Our Foot and Ankle Services

Achilles Tendon Injury

The Achilles tendon is the largest tendon in the human body and can withstand forces of 1,000 pounds or more. It also is the most frequently ruptured tendon, usually as a result of a sports injury. Both professional and weekend athletes may suffer from Achilles tendonitis, a common overuse injury and inflammation of the tendon.

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Causes of Achilles Tendon Injury

Events that can cause Achilles Tendonitis may include:

  • Hill running or stair climbing.
  • Overuse, stemming from the natural lack of flexibility in the calf muscles.
  • Rapidly increasing mileage or speed when walking, jogging, or running.
  • Rapidly increasing mileage or speed when walking, jogging, or running.
  • Trauma caused by sudden and/or hard contraction of the calf muscles when putting out extra effort, such as in a sprint.
  • Trauma caused by sudden and/or hard contraction of the calf muscles when putting out extra effort, such as in a sprint.

Symptoms of Achilles Tendon Injury

Achilles tendonitis often begins with mild pain after exercise or running that gradually worsens. Other symptoms include:

Recurring Localized Pain

Recurring localized pain, sometimes severe, along the tendon during or a few hours after running.

Morning Tenderness

Morning tenderness about an inch and a half above the point where the Achilles tendon is attached to the heel bone.

Sluggishness

 Sluggishness in your leg.

Swelling

Mild or severe swelling.

Stiffness

Stiffness that generally diminishes as the tendon warms up with use.

Treatments for Achilles Tendon Injury

Bandage

A bandage specifically designed to restrict motion of the tendon.

Medication

Taking nonsteroidal anti-inflammatory medication for a period of time.

Please consult your physician before taking any medication.

Orthotic Treatment

Orthotics help support the muscle and relieve stress on the tendon. Both non-prescription orthoses (such as a heel pads or over-the-counter shoe inserts) and prescribed custom orthotics may be recommended depending on the length and severity of the problem.

Rest

Rest and switching to exercises that do not stress the tendon (such as swimming).

Exercise

Stretching and exercises to strengthen the weak muscle group in front of the leg, calf, and the upward foot flexors, as well as massage and ultrasound.

When is Surgery Needed?

In extreme cases, surgery is performed to remove the fibrous tissue and repair any tears.