ACHILLES TENDONITIS

If not treated early can lead to rupture and the need for surgical intervention. You can usually prevent significant damage to the Achilles tendon if you seek early intervention. Most Achilles tendon ruptures do not occur without some sort of prior injury or damage. If you notice swelling in the back of the ankle, anywhere along the course of this major tendon, it should be evaluated for pathology present.

Achilles tendonitis is usually an “overuse” injury – too much too soon! It is an inflammatory condition. Some common causes of Achilles tendonitis are:
• Tight or weak calf muscles
• Decreased range of motion at the ankle joint
• Overpronation (your arches flattening down)
• Wearing high heels constantly! This is why it is important to stretch your calves and wear a variety of heel heights to keep the ligaments and muscles working in different positions.

After examination and evaluation by the doctor, common studies further performed might include:
MRI
Ultrasound
X-rays
CT scan

Treatments can be supportive and palliative, or more complicated based upon the integrity of the Achilles tendon. These may range from:
• Rest and cold therapy
• Heel lift or orthotics
• Proper shoe fit
• Anti-inflammatory medication
• Massage techniques
Physical therapy