Achilles tendinitis is a condition that causes pain along the back of the leg near the heel. It is a condition related to overuse, and is associated with repetitive activities like walking, running and jumping. Some conditions, like tight calf muscle or bone spurs, can predispose one to the development of Achilles tendinitis. Also abrupt changes in exercise routines or shoe wear can be responsible for the development of the condition.

Patients usually experience pain and stiffness along the Achilles tendon in the morning, and pain along the tendon or back of the heel that worsens with activity. Sometimes severe pain is felt the day after exercising, and thickening and swelling of the tendon can be present all the time and gets worse throughout the day with activity.
The diagnosis is typically made by a combination of the patient’s history, and the findings on physical examination. X-rays are important in identifying bone spurs, and depending on the clinical findings and MRI may be needed to define the extent of Achilles tendon damage.
Generally, nonsurgical treatment options provide some pain relief, and can include rest, icing, anti-inflammatory medication, cortisone injections, stretching exercises and orthotics. If there is no improvement after several months of conservative treatment, surgery can be considered. Surgical approaches include removal of irritating bone spurs, debridement of damaged and inflamed tendon tissue and repairing of the tendon, with or without a tendon lengthening or augmentation procedure.

At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka brings added expertise in the non-operative and surgical management of Achilles Tendinitis, utilizing the latest in minimally invasive orthopaedic techniques, and putting you back on the way to recovery quickly.