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Achilles Tendonitis Relief & Recovery Guide

Achilles Tendonitis Relief & Recovery Guide

Achilles Tendonitis Explained

Achilles Tendonitis is inflammation or irritation of the Achilles tendon, the thick, strong cord connecting your calf muscles to your heel bone. Frequently seen among runners, athletes, and active individuals, this condition causes persistent heel pain, stiffness, swelling, and tenderness, significantly restricting daily activities and athletic performance. Without proper care, Achilles tendonitis can become chronic, making everyday tasks uncomfortable and difficult. However, recognizing symptoms early and adopting appropriate treatments—such as targeted stretches, supportive footwear, bracing, and lifestyle modifications—can help alleviate discomfort, accelerate healing, and prevent future injury.


Achilles Tendonitis Quick Guide

Causes & Symptoms of Achilles Tendonitis

Common Causes

  • Rapid Increase in Activity: Suddenly intensifying workouts or sports.
  • Tight Calf Muscles: Lack of proper stretching.
  • Unsupportive Footwear: Shoes without adequate cushioning.
  • Sports Activities: Frequent jumping or sprinting movements.

Typical Symptoms

  • Pain in Heel or Lower Leg: Particularly after physical activity.
  • Stiffness and Swelling: Worse in the morning or after rest.
  • Tenderness: Sensitive when pressing the tendon.
  • Reduced Mobility: Difficulty standing on toes or flexing the ankle.

Heel Pain Comparison: What’s Causing My Heel Pain?

Heel pain can stem from several conditions. Use the comparison below to help determine what's causing your discomfort and how best to treat it.

Condition Pain Location When Pain Occurs Symptoms Common Causes
Achilles Tendonitis Back of heel, above heel After activity, prolonged standing or movement Swelling, stiffness, tenderness in tendon Running, jumping, sudden increase in activity, tight calves
Plantar Fasciitis Bottom of heel, near arch First steps in the morning or after rest Sharp, stabbing pain that eases after moving Poor footwear, standing long periods, obesity, high-impact sports
Heel Spurs Bottom or back of heel During or after prolonged standing/activity Dull ache, feels like stepping on a stone Chronic plantar fasciitis, repetitive foot strain
Stress Fracture General heel or foot pain During weight-bearing activities, gradually worsens Tenderness, swelling, persistent worsening pain Running, repetitive impact sports, weakened bones
Bursitis (Heel) Back or underside of heel With ankle movement or pressure Swelling, tenderness, warmth in heel area Tight footwear, repetitive ankle motion, direct heel trauma

How is Achilles Tendonitis Diagnosed?

A healthcare professional typically conducts a physical exam, checking for tenderness, swelling, and limited range of motion. They may also perform imaging tests such as:

  • Ultrasound: Identifies inflammation and tendon thickness.
  • MRI Scans: Provides detailed images to rule out tears or severe damage.

Treatment Options for Achilles Tendonitis

  • Rest and Ice Therapy: Minimize activities that aggravate your symptoms, and apply ice packs 15-20 minutes, several times daily.
  • Physical Therapy: Structured stretching and strengthening exercises guided by a professional.
  • Medication: Anti-inflammatory medications help reduce swelling and manage pain.
  • Bracing and Supports: Specialized braces, heel lifts, or night splints significantly reduce tendon strain and discomfort.

Lifestyle Tips for Managing Achilles Tendonitis

  • Gradual Exercise Progression: Increase exercise intensity slowly to allow your tendon to adapt safely.
  • Daily Stretching Routines: Regular stretching of the calf muscles and Achilles tendon reduces stiffness and risk of further injury.
  • Supportive Footwear: Choose shoes with proper cushioning and adequate arch support to minimize tendon stress.
  • Healthy Weight Maintenance: Maintaining a healthy weight decreases excess strain on your tendons, promoting quicker healing.
  • Modify High-Impact Activities: Engage in low-impact exercises like swimming or cycling during recovery to maintain fitness without aggravating symptoms.

Get Expert Help Finding Your Brace

Unsure which brace is right for you? Our Brace Direct specialists are here to assist you in selecting the ideal support for your Achilles tendonitis recovery.

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Frequently Asked Questions

How do I know if my heel pain is from Achilles tendonitis or plantar fasciitis? +

Achilles tendonitis pain typically appears at the back of the heel or lower calf, worsening with activities like running or climbing stairs. Plantar fasciitis usually produces sharp, first-step heel pain in the morning or after rest. A physical exam and checking tenderness points can help distinguish the two, but a healthcare professional’s evaluation is best for an accurate diagnosis.

How long does Achilles tendonitis take to heal? +

Mild Achilles tendonitis typically improves in 4-6 weeks with rest and treatment. Moderate to severe cases can take 3-6 months or longer, especially if untreated or continually aggravated.

What treatments work best for Achilles tendonitis? +

Rest, ice therapy, stretching exercises, and wearing supportive braces or night splints are highly effective. In particular, using a night splint like the Brace Direct 90 Degree Night Splint helps speed recovery by gently stretching the tendon overnight.
Brace Direct 90 Degree Night Splint

Should you massage Achilles tendonitis? +

Gentle massage can help improve circulation and reduce stiffness, but avoid deep or aggressive massage, which could worsen inflammation or irritation.

What can make Achilles tendonitis worse? +

Sudden increases in physical activity, high-impact sports, inadequate stretching, improper footwear, or repeatedly ignoring mild symptoms can significantly worsen Achilles tendonitis.