What Causes Achilles Tendinitis and Who’s at Risk

The Achilles tendon, the largest tendon in the body, connects the calf muscles to the heel bone. Achilles tendinitis occurs when this tendon becomes inflamed due to overuse or injury, causing pain along the back of the leg near the heel. At Advanced Pace Foot and Ankle Center in Alexandria, Virginia, Dr. Angelo Pace frequently treats patients suffering from this chronic condition. While it can be painful and debilitating, with proper care and treatment, most patients can recover fully and return to their normal activities.

Common Causes of Achilles Tendinitis

Achilles tendinitis typically develops gradually. The most common cause is repetitive stress on the tendon. This can occur due to a sudden increase in activity, especially those involving running or jumping. Lack of flexibility, particularly tight calf muscles, can put extra stress on the Achilles tendon during exercise. Improper footwear that doesn't provide adequate support or cushioning can contribute to Achilles tendinitis. Additionally, training on hard or uneven surfaces can increase the risk of developing this condition.

Who's at Risk for Achilles Tendinitis

While anyone can develop Achilles tendinitis, certain factors can increase the risk. Age is a significant factor, as the risk of Achilles tendinitis increases in older people due to the tendon losing flexibility and becoming more prone to injury. Gender also plays a role, with men being more likely to develop Achilles tendinitis than women. Obesity puts additional stress on the Achilles tendon, as do foot structure issues, such as flat feet or high arches. Certain medical conditions, like psoriasis or high blood pressure, can increase the risk of tendon problems. Some medications, particularly antibiotics known as fluoroquinolones, have been associated with an increased risk of Achilles tendinitis.

Recognizing the Symptoms

Early recognition of symptoms is key to preventing the condition from worsening. Dr. Pace advises patients to be aware of pain and stiffness along the Achilles tendon, especially in the morning. Pain that worsens with activity and severe pain the day after exercising are common symptoms. Thickening of the tendon and bone spurs (in cases of insertional tendinitis) may also occur.

Get Help Managing Achilles Tendonitis

Pace Foot and Ankle Center in Alexandria, Virginia, provides many treatments for Achilles tendinitis. These include rest and ice therapy, stretching and strengthening exercises, and custom orthotics to correct foot positioning. In some cases, we may prescribe anti-inflammatory medication. For prevention, Dr. Pace recommends gradually increasing activity levels, wearing proper footwear, and maintaining flexibility through regular stretching.

Achilles tendinitis, while painful, is a treatable condition. Understanding its causes and risk factors can help in prevention and early intervention. If you're experiencing symptoms of Achilles tendinitis, consulting with a podiatrist like Dr. Angelo Pace can provide you with an accurate diagnosis and an actionable treatment plan. To schedule a consultation, call (703) 971-7100.