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Achilles Tendonitis

It is estimated between 5-20% of all running injuries are Achilles Tendonitis. The Achilles tendon, which is the largest tendon in the body, connects the calf muscles (Gastrocnemius and Soleus)) to the heel bone (Calcaneus). Inflammation and irritation can occur due to overuse leading to pain and potential tearing of the tendon.

Risk Factors

  • more common as we age
  • poor flexibility in the calf muscles
  • over pronation of the foot / flat foot
  • arthritis
  • longer second toe (Morton's Toe)
  • tightly or poor fitting shoes, especially those that place pressure on the tendon
  • running on concrete or asphalt

    • Symptoms

  • pain and in the back of the heel, especially in the morning
  • swelling in the back of the heel
  • increased pain after inactivity
  • tenderness approximately 1.5 inches above the heel
  • pain with movements such as walking, running or jumping, especially uphill
  • pain worse with pushing off the toe
  • improves with rest
  • may be able to feel lumps in the tendon approximately 2 centimeters above the heel

    • Treatments

  • rest
  • ice
  • heel lift, temporary aid while tendon heals
  • conservative sports chiropractic care
  • soft tissue therapy / massage
  • taping
  • non-steroidal anti-inflammatory drugs (NSAIDs)
  • stretching
  • cortisone injections
  • surgery

    • Prevention

  • perform regular exercises to improve flexibility of the calf muscles
  • stretch before and after activity
  • wear proper fitting shoes
  • avoid sudden changes in workout / training

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    2475 Bethel Rd. SE, Ste 102, Port Orchard, WA 98366         Tel: 360.895.4844         Fax: 360.895.4834      

    The information contained on this page is not intended to diagnose or treat any condition but is provided for information only.
    Contact your health care provider if you have any questions.