Achilles Tendonitis

Achilles Tendonitis is characterised by pain and swelling behind the heel, ankle, or lower leg caused by inflammation of the tendon. It occurs most frequently after a sudden increase in activity without adequate training or conditioning. Changing footwear, occupation, work, or playing surfaces can also lead to inflammation and pain in the achilles area.

What are the Achilles tendonitis symptoms?

Pain or discomfort from Achilles tendonitis can sometimes radiate to areas beyond the achilles tendon itself and is often mistaken for bursitis—a painful swelling of the bursa, a fluid-filled sac that cushions and lubricates areas where tendons, ligaments, skin, muscles, or bones rub against each other in the ankle and foot. The achilles tendon insertion area has two bursa which can become inflamed; the retrocalcaneal bursa (sits between the heel bone and the tendon) and the subcutaneous bursa (sits between the achilles tendon and the skin). One or both may become irritated by a similar mechanism of injury that results in achilles tendonitis. Symptoms, causes, and treatment options for bursitis can overlap with those of achilles tendonitis. To receive an accurate diagnosis, reaching out to a qualified podiatrist can rule out any other conditions.

Achilles Tendonitis

What are the Achilles tendonitis symptoms?

Pain or discomfort from Achilles tendonitis can sometimes radiate to areas beyond the achilles tendon itself and is often mistaken for bursitis—a painful swelling of the bursa, a fluid-filled sac that cushions and lubricates areas where tendons, ligaments, skin, muscles, or bones rub against each other in the ankle and foot. The achilles tendon insertion area has two bursa which can become inflamed; the retrocalcaneal bursa (sits between the heel bone and the tendon) and the subcutaneous bursa (sits between the achilles tendon and the skin). One or both may become irritated by a similar mechanism of injury that results in achilles tendonitis. Symptoms, causes, and treatment options for bursitis can overlap with those of achilles tendonitis. To receive an accurate diagnosis, reaching out to a qualified podiatrist can rule out any other conditions.

Symptoms of achilles tendonitis include:

  • Pain along the tendon or heel bone when walking or running
  • Pain on the tendon when touched
  • Stiffness or pain in the morning or after sitting for extended periods
  • Inability to stand on tiptoes
  • Tight calf muscles

Pain triggers:

  • During or after exercise
  • Walking up stairs or hills
  • Standing for long periods

Exercise impact:

  • High-impact sports can exacerbate symptoms
  • Running on hard surfaces
  • Incorrect or worn-out shoes can increase the risk of developing an achilles tendon injury

Common causes of Achilles Tendonitis

Achilles tendonitis is primarily caused by the overuse of the tendon, especially if there has been a change in exercise routine or lifestyle. The main contributing factors include:

    • Tight gastrocnemius and/or soleus muscles (calves): When the gastrocnemius and soleus muscles are tight, they place additional strain on the achilles tendon, as it’s unable to stretch adequately with each movement. This lack of flexibility can lead to microtears and inflammation, increasing the risk of developing achilles tendonitis.
    • Overuse of the calf muscles: Frequent or intense use of the calf muscles, especially without proper rest, can lead to overuse injuries. As the calf muscles repeatedly contract, they pull on the achilles tendon, which may become irritated or inflamed if it doesn’t recover.
    • Overtraining or sudden increase in training load: A sudden jump in training volume or intensity puts added stress on the achilles tendon, which might not be conditioned for the increase. Without a gradual build-up, the tendon can become overwhelmed, resulting in microtears and inflammation that lead to tendonitis.
  • Flat shoes and walking barefoot: ‘Barefoot’ style shoes, casual shoes and slip-on shoes often have a zero-drop heel (meaning the heel is the same height as the forefoot) which places stress on the tendon compared to the standard 10mm heel pitch in standard footwear. Walking barefoot means no cushioning to the heel resulting in higher ground impact forces which the tendon has to absorb.
  • Standing occupations: Jobs requiring long-standing periods can strain the achilles tendon, especially if weight-bearing positions are held without much movement. Over time, this repetitive stress can weaken the tendon and make it more susceptible to injury.
  • Obesity and Diabetes: Excess body weight increases the strain on the achilles tendon, making it more susceptible to inflammation and injury. This added pressure can lead to chronic pain and discomfort.

Diagnosing achilles tendonitis can be challenging, so prompt and accurate treatment is essential for proper recovery. A podiatrist’s expertise can guide you in making informed decisions and lifestyle adjustments to support effective management and healing of the injury to avoid the possibility of experiencing achilles tendon ruptures.

