Achilles Tendinitis

Achilles tendinitis is a medical condition characterized by inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. This condition can cause pain and stiffness in the back of the ankle, making it difficult to walk or engage in physical activities.

Causes

Achilles tendinitis is often caused by repetitive strain on the Achilles tendon, such as from running, jumping, or sudden stops. It can also be caused by poor foot mechanics, such as flat feet or high arches, which can put additional stress on the tendon. Other factors that may contribute to the development of Achilles tendinitis include:

  • Overuse or repetitive strain
  • Poor training techniques
  • Wearing inadequate footwear
  • Aging, as tendons become less flexible and more prone to injury with age
  • Medical conditions, such as rheumatoid arthritis or gout, which can increase the risk of developing Achilles tendinitis

Symptoms

The symptoms of Achilles tendinitis may include:

  • Pain and stiffness in the back of the ankle, especially after physical activity
  • Swelling or redness around the affected area
  • A feeling of warmth or heat around the affected area
  • Tenderness to the touch
  • Limited range of motion in the ankle

Diagnosis

Achilles tendinitis is typically diagnosed through a physical examination and medical history. The doctor may perform tests such as:

  • Palpation, to check for tenderness or swelling
  • Range of motion tests, to assess the flexibility and mobility of the ankle
  • Imaging tests, such as X-rays or MRI scans, to rule out other conditions or to assess the severity of the condition

Treatment

The treatment for Achilles tendinitis typically involves a combination of rest, physical therapy, and pain management. The goal is to reduce inflammation, relieve pain, and promote healing. Treatment options may include:

  • Rest, ice, compression, and elevation (RICE) to reduce inflammation and promote healing
  • Physical therapy, such as stretching and strengthening exercises, to improve flexibility and strength
  • Pain management, such as over-the-counter pain medications or corticosteroid injections
  • Orthotics or shoe inserts, to reduce stress on the Achilles tendon
  • Surgery, in severe cases where the tendon is ruptured or severely damaged

Prevention

To prevent Achilles tendinitis, it is recommended to:

  • Warm up and stretch before physical activity
  • Gradually increase intensity and duration of physical activity
  • Wear proper footwear and orthotics
  • Strengthen the calf muscles through exercises such as heel raises and calf stretches
  • Avoid overtraining or repetitive strain on the Achilles tendon

Article last updated on: 6th June 2025.
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