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Home » Consumer Information » Sports Injuries » Achilles Tendon Injuries

Achilles Tendonitis

Achilles tendonitis is the most common ailment associated with the Achilles tendon. It accounts for about 11% of running injuries and is common in middle and long distance runners. It is defined as a soreness and stiffness of the Achilles tendon, which connects the calf muscles to the heel.

Achilles tendonitis can be acute or chronic. In the case of acute tendonitis, the sufferer experiences pain during exercise that goes away with rest. The tendon also tends to be swollen, and sometimes a creaking can be felt when pressing fingers into the tendon and moving the foot. Acute Achilles tendonitis can transform into a chronic condition if left untreated.

Chronic Achilles tendonitis includes pain and stiffness of the tendon, especially upon waking up in the morning. Lumps may be present in the tendon, specifically 2 centimeters above the heel. There is general pain along the tendon and pain when walking up hill or up stairs.

Overuse is the general cause of Achilles tendonitis, although other factors can contribute to the injury. Running up hills and wearing heels consistently cause the tendon to stretch more than normal, but changing suddenly to running on flat surfaces and wearing flat shoes can strain the tendon as well. Over pronation, in which the feet roll inwards while walking or running, also puts additional strain on the tendon.

To treat Achilles tendonitis one should rest and apply ice to the area. The Achilles tendon has a poor blood supply, so it heals slowly. Anti-inflammatory medication can alleviate pain, while wearing a heel pad for a few weeks raises the heel and relieves pressure on the tendon. Additionally, taping the back of the leg supports the tendon so that it doesn't work as hard.