Achilles tendonitis
(heel pain)

Achilles tendonitis is a condition that results in pain and inflammation of the Achilles tendon. The Achilles tendon is the largest tendon in the body and it connects the heel bone to the calf muscles. Achilles tendonitis is typically caused by overuse or repetitive stress on the tendon, leading to small tears and damage. This condition commonly affects runners and other athletes who participate in high impact activities, but can also occur in individuals who engage in excessive standing or walking.

Symptoms of Achilles tendonitis may include pain and stiffness in the back of the ankle, swelling, and difficulty walking or performing physical activity.

Causes of Achilles tendonitis

There are several factors that can cause Achilles tendonitis, including:

• Overuse or repetitive strain – Repeatedly stressing the Achilles tendon by engaging in activities such as running or jumping can cause microscopic tears and damage in the tendon.
• Improper footwear – Wearing shoes that don’t provide adequate support or cushioning can cause strain on the Achilles tendon. Some types of shoes provide cushioning but little support, which can lead to injuries during strenuous exercise.
• Tight calf muscles – When the calf muscles are tight, they can pull on the Achilles tendon, increasing the risk of injury.
• Sudden increase in activity level – Increasing the intensity or duration of activity too quickly can also cause strain on the Achilles tendon.
• Age – As people age, the Achilles tendon can become less flexible and more prone to injury.
• Medical conditions – Certain medical conditions such as arthritis, gout, and diabetes can also increase the risk of Achilles tendonitis.

How we help with Achilles tendonitis

CBR Podiatry offers biomechanical assessment appointments to diagnose the cause of heel pain and provide patients with a personalised treatment plan. This may involve one or more of the following treatments:

• Rest and ice to help reduce inflammation and relieve pain.
• Heel raises/strapping.
• Nonsteroidal anti-inflammatory drugs to reduce inflammation and pain.
• Targeted exercises to stretch and strengthen the muscles surrounding the Achilles tendon.
• Custom-made shoe orthotics to improve the alignment of the foot, which can reduce stress on the Achilles tendon.