Achilles Tendinitis

What is Achilles tendinitis?

The Achilles tendon connects the calf muscles to the heel bone and helps lift the heel when you walk. Tendinitis can begin after a sudden increase in activity. Longer lasting pain may involve wear and small areas of damage within the tendon.

Common symptoms

• Morning stiffness behind the ankle
• Pain during or after walking, running, or jumping
• Tenderness or swelling along the tendon
• A thickened area or bump near the heel

A sudden pop, sharp pain, or loss of push off strength can be a sign of a tendon tear and needs urgent evaluation.

Why it happens

Common triggers include a rapid change in exercise, tight calf muscles, limited ankle motion, hills, worn shoes, and foot mechanics that increase strain. The problem can affect active adults as well as people whose work keeps them on their feet.

How we evaluate Achilles pain

We examine the tendon, calf strength, ankle motion, and foot alignment. X-rays can show bone changes near the heel. Ultrasound or MRI may be used when the degree of tendon damage is unclear or a tear is suspected.

Treatment options

Care is matched to the location and stage of the tendon problem. Options may include:

• Temporary activity changes
• A walking boot for more painful cases
• Calf stretching and progressive strengthening
• Heel lifts, supportive shoes, or custom orthotics
• Physical therapy
• Shockwave therapy or other advanced nonsurgical care for selected cases

Recovery takes time because tendons respond best to gradual, consistent loading. Surgery may be discussed for a tear or a stubborn problem that has not improved with a complete nonsurgical plan.

When to schedule an appointment

Schedule care when pain changes your walk, lasts more than a few days, or keeps returning. Seek urgent help after a pop or sudden loss of strength.

Frequently asked questions

Can I stretch an irritated Achilles tendon?

Stretching may help some people, but the timing and technique matter. Aggressive stretching can aggravate certain insertional tendon problems.

Will a heel lift help?

A heel lift may temporarily reduce tension on the tendon. It is usually one part of a broader plan.

How long does recovery take?

Mild irritation may improve in weeks. Longstanding tendon change often requires several months of progressive care.

How to prepare for your appointment

Bring your usual walking or athletic shoes and any prior imaging. Note where the pain begins, which activities affect it, whether an injury occurred, and what treatments you have already tried.

Related care

You may also want to explore diagnostic ultrasound, bracing and walking boots, and shockwave therapy.

Foot and ankle care close to home

Signature Foot and Ankle provides personalized care at our Boynton Beach and Loxahatchee offices. Call 561 203 9285 or request an appointment online.