Achilles Tendonitis: Early Signs & Best Treatment Options

The Achilles tendon is the strongest tendon in the body, connecting the calf muscles to the heel bone. When it becomes irritated or inflamed, it leads to Achilles Tendonitis—a common cause of heel pain, ankle stiffness, and difficulty walking.
Early recognition and proper treatment can prevent long-term damage and help you return to daily activities comfortably.

⭐ Early Signs of Achilles Tendonitis

1. Pain at the Back of the Heel

A sharp or dull pain around the heel area, especially during walking or running, is one of the earliest symptoms.

2. Stiffness in the Morning

Many people feel stiffness around the heel or calf right after waking up. This usually improves after a few steps.

3. Swelling Around the Tendon

You may notice a mild swelling or thickening at the back of the ankle.

4. Pain During Activity

Pain tends to worsen when climbing stairs, running, jumping, or standing on tiptoes.

5. Tenderness to Touch

The tendon may feel sore when pressed gently.

⭐ What Causes Achilles Tendonitis?

  • Overuse during running or sports
  • Sudden increase in physical activity
  • Tight calf muscles
  • Wearing improper footwear
  • Walking on uneven surfaces
  • Age-related tendon wear
  • Flat feet or high arches

Identifying the reason helps in choosing the right treatment plan.

⭐ Best Treatment Options for Achilles Tendonitis

1. Rest and Activity Modification

Reduce activities that strain the tendon—running, jumping, long walking.
Give the tendon time to heal.

2. Ice Therapy

Apply ice for 10–15 minutes, 2–3 times a day to reduce swelling and pain.

3. Calf Stretching Exercises

Gentle stretches improve flexibility in the calf and reduce pressure on the tendon.
(Perform only as advised by a physiotherapist.)

4. Physiotherapy

A foot & ankle physiotherapist can provide:

  • Strengthening exercises
  • Stretching routines
  • Ultrasound therapy
  • Shockwave therapy (if needed)

Physiotherapy speeds up recovery significantly.

5. Supportive Footwear

Use cushioned shoes or heel lifts to reduce pressure on the Achilles tendon.

6. Medications

Pain relievers or anti-inflammatory medicines may be prescribed by an Orthopedic or Foot & Ankle Specialist.

7. Orthotics (Shoe Inserts)

If the issue is due to flat feet or high arches, custom orthotics can reduce tendon stress.

8. Advanced Treatments

If pain continues even after conservative care, doctors may recommend:

  • PRP injections
  • Laser therapy
  • Immobilization with a boot

9. Surgery (Rare Cases)

In severe or chronic cases, Foot & Ankle Surgeons may perform a procedure to repair damaged tendon fibers.
Most patients recover without surgery.

⭐ Prevention Tips

  • Warm up before exercising
  • Stretch your calf muscles regularly
  • Avoid sudden increase in workout intensity
  • Wear proper sports shoes
  • Maintain a healthy weight
  • Listen to your body—stop when you feel discomfort

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