Achilles Tendonitis (pain at the back of the heel)

Achilles Tendonitis means 'inflammation of the Achilles Tendon'. The Achilles Tendons are the longest tendons in the body and they connect the calf muscles to the heel. When the calf muscles contract they pull on the Achilles Tendon, causing the foot to point down and helping you rise on your toes. Therefore, the Achilles tendon plays an important role in walking and running.

Achilles pain occurs just above the back of the heel and often sufferers experience tightness in the calf muscles. The Achilles Tendon may be noticeably thickened and a bit tender to touch. Pain is present with walking and running, especially when pushing off on the toes.

Achilles Tendonitis pain can develop gradually without any history of injury or trauma. The pain can be a burning pain, a shooting pain or even an extremely piercing/stabbing pain. Achilles Tendonitis should not be left untreated because there's a chance of the tendon becoming weak and eventually rupturing. Achilles pain can be aggravated by activities that repeatedly put stress on the tendon (e.g. running) causing irritation and inflammation.

Achilles pain is a common problem, often experienced by athletes - particularly long distance runners. Achilles Tendonitis is a difficult injury to treat in athletes due to their high level of activity and reluctance to stop or slow down their training.

People who suffer from Achilles Tendonitis often notice that their first steps out of bed in the morning are very painful. Or pain after taking their first steps after long periods of sitting. The pain often lessens with activity.

What causes Achilles Tendonitis?

Persistent strain on the Achilles Tendons causes irritation and inflammation. In severe cases this strain may even cause the tendon to rupture. Chronic over-use (particularly in runners) may contribute to changes in the Achilles tendon as well, leading to degeneration and thickening of the tendon. Tight calf muscles also contribute to Achilles Tendonitis. As we age our tendons will degenerate. Degeneration means that wear and tear occurs in the tendon over time, leading to weakness in the fibres of the tendon. There are several other factors that may cause Achilles Tendonitis. The most common cause is over-pronation. Over-pronation occurs during walking and running, when the arch collapses upon weight bearing, adding stress on the achilles tendon. Other factors that lead to Achilles Tendonitis are badly worn shoes, inadequate stretching prior to engaging in athletics, a short achilles tendon, direct trauma (injury) to the tendon and heel bone deformity.

Treatment solutions for Achilles Tendonitis

Athletes, particularly runners, should incorporate a thorough stretching program to properly warm-up the muscles. They should decrease the distance of their walk or run, apply ice after the activity and avoid any uphill climbs. Athletes should use an orthotic device for extra support and to reduce stress and pressure on the achilles tendon.

Footlogics orthotics help prevent over-pronation. By wearing orthotics the strain on the Achilles will be greatly reduced, giving the tendons a chance to heal. Plus, the orthotic will prevent the situation to worsen, reducing the risk of a tendon rupture. If the problem persists consult a physiotherapist or podiatrist.

Recommended orthotics for Achilles Tendonitis:


Footlogics Comfort		Footlogics Casual

In addition to orthotics, to help prevent Achilles Tendonitis/Tendinopathy it is also highly recommended to gently stretch your Achilles tendons and calf muscles before taking part in any physical activities, like running or sports. Perform stretching exercises slowly and gently, stretching to the point at which you feel a noticeable pull but not pain.

Stretching exercises for Achilles Tendonitis: