achilles tendonitis can be a frustrating and painful condition, but it doesn't have to keep you sidelined indefinitely. By understanding the factors that contribute to Achilles tendon problems and seeking prompt care from a skilled podiatrist, you can safely and effectively return to your active lifestyle.
At Marvel Foot & Ankle Centers, we're committed to staying at the forefront of Achilles tendonitis treatment, offering cutting-edge therapies and personalized care to help you achieve the best possible outcomes. Our team is here to support you through every stage of your recovery, from diagnosis to rehabilitation and prevention. With our help, you can overcome Achilles tendonitis and get back to doing what you love without pain holding you back.