Foot and ankle surgeons treat all conditions affecting the foot and ankle, from the simple to the complex, in patients of all ages including Achilles tendon disorders.
Their intensive education and training qualify foot and ankle surgeons to perform a wide range of surgeries, including any surgery that may be indicated for Achilles tendon disorders. A A A Print Share. What is the Achilles Tendon? Achilles Tendonitis and Achilles Tendonosis Two common disorders that occur in the heel cord are Achilles tendonitis and Achilles tendonosis.
Causes of Achilles Tendon Disorders As "overuse" disorders, Achilles tendonitis and tendonosis are usually caused by a sudden increase of a repetitive activity involving the Achilles tendon. Symptoms of Achilles Tendon Disorders The symptoms associated with Achilles tendonitis and tendonosis include: Pain—aching, stiffness, soreness or tenderness—within the tendon.
Pain often appears upon arising in the morning or after periods of rest, then improves somewhat with motion but later worsens with increased activity. Tenderness, or sometimes intense pain, when the sides of the tendon are squeezed. There is less tenderness, however, when pressing directly on the back of the tendon. When the disorder progresses to degeneration, the tendon may become enlarged and may develop nodules in the area where the tissue is damaged.
Treatment of Achilles Tendon Disorders Treatment approaches for Achilles tendonitis or tendonosis are selected on the basis of how long the injury has been present and the degree of damage to the tendon. In the early stage, when there is sudden acute inflammation, one or more of the following options may be recommended: Immobilization.
Immobilization may involve the use of a cast or removable walking boot to reduce forces through the Achilles tendon and promote healing. To reduce swelling due to inflammation, apply a bag of ice over a thin towel to the affected area for 20 minutes of each waking hour.
Do not put ice directly against the skin. To lower your risk of Achilles tendonitis again:. If things don't improve, see your doctor, as it may be a sign that you have a different condition.
Larger text size Large text size Regular text size. What Is Achilles Tendonitis? People with Achilles tendonitis also might have: stiffness and soreness in the heel, especially in the morning swelling or hard knots in the Achilles tendon a creaking or crackling sound when moving the ankle or pressing on the Achilles tendon weakness in the affected leg pain when pointing the foot pain with pressure from shoes What Causes Achilles Tendonitis?
How Is Achilles Tendonitis Diagnosed? To diagnose Achilles tendonitis, health care providers: ask about symptoms do an exam Occasionally, doctors order imaging tests such as an X-ray or MRI if they think the Achilles tendon may be torn. How Is Achilles Tendonitis Treated? Your health care provider also may recommend: stretching the Achilles for 30 seconds at a time 3—4 times a day putting ice or a cold pack on the heel every 1—2 hours for 15 minutes at a time.
Put a thin towel over the skin to protect it from the cold. What Else Should I Know? To lower your risk of Achilles tendonitis again: Stay in good shape year-round. Drink plenty of water to flush out inflammation, and eat healthy whole grains, vegetables, and fruits to decrease inflammation. People have reported tendon problems several months after they stopped using the drug. The AAOS says that it may take several months for the pain to go away, even with early treatment.
If the pain does not resolve within 6 months, surgery may be necessary. Those who have surgery may not be able to return to competitive sports or running for at least 12 months. Some cannot return to their sport. Achilles tendinitis cannot be completely prevented, but the risk of developing it can be reduced by being aware of the possible causes and taking precautions.
It is important to stretch and warm up before and after exercising. Stretching helps to keep the Achilles tendon flexible, so there is less chance of tendinitis developing. Stretching every day, including rest days, will further improve flexibility. If you want to buy any of the over-the-counter treatments listed in this article, then they are available online.
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Heel pain is a common problem that can affect the bottom, the side, or the back of the heel. Heel pain is usually caused by continual pressure or…. What can I do about Achilles tendinitis? Medically reviewed by William Morrison, M. Treatment Stretches and exercises Symptoms Causes Outlook Prevention We include products we think are useful for our readers. Share on Pinterest Treatment may involve physical therapy. Stretches and exercises. Share on Pinterest The Achilles tendon runs down the back of the lower leg.
Share on Pinterest Warming up before exercise can prevent injury.
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