WHAT IS ACHILLES TENDINITIS?

Achilles tendinitis is an inflammation (swelling) of the tendin, which usually occurs as a result of overuse. Basketball players are the most susceptible to Achilles tendinitis because of the frequent jumping. Any activity requiring a constant pushing off the foot, such as running or dancing, may result in swelling of the tendin.

The Achilles tendin is the strongest and largest tendin in the body. It is a tendinous structure (attaches muscle to bone) that forms from a combination of the gastrocnemius-soleus muscles located in the calf. The tendin attaches to the heel bone (calcaneus) and causes the foot to push off (plantar flex) when the calf muscles tighten. The tendin is necessary for normal walking, running, and jumping. Athletic and traumatic injuries to the Achilles tendin are common and can be disabling.

SYMPTOMS AND TREATMENTS FOR ACHILLES TENDINITIS

People with Achilles tendinitis may experience pain during and after exercising. Running and jumping activities become painful and difficult. Symptoms include stiffness and pain in the back of the ankle when pushing off the ball of the foot. For patients with chronic tendinitis (longer than six weeks), x-rays may reveal calcification (hardening of the tissue) in the tendin. Chronic tendinitis can result in a breakdown of the tendin, or tendinosis, which weakens the tendin and may cause a rupture.

The recommended treatment for Achilles tendinitis consists of icing, gentle stretching, and modifying or limiting activity. Nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen or aspirin , can reduce the pain and swelling. Physical therapy and the use of an orthotic (heel lift) can also be helpful. For chronic cases where tendinosis is evident and other methods of treatment have failed, surgery may be recommended to remove and repair the damaged tissue.

Note: This information is not a substitute for medical advice. If you are experiencing any pain, please see your doctor.