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Outpatient Physical Therapy Since 2005

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Achilles Tendonitis

March 16, 2015


Achilles tendonitis is an over use injury that occurs at the Achilles tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone.  This can occur with runners and over use activity.  Achilles tendonitis can be treated conservatively but in more severe cases can lead to tendon ruptures that can lead to needing surgical repair.


• Mild ache in the mid lower leg or above the heel after activity
• Can experience tenderness or stiffness, especially in the morning, which usually improves with mild activity
• Tenderness
• Pain
• Swelling
• Difficulty with activity


Achilles tendonitis is caused by repetitive or intense strain on the Achilles tendon, the band of tissue that connects your calf muscles to your heel bone. This tendon is used when you walk, run, jump or push up on your toes.
The structure of the Achilles tendon weakens with age, which can make it more susceptible to injury .

Treatment options:

• Medication such as anti-inflammatory drugs such as Aleve and Ibuprofen
• Physical therapy
• Orthopedic inserts for shoes
• If the Achilles tendon becomes ruptured surgical repair may be required

Physical therapy treatment options:

• Stretching and strengthening exercises
• Manuel therapy
• Ultrasound
• Electrical stimulation
• Cold and heat therapy
• Dry needling
• Other treatment options determined by your therapist at evaluation and during treatments


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