Achilles Tendonitis

Links

American Board of Podiatric Surgery

The American Board of Podiatric Surgery (ABPS), in accordance with standards published by the National Committee for Quality Assurance (NCQA), conducts primary source verification of the podiatric medical school graduation, residency training completion, and state licensure for each ABPS member.  It is the recognized board certification organization by the American Podiatric Medical Association and the American College of Foot & Ankle Surgeons.

American College of Foot & Ankle Surgeons

The American College of Foot & Ankle Surgeons (ACFAS) is a professional society of more than 6,000 foot and ankle surgeons.  Founded in 1942, ACFAS seeks to promote the art and science of foot, ankle, and related lower extremity surgery, address the concerns of foot and ankle surgeons, and advance and improve standards of education and surgical skill.

Foot Health Facts-Healthy feet for an Active Life

The patient education website of the American College of Foot & Ankle Surgeons.

American Podiatric Medical Association

Founded in 1912, the American Podiatric Medical Association (APMA), headquartered in Bethesda, Maryland, is the leading resource for foot and ankle health information.  Currently, the organization represents a vast majority of the 15,000 podiatrists in the country.  In addition to the national headquarters, APMA boasts 53 state component locations throughout the United States and its territories, as well as affiliated societies

Virginia Podiatric Medical Association

The state component of the APMA.

American Academy of Podiatric Sports Medicine

The American Academy of Podiatric Sports Medicine serves to advance the understanding, prevention and management of lower extremity sports and fitness injuries.  Useful articles and various athletic shoe lists are found on this site.

American Professional Wound Care Association

The American Professional Wound Care Association is a non-profit medical association welcoming all medical specialties involved in treating the various forms of non-healing wounds, including diabetic, vascular, ischemic, pressure ulcers, burns and cancer.

Northcoast Footcare

Northcoast Footcare is an online resource for reliable and up-to-date foot health information. Northcoast Footcare, Inc has a complete resource of patient information for common foot conditions, such as plantar fasciitis, tendonitis and bunions as well as step by step tratments for each condition.  We believe that images, diagrams and illustrations are the best way to help individuals understand their foot problems.  Northcoast Footcare has the greatest number of graphicson the web for help on diagnosis and treatment of foot and ankle conditions.  Content and articles written by Christine Dobrowolski, DPM, MS.

American Diabetes Association

The American Diabetes Association mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.  This site is an excellent resource for anyone desiring more information about diabetes.


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.


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.
  • Starting up too quickly after a layoff in exercise or sports activity, without adequately stretching and warming up the foot.
  • Trauma caused by sudden and/or hard contraction of the calf muscles when putting out extra effort, such as in a sprint.
  • Improper footwear and/or a tendency toward overpronation.

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

  • Recurring localized pain, sometimes severe, along the tendon during or a few hours after running.
  • Morning tenderness about an inch and a half above the point where the Achilles tendon is attached to the heel bone.
  • Sluggishness in your leg.
  • Mild or severe swelling.
  • Stiffness that generally diminishes as the tendon warms up with use.
     

Treatment normally includes:

  • A bandage specifically designed to restrict motion of the tendon.
  • Taking nonsteroidal anti-inflammatory medication for a period of time. Note: Please consult your physician before taking any medication.
  • Orthotics, which are corrective shoe inserts designed to help support the muscle and relieve stress on the tendon. Both nonprescription 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 and switching to exercises that do not stress the tendon (such as swimming).
  • 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.

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