Achilles Tendonitis: Causes, Symptoms, and Effective Treatment Options

Achilles tendonitis, a painful and persistent inflammation of the Achilles tendon, can impede your daily activities and reduce your overall quality of life. This vital tendon connects your calf muscles to your heel bone, allowing you to extend your foot and engage in various activities, including walking, running, and jumping. As one of the most frequently injured tendons in the lower extremities, it is essential to be aware of the causes, symptoms, and potential treatment options available for Achilles tendonitis.

We are dedicated to providing comprehensive care for the full spectrum of foot and ankle conditions, including Achilles tendonitis. Our experienced team of podiatrists offers various innovative treatment solutions, ranging from conservative therapies to cutting-edge modalities, such as shockwave therapy. We strive to provide personalized, effective care for our patients in a warm and inviting atmosphere, helping you to overcome Achilles tendonitis and enjoy an active lifestyle once more.

In this article, we will discuss the common causes and symptoms of Achilles tendonitis, explore various treatment options, and guide you through the recovery process to help you make informed decisions about your health and well-being.

Understanding the Causes of Achilles Tendonitis

1. Overuse and Strain

One of the primary causes of Achilles tendonitis is overuse and strain of the tendon. Repetitive stress on the tendon, such as frequent running or jumping, can lead to micro-tears and chronic inflammation.

2. Tight Calf Muscles or Poor Flexibility

Tight calf muscles or poor flexibility can place added stress on the Achilles tendon, increasing the risk of tendonitis.

3. Improper Footwear or Technique

Wearing shoes that lack proper support or practicing poor running techniques can contribute to the development of Achilles tendonitis.

4. Anatomical Factors and Age

Certain anatomical factors, such as flat feet or high arches, can place added stress on the Achilles tendon. Additionally, the risk of developing tendonitis increases with age as tendons lose their flexibility and become less capable of withstanding repetitive stresses.

Recognizing the Symptoms of Achilles Tendonitis

1. Pain and Stiffness

Achilles tendonitis typically presents as pain and stiffness in the back of the heel, which often worsens with activity. It may also be accompanied by swelling or a sensation of warmth in the affected area.

2. Limited Range of Motion

Individuals with Achilles tendonitis may experience limited range of motion in the ankle or difficulty walking, particularly in the morning or after physical activity.

3. Tenderness and Swelling

The area around the Achilles tendon may be tender to the touch, and swelling may occur as a result of inflammation.

4. Crepitus or “Creaking” Sensation

In some cases, people with Achilles tendonitis may experience a “crepitus” or creaking sensation, which is caused by the inflammation and thickening of the tendon tissue.

Treatment Options for Achilles Tendonitis at The Foot & Ankle Clinic

1. Rest, Ice, Compression, and Elevation (RICE)

The initial treatment for Achilles tendonitis often involves a combination of rest, ice, compression, and elevation (RICE) to help alleviate pain and reduce swelling.

2. Anti-inflammatory Medications

Over-the-counter anti-inflammatory medications, such as ibuprofen, can help reduce inflammation and relieve pain associated with Achilles tendonitis.

3. Physical Therapy and Stretching Exercises

Physical therapy and stretching exercises may be recommended to improve flexibility, strengthen the tendon, and prevent future injury.

4. Orthotics and Supportive Footwear

Proper footwear and the use of orthotic devices can provide additional support, correct alignment issues, and alleviate stress on the Achilles tendon.

5. Shockwave Therapy

For persistent or severe cases, our clinic offers advanced treatment options, such as extracorporeal shockwave therapy (ESWT), which delivers focused, high-energy shockwaves to the affected area, stimulating the body’s natural healing process.

The Road to Recovery: What to Expect

Achilles tendonitis recovery time varies depending on the severity of the condition and the effectiveness of the chosen treatment. Generally, it may take several weeks to months for the tendon to heal completely. Your podiatrist will closely monitor your progress and make adjustments to your treatment plan as needed. With appropriate care, most individuals can return to their favorite activities and enjoy a pain-free lifestyle.


Achilles tendonitis is a common condition that can cause significant pain and discomfort, limiting your daily activities and impacting your quality of life. At The Foot & Ankle Clinic, our experienced team of podiatrists in Wellington is committed to delivering comprehensive care and advanced treatment options to help you overcome Achilles tendonitis and regain your mobility. With personalized guidance and support, we aim to aid you in achieving a lasting recovery. Don’t let Achilles tendonitis hold you back. Schedule a consultation with our expert podiatrists today to find the most effective treatment option tailored to your specific needs!


Leave a Comment

Your email address will not be published.