Achilles Tendonitis is a condition that causes pain in the Achilles tendon, which connects the calf muscles to the heal bone. Tendinitis is the inflammation or irritation of a tendon. A tendon is a cord that attaches muscles to bones. Tennis elbow and Pitcher’s shoulder are two other examples of Tendonitis.

Two types of Achilles Tendonitis

Noninsertional and Insertional are the two types of Achilles Tendonitis. Noninsertional Tendonitis is the degeneration of the middle portion of the tendon. This type of Tendonitis occurs more frequently with people who are younger and more active. Insertional Tendonitis is the inflammation and pain at the point where the Achilles Tendon connects to the heal bone. Even though activities such as running and dance can also contribute to Insertional Tendonitis, it has a tendency of occurring in people over 30 years old and those who are over weight.

Causes of Achilles Tendonitis

1. Lack of flexibility - tight calf muscles. Inadequate stretching before engaging in athletic activities can contribute to Achilles Tendonitis

2. Overpronation - when the feet roll inward too much, may be the greatest cause of Achilles Tendonitis. When overpronation occurs the arch collapses which adds stress to the achilles tendon.

3. Changes in level of activity - An increase in number of miles run or any other increase in physical activity can contribute to Achilles Tendonities. Suddenly adding hill running to your normally flat regime can also cause Achilles Tendonites.

4. Changes in footwear - Simply changing the brand or style of shoes can lead to Achiles Tendonites

5. Aging - As people get older the Achilles Tendon looses vascularity and can weaken which increases the chances of getting Achilles Tendonities.

Treatment

1. Change of activity levels - Reduce or take a break from the activities that likely contributed to Achilles Tendonities. Runners should stop running, or at least greatly reduce distances, until pain and inflammation subsides. Aggravating activities such as running can be substituted with low impact activities like swimming or biking.

2. Anti-inflammmatory medication such as Ibuprofen or Aleve may help decrease inflammation and pain in the tendon.

3. Modify footwear - A podiatrist may prescribe insoles or heal lifts to help decrease stress on the tendon.

4. Icing can also decrease inflammation.

5. Stretching the calf muscle can reduce stress on the Achilles tendon. Stretching should be discontinued if it causes pain to the tendon.

6. Surgery - Achilles Tendonities can usually be treated with the conservative methods listed above. Surgery can be considered if there is a tear or rupture to the tendon.

Summary

Achilles Tendonities can be very painful but the good news is that it can usually be treated with conservative methods such as modifying activities, custom insoles and some stretching of the calf muscles.