Achilles Tendonitis | Insertional Achilles Tendinopathy

Heel pain is a common complaint among active individuals and can stem from various conditions affecting the foot's structure and function. Among these, Achilles tendinitis and insertional Achilles tendinopathy are notable causes of discomfort and reduced mobility. Understanding these conditions is the first step towards effective treatment and recovery.

What is Achilles Tendinitis?

Achilles tendinitis is an overuse injury characterized by inflammation of the Achilles tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone.

Symptoms:

• Pain and swelling near the heel
• Increased pain after exercise
• Stiffness that generally improves with activity

Causes:

• Sudden increase in the intensity or frequency of exercise
• Poorly fitting footwear
• Running on hard or uneven surfaces

Treatment:

• Rest and avoid activities that stress the Achilles tendon
• Ice the area to reduce pain and swelling
• Over-the-counter pain relievers
• Physical therapy focusing on stretching and strengthening exercises
• Use of corticosteroid injections
• Orthotics and heel lifts

What is Ahilles Insertional Tendinopathy?

This condition refers to chronic pain at the insertion point of the Achilles tendon at the heel bone, often accompanied by tendon degeneration.

Symptoms:

• Pain at the back of the heel
• Tenderness at the lower portion of the tendon, especially during activity
• Swelling in the heel area
• Often presence of a bump on the back of the heel

Causes:

• Chronic overuse of the Achilles tendon
• Mechanical issues such as overpronation or high arches
• Age-related wear and tear
• Presence of Haglund's deformity and bone spurs

Treatment:

• Eccentric strengthening exercises
• Custom orthotics to correct mechanical imbalances and heel lifts. Learn more about custom orthtoics. 
• Corticosteroid injections
• Surgical Interventions if problems do not resolve with nonsurgical approaches

If you are struggling with Achilles tendon or heel pain, call us today at 623.439.2200 for a consultation or schedule an appointment online.