The Achilles tendon

The Achilles tendon is the band of tissue that connects the calf muscle at the lower back of the lower leg to the heel bone. This tendon is used when you walk, run, jump, or push up on your toes.

“Achilles tendinitis occurs when the Achilles tendon is injured through overuse and most commonly occurs in runners who have sudden bursts and increases of intensity or duration of their runs. This injury is also common in middle-aged people who occasionally play sports, such as tennis or basketball” explains Neighborhood Health Center’s Chief Medical Administrator Dr. James Burruano, DPM, ABFAS, ACFAS. “As people age, the structure of the Achilles tendon weakens, which can make it more susceptible to injury.”

Most cases of Achilles tendinitis can be treated with relatively simple, at-home care under your doctor's supervision, however, more serious cases of Achilles tendinitis can lead to tendon tears, commonly called ruptures, which may require surgical repair.

Symptoms of Achilles tendinitis

The pain often associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after running or participating in other sports activities.

Episodes of more-severe pain may occur after prolonged running, stair climbing or sprinting.

You might also experience tenderness or stiffness, especially in the morning, which usually improves with mild activity

Risk factors

A number of factors may increase your risk of Achilles tendinitis, including:

• Achilles tendinitis occurs most commonly in men.
• Age. Achilles tendinitis is more common as you age.
• Physical problems. A naturally flat arch in your foot can put more strain on the Achilles tendon. Obesity and tight calf muscles also can increase tendon strain.
• Training choices. Running in worn-out shoes can increase your risk of Achilles tendinitis. Tendon pain occurs more frequently in cold weather than in warm weather, and running on hilly terrain also can predispose you to Achilles injury.
• Medical conditions. People who have psoriasis or high blood pressure are at higher risk of developing Achilles tendinitis.
• Medications. Certain types of antibiotics, called fluoroquinolones, have been associated with higher rates of Achilles tendinitis.

Achilles tendinitis can weaken the tendon, making it more vulnerable to a tear. A torn or ruptured Achilles tendon is a painful injury that usually requires surgical repair.

If you’re experiencing any pain or discomfort with your lower ankle and Achilles heel area, please contact the Neighborhood Health Center podiatrist team for an appointment.

Click here to learn more about the podiatry services available at Neighborhood.