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Achilles tendinitis is an overuse injury of the Achilles (uh-KILL-eez) tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone. Achilles tendinitis most commonly occurs in runners who have suddenly increased the intensity or duration of their runs.
You'll likely first bring your symptoms to the attention of your family doctor. He or she might refer you to a doctor specializing in sports medicine or physical and rehabilitative medicine (physiatrist). If your Achilles tendon has ruptured, you may need to see an orthopedic surgeon.
Both degenerative and inflammatory changes of the Achilles tendon can occur, sometimes leading to tendinopathy. Inflammation can begin suddenly after an injury or more gradually as a result of wear and tear.
Achilles tendinitis may present with pain, tenderness, and stiffness along the tendon. This can occur directly over your heel bone or higher up towards your calf muscle. You may also notice swelling in the area.
Although it's possible to have no signs or symptoms with an Achilles tendon rupture, most people have: The feeling of having been kicked in the calf; Pain, possibly severe, and swelling near the heel; An inability to bend the foot downward or "push off" the injured leg when walking; An inability to stand on the toes on the injured leg
Symptoms. Symptoms of tendinitis tend to occur where a tendon attaches to a bone. Symptoms often include: Pain, often described as a dull ache, especially when moving the hurt limb or joint; Tenderness; Mild swelling; When to see a doctor. Most cases of tendinitis respond to self care.
People with an Achilles tendon rupture commonly seek immediate treatment at a hospital's emergency department. You might also need to consult with doctors specializing in sports medicine or orthopedic surgery. What you can do. Write a list that includes: Detailed descriptions of the symptoms and how and when the injury occurred
Eccentric strengthening, which emphasizes contraction of a muscle while it's lengthening, is an effective treatment for many chronic tendon conditions. Surgical and other procedures. In situations where physical therapy hasn't resolved symptoms, your health care provider might suggest: Dry needling.
After a sudden injury to a tendon, ice can ease pain and swelling. Ice the area for 15 to 20 minutes every 4 to 6 hours. And be sure to put a towel or cloth between the ice pack and your skin.
Simple home exercises can stretch your plantar fascia, Achilles tendon and calf muscles. Preparing for your appointment. Your health care professional might refer you to someone who specializes in foot disorders or sports medicine. What you can do. Make a list of: Your symptoms, and when they started.