Achilles Tendonitis

Experiencing Achilles Tendon Pain in Southern Delaware?

If you're experiencing Achilles tendon pain, Southern Delaware Foot & Ankle is here to help. Achilles tendonitis is a common condition that can put a damper on your active lifestyle. Whether you're a weekend warrior, a seasoned athlete, or just someone who enjoys a morning jog, understanding Achilles tendonitis is crucial for maintaining your foot health. Our team is dedicated to providing comprehensive care for your foot and ankle issues to our patients in Millsboro, Seaford, and throughout southern Delaware.

Explaining Achilles Tendon Pain- Southern Delaware foot & Ankle

What is Achilles Tendonitis?

Achilles tendonitis is an overuse injury of the Achilles tendon, the band of tissue that connects your calf muscles to your heel bone. It’s the largest and most powerful tendon in the human body, capable of withstanding forces of 1,000 pounds or more. However, it is also the most frequently ruptured tendon. Achilles tendonitis is an overuse injury that affects the Achilles tendon. When the tendon becomes inflamed or irritated, it can cause significant pain and discomfort. Several factors can contribute to the development of Achilles tendonitis:

Overuse – Engaging in activities that involve repetitive stress on the tendon, such as running or jumping, can lead to overuse injuries.
Sudden Increase in Activity – Rapidly increasing your mileage or intensity in sports without adequate preparation.
Improper Footwear – Shoes that don’t provide adequate support or shock absorption can place extra strain on your Achilles tendon.
Tight Calf Muscles – Lack of flexibility in the calf muscles can contribute to increased tension on the Achilles tendon.
Trauma – Sudden, forceful contractions of the calf muscles, such as during sprints, can cause trauma to the tendon.
Flat Feet – Flat arches can put additional strain on the Achilles tendon.
Aging – The tendon’s structure weakens with age, making it more susceptible to injuries.
Certain medications – Some antibiotics, such as fluoroquinolones, have been linked to higher rates of Achilles tendonitis.
Medical Conditions – Obesity, high blood pressure, and certain medications like fluoroquinolones are linked to higher risks of developing Achilles tendonitis.

Man with severe foot pain after getting up from bed

When to See a Doctor for Achilles Tendon Pain

If you experience persistent pain, swelling, or difficulty walking, it's important to consult one of our healthcare professionals. Early intervention can prevent the condition from worsening and help you recover more quickly. Achilles tendonitis often begins with mild pain at the back of the leg or above the heel after physical activity. Recognizing the signs of Achilles tendonitis early can help prevent further damage. Other common symptoms include:

Pain – Mild ache above the heel after running or other sports activities.
Tenderness – Morning tenderness about an inch and a half above where the tendon attaches to the heel bone.
Stiffness – Stiffness that generally diminishes as the tendon warms up with use.
Swelling – Swelling along the Achilles tendon.
Limited Range of Motion – Difficulty flexing your foot or standing on your toes.

Diagnosis and Treatment

Achilles tendonitis is most commonly seen in runners and athletes who engage in sports that require sudden starts and stops, such as basketball, tennis, and soccer. Diagnosing Achilles tendonitis typically involves a physical examination. We may also recommend diagnostic procedures such as X-rays or ultrasound to rule out other conditions. Most cases of Achilles tendonitis can be managed with conservative treatments. Here are some common methods:

Rest – Reducing or avoiding activities that aggravate the tendon.
Ice – Applying ice packs to the affected area to reduce swelling and pain.
Medication – Taking nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation (consult your physician before taking any medication).
Compression and elevation – Using an elastic bandage and keeping the leg elevated can help reduce swelling.

Taping or bracing – Supporting the foot with tape or a brace can restrict motion and reduce pain.
Massage and ultrasound therapy – These treatments can help reduce inflammation and promote healing.
Orthotics – Using custom or over-the-counter shoe inserts to support the arch and reduce stress on the tendon.
Physical Therapy – Engaging in stretching and strengthening exercises for the calf muscles and Achilles tendon.

In severe cases where conservative treatments fail, surgical intervention may be necessary to repair the damaged tendon.

How to Prevent Achilles Tendonitis

Prevention is always better than cure. Here are some tips to minimize your risk of developing Achilles tendonitis:

Wear Proper Footwear – Choose the right shoes that fit well and provide adequate support and cushioning.
Warm Up – Always warm up before engaging in physical activities and include stretching exercises for your calf muscles.
Gradual Increase – Increase your activity level gradually to avoid sudden stress on your tendons.
Strength Training – Strengthen your calf muscles to better handle the stresses of physical activities.
Avoid Repetitive Strain – Alternate between high-impact activities and low-impact activities like swimming or cycling.

Contact Us

If you're experiencing Achilles tendon pain or any other foot-related issues, the expert podiatrists at Southern Delaware Foot & Ankle are here to help. With comprehensive care and personalized treatment plans, we aim to get you back on your feet and enjoying your daily activities pain-free.