Frequently Asked Questions About Achilles Tendinitis

Achilles tendinitis is a common injury, especially among athletes and active individuals. If you’re experiencing pain at the back of your heel or lower calf, you might have questions about this condition. In this article, we’ll answer the most frequently asked questions about Achilles tendinitis, its causes, symptoms, treatments, and prevention strategies.

What Is Achilles Tendinitis?

Achilles tendinitis is the inflammation of the Achilles tendon — the large band of tissue that connects your calf muscles to your heel bone. This condition often results from overuse, especially in runners, walkers, or individuals who suddenly increase the intensity of their workouts.

What Causes Achilles Tendinitis?

The most common causes of Achilles tendinitis include:

• Overuse from running or jumping

• Sudden increase in activity level

• Tight calf muscles

• Improper footwear

• Flat feet or poor biomechanics

• Inadequate warm-ups or stretching

What Are the Symptoms of Achilles Tendinitis?

Typical symptoms of Achilles tendinitis include:

• Pain and stiffness along the Achilles tendon, especially in the morning

• Swelling or thickening in the tendon area

• Pain that worsens with activity

• Tenderness when touched

• Limited range of motion in the ankle

How Is Achilles Tendinitis Diagnosed?

A healthcare provider can diagnose Achilles tendinitis through:

• Physical examination of the affected area

• Medical history review

• Imaging tests like an ultrasound or MRI, if needed, to assess tendon damage

How Is Achilles Tendinitis Treated?

Most cases of Achilles tendinitis can be treated non-surgically:

1. Load Management - avoidance of aggravating activities

2. Ice therapy to reduce pain and swelling

3. Compression and elevation

4. Stretching and strengthening exercises

5. Physiotherapy

6. Nonsteroidal anti-inflammatory drugs (NSAIDs)

7. Heel lifts or orthotics

In severe or chronic cases, surgery may be required to repair the tendon.

How Long Does Achilles Tendinitis Take to Heal?

Healing time can vary depending on the severity:

• Mild cases may resolve in a few weeks

• Moderate to severe cases may take several months

• Chronic tendinitis might require more intensive treatment and longer recovery time

Consistent rehabilitation and following medical advice are key to a full recovery.

What Happens If Achilles Tendinitis Goes Untreated?

If left untreated, Achilles tendinitis can lead to:

• Chronic pain

• Degeneration of the tendon (Achilles tendinosis)

• Partial or complete tendon rupture, which may require surgical repair

How Can I Prevent Achilles Tendinitis?

Preventing Achilles tendinitis involves:

• Proper warm-up and stretching

• Strengthening calf muscles

• Gradually increasing activity levels

• Wearing appropriate footwear

• Avoiding sudden changes in exercise intensity or surface

Final Thoughts

Achilles tendinitis can be painful and limit your mobility, but with early intervention and proper care, recovery is possible. Understanding the causes, symptoms, and treatment options can help you take control of your health and prevent future injuries.

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