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How are achilles tendon injuries treated at Advanced Foot Clinic?

Your medical history and a physical exam of your foot and heel will determine the diagnosis. Treating this injury depends on the extent of the tendon pain and the frequency of the pain occurring.

Your podiatrist will tailor your treatment to you; however, here are a few methods for treating Achilles tendonitis:

  • Activity modification or reduction: Reducing or modifying activities that place strain on the achilles tendon is crucial in recovery. High-impact activities like running, jumping, or intense calf exercises should be temporarily minimised to avoid further irritation or injury. Low-impact alternatives like swimming or cycling can help maintain fitness without overloading the tendon.
  • RICE—rest, ice, compression, and elevation: This approach involves Rest, Ice, Compression, and Elevation. Resting the affected foot helps reduce strain while applying ice can alleviate pain and swelling. Compression wraps can provide support, and elevate the foot and ankle to help minimise inflammation.
  • Extracorporeal shock wave therapy: Find relief with Shockwave Therapy. It targets the inflammation of the achilles tendon, providing effective pain reduction and promoting healing for faster recovery times. 
  • Soft tissue massage & stretching exercise: Soft tissue massage, especially by a physical therapist, can help increase blood flow, reduce muscle tightness, and break up scar tissue around the tendon. Gentle stretching exercises targeting the calf muscles also improve flexibility, which reduces strain on the Achilles tendon and promotes recovery.
  • Orthotics for biomechanical issues: If biomechanics, such as flat feet or improper gait, contribute to Achilles tendonitis, orthotics (custom shoe inserts) may be recommended. Orthotics can correct foot positioning, improve alignment, and distribute weight more evenly across the foot and ankle, relieving stress on the tendon.
  • Non-steroidal anti-inflammatory drugs (Nurofen, etc): These medications help reduce the inflammatory response around the Achilles tendon, providing temporary comfort and enabling more comfortable movement during the initial treatment phase.
  • Moon boots: This supportive footwear works by immobilising the affected area, reducing strain on the tendon, and promoting healing.

Experiencing a sore achilles tendon?

If caught early, this injury can be effectively treated at home, but you need to be proactive about your recovery. Typically, a sore achilles tendon indicates inflammation in the tendon, but it’s still crucial to monitor the injury, in case it turns out to be a torn achilles tendon. 

  • Reduce or modify current activities: Limit your amount of exercise and allow for adequate recovery.
  • Gradually resume regular activity as symptoms resolve: Avoid resuming high-impact exercise too quickly. Further tendon damage can occur even if you don’t feel pain and believe you’ve fully recovered.
  • Apply ice after training/physical activity: Use ice for 15 minutes following training or activity, allowing a break of two hours before reapplying for another 15 minutes. This can help reduce inflammation and manage pain effectively.
  • Conduct a footwear assessment: You might be wearing the wrong footwear, which puts excess pressure on your achilles tendon and causes further damage.
  • Stretch your lower leg muscles: Incorporate gentle stretching of your lower leg muscles, but be careful not to stretch to the point of pain. This can help improve flexibility and reduce tension on the achilles tendon.

 

You can book your achilles tendonitis treatment at one of our five Queensland clinics

Advance Foot Clinic Podiatry is an established clinic with an excellent reputation in each of our five Queensland clinics. You can book your podiatrist achilles tendonitis treatment appointment with a caring podiatrist from our team at any of our locations, which include:

 

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Why choose Advance Foot Clinic Podiatry

Five convenient locations

Our clinics are conveniently located and easy to access, so you can easily schedule appointments at your nearest location.

Comprehensive care

We provide a comprehensive approach to foot health, covering all aspects, from diagnosing and treating achilles tendonitis to educating patients on preventive measures for long-term well-being.

People-focused approach

We focus on a people-centered approach. We take time to listen to your unique concerns and customise our services to ensure your treatment plan is aimed at long-term recovery.

Custom treatment plans

Our podiatrists create personalised treatment plans tailored to your condition and lifestyle, using various therapies to help you live free from heel pain and discomfort.

Experienced and qualified podiatrists

Our team of experienced podiatrists provides high-quality care, staying current with the latest advancements to ensure effective treatments for all foot and ankle conditions.

Advanced technology

We utilise state-of-the-art technology for accurate diagnoses and effective treatments, enhancing patient outcomes and streamlining your experience. We are constantly expanding our treatment options and using technology to treat and diagnose achilles tendonitis faster.

Take the first step towards happy and healthy feet.

Ready to give your feet the care they deserve? Book your appointment online or call us and experience our expert podiatry services at any of our six clinic locations.