CONDITIONS

Achilles Tendonitis

What Is Achilles Tendonitis?

Achilles tendonitis is a condition characterised by inflammation, irritation, or degeneration of the Achilles tendon, the thick band of tissue that connects the calf muscles to the heel bone. This condition commonly affects athletes, runners, and individuals who engage in activities that involve repetitive stress on the tendon. It can cause pain and stiffness in the lower leg, particularly near the heel, and can worsen if not properly managed.

What Is an Achilles Tendonitis?

What Causes Achilles Tendonitis?

Achilles tendonitis is primarily caused by overuse or repetitive strain on the Achilles tendon. Common causes include:

  • Sudden increase in physical activity

    : Rapidly increasing running mileage or intensity without proper conditioning.
  • Improper footwear

    : Wearing shoes with inadequate support, especially during physical activity.
  • Tight calf muscles

    : Limited flexibility can increase stress on the Achilles tendon.
  • Flat feet or overpronation

    : Abnormal foot mechanics place additional strain on the tendon.
  • Ageing and degeneration

    : As people age, the Achilles tendon becomes less flexible and more prone to injury.
  • Running on hard or uneven surfaces

    : Increases impact and strain on the tendon.
  • Lack of warm-up and stretching

    : Inadequate preparation before exercise can increase the risk of tendon irritation.
What Causes an Achilles Tendonitis?

Signs and Symptoms of Achilles Tendonitis

Common symptoms of Achilles tendonitis include:

  • Pain along the Achilles tendon: Pain may be mild at first but can become severe with continued activity.
  • Stiffness and tenderness: Often worse in the morning or after periods of inactivity.
  • Swelling and warmth: The tendon may appear slightly swollen and feel warm to the touch.
  • Thickening of the tendon: In chronic cases, the tendon may become thickened due to prolonged inflammation.
  • Pain that worsens with activity: Running, jumping, or climbing stairs can exacerbate symptoms.
  • Creaking or cracking sensation: Some individuals may feel a creaking sensation when moving the tendon.

If you think you may have Achilles tendonitis,

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How Is an Achilles Tendonitis Diagnosed?

How is Achilles Tendonitis Diagnosed?

Achilles tendonitis is diagnosed through a combination of medical history, physical examination, and imaging tests:

  • Medical history review

    : The doctor will ask about symptoms, activity levels, and any recent changes in physical exertion.
  • Physical examination

    : The tendon will be assessed for swelling, tenderness, and range of motion.
  • Thompson test

    : A test to check for Achilles tendon rupture by squeezing the calf while the patient lies on their stomach.
  • Imaging tests:

    • X-rays :To rule out bone spurs or fractures
    • Ultrasound :Provides a real-time image of tendon structure and inflammation
    • MRI :Used in severe or chronic cases to assess tendon degeneration or tears

Risk Factors of Achilles Tendonitis

Several factors increase the risk of developing Achilles tendonitis, such as:

  • Age

    : More common in individuals over 30 due to decreased tendon elasticity.
  • Gender

    : Men are more likely to develop Achilles tendonitis than women.
  • Sports participation

    : Running, basketball, tennis, and other high-impact sports increase the risk.
  • Poor biomechanics

    : Flat feet, high arches, or improper gait patterns contribute to excessive tendon stress.
  • Obesity or weight gain

    : Extra body weight increases strain on the Achilles tendon.
  • Certain medications

    : Fluoroquinolone antibiotics have been linked to tendon issues.
  • Medical conditions

    : Conditions such as rheumatoid arthritis and diabetes can increase the risk.
Risk Factors of Achilles Tendonitis

Achilles Tendonitis Treatment

Treatment varies based on the severity and duration of symptoms.

Non-surgical Treatments
Achilles Tendonitis Surgery

Non-Surgical Treatments

  • Rest and activity modification

    : Reducing high-impact activities allows the tendon to heal.
  • Ice therapy

    : Applying ice packs for 15–20 minutes helps reduce pain and swelling.
  • Stretching and strengthening exercises

    : Certain exercises can improve tendon flexibility and strength.
  • Orthotics and heel lifts

    : Provide support and reduce strain on the tendon.
  • Pain relievers

    : NSAIDs like ibuprofen help manage discomfort and inflammation.
  • Physiotherapy

    : A therapist can guide patients through targeted exercises and soft tissue mobilization.
  • Taping or bracing

    : Helps offload stress from the tendon.
  • Extracorporeal shockwave therapy (ESWT)

    : A non-invasive treatment that stimulates healing in chronic cases.
Achilles Tendonitis Treatment
Can an Achilles Tendonitis Be Prevented?

Can an Achilles Tendonitis Be Prevented?

While it is not always preventable, the following steps can reduce the risk:

  • Gradually increase activity levels: Avoid sudden spikes in training intensity.
  • Wear proper footwear: Use shoes with good arch support and cushioning.
  • Stretch regularly: Calf and Achilles stretches can improve flexibility.
  • Strengthen lower leg muscles: Strong muscles provide better support.
  • Cross-train with low-impact activities: Swimming and cycling can help reduce stress on the tendon.
  • Maintain a healthy weight: Reducing excess weight minimises strain on the Achilles tendon.
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FAQs on Achilles Tendonitis

Recovery time varies depending on severity. Mild cases may improve within a few weeks, while chronic Achilles tendonitis can take 3–6 months or longer. Consistent stretching, strengthening, and proper treatment speed up recovery.
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