ValleyOrtho’s experienced and compassionate team of physicians treat
a wide range of foot and ankle injuries, including Achilles tendonitis.
About
The Achilles tendon connects the calf muscles to the heel bone. Overuse
of the Achilles tendon may cause the tendon to become irritated and painful.
Achilles tendonitis is inflammation of this tendon. It is a common sports
injury that is related to running and jumping, but it can happen to anyone
who puts a lot of stress on their feet with prolonged standing and walking.
If one does not get treatment for Achilles tendinitis, the problem can
become chronic (long-term) and make it difficult to walk due to severe pain.
Causes
Sudden increase in activities or training
An excessive amount of hill running or sprint workouts
Running/walking with improper footwear
Poor foot/ankle control
Running on uneven or banked surfaces
Tight calf or hamstring muscles
Symptoms
Tenderness from 1-2 inches above the heel to the heel itself
Possible swelling or thickening of the Achilles tendon
Pain or stiffness when getting out of bed in the morning
Pain or stiffness at the beginning of activity that decreases during activity
Pain may be constant throughout and after activity in advanced cases
Diagnosis
The physicians at ValleyOrtho will conduct a thorough history and physical
exam. An MRI scan may be used to check for signs of damage to the tendon.
Treatment
In many cases, surgery is not needed to treat Achilles tendinitis. Effective
nonsurgical treatments include:
Modified activity
Referral to a physical therapist
Adjustment to footwear: orthotics, heel lifts or new shoes
Anti-inflammatory medication
Platelet Rich Plasma (PRP) injections
Advanced Surgical Options
If pain persists or if the tendon is torn, surgical intervention may be
recommended for those who are young to middle-aged and active. The ruptured
tendon is sewn together during surgery. Afterward, the leg is immobilized
for a period of time. Physical therapy will be necessary as the tendon
heals. Return to activity is expected in about 4 to 6 months, however,
it can take up to a year to return to sports.
ValleyOrtho’s innovative treatment, advanced surgical technology
and compassionate care help our patient’s return to their active
lifestyles.