Achilles tendonitis is a common condition affecting individuals of all ages, from athletes to those leading less active lifestyles. As the largest tendon in the body, the Achilles tendon connects the calf muscles to the heel bone, allowing us to perform essential movements like walking, running, and jumping. However, repetitive strain or overuse can lead to inflammation and discomfort, known as Achilles tendonitis.
Achilles tendonitis is especially common in athletes and runners, but it can affect anyone engaging in repetitive activities that strain the lower leg. According to data from the American Podiatric Medical Association (APMA), Achilles tendonitis accounts for nearly 20% of all foot and ankle injuries treated by podiatrists in the United States. Additionally, it is reported that approximately 10% of runners will experience Achilles tendonitis at some point in their athletic careers, making it a key concern for both recreational and professional athletes.
Common Causes
Achilles tendonitis typically develops from overuse, improper footwear, or sudden increases in physical activity. Some of the primary causes include:
- Lack of conditioning: The tightness of the calf muscles could lead to bursitis at the Achilles tendon insertion into the heel bone. With exerted activities, the Achilles tendon places much strain on the heel bone.
- Improper Footwear: Wearing shoes without proper arch support or heel cushioning can increase the risk of inflammation in the tendon.
- Flat Feet: Individuals with flat arches are more prone to developing Achilles tendonitis due to the additional strain placed on the tendon when walking or running.
- Age and Activity Level: Tendon flexibility decreases with age, making middle-aged individuals more susceptible, especially if they engage in intense activities without proper preparation.
Symptoms of Achilles Tendonitis
If you’re experiencing Achilles tendonitis, you may notice the following symptoms:
– Pain and stiffness in the back of your leg near the heel
– Swelling along the tendon
– Difficulty flexing your foot, especially with the upward motion
– Increased pain after physical activity or with the first step out of bed in the morning
Symptoms can range from mild discomfort to severe pain, which can interfere with daily activities and athletic performance.
Treatment and Prevention
At Family Podiatry of Maryland, we focus on comprehensive care to help alleviate symptoms and promote healing. Treatment options typically depend on the severity of the condition but can include:
- Rest and Ice Therapy: Allowing the tendon to rest and applying ice can reduce inflammation and pain.
- Physical Therapy: Stretching and strengthening exercises improve flexibility and reduce the strain on the tendon.
- Orthotic Devices: Custom shoe inserts can correct flat feet or other biomechanical issues, reducing strain on the tendon.
- Anti-Inflammatory Medications: Over-the-counter NSAIDs can help relieve pain and inflammation.
- Surgical Intervention: Surgery may be recommended in severe or chronic cases to repair damaged tissue.
According to podiatric treatment outcomes published by the APMA, most cases of Achilles tendonitis respond well to conservative treatments, with 90% of patients recovering without surgical intervention. While mild cases of Achilles tendonitis may improve with home remedies, it’s essential to seek care from an experienced podiatrist if symptoms persist or worsen. If you experience severe pain, swelling, or a popping sound at the time of injury could indicate a more severe issue, such as a tendon rupture.
Achilles tendonitis is a common but treatable condition that affects millions of people each year. By taking preventive measures—such as wearing proper footwear, warming up before exercise, and gradually increasing activity levels—you can reduce your risk. If you’re experiencing pain or discomfort, the team at Family Podiatry of Maryland is here to help you with expert diagnosis and personalized treatment plans.
For more information on Achilles tendonitis and the treatments we offer, visit our Achilles Tendonitis service page or schedule an appointment.