Achilles Tendinitis

Written by Dr. Jason Ngan, DC

What is Achilles Tendinitis?

Achilles tendinitis is an overuse injury of the Achilles tendon located at the back of the leg. The Achilles tendon is a band of connective tissue that connects the calf to the calcaneus (heel bone of the foot). The calf muscle group are made of two muscles called the gastrocnemius and soleus. They unite toward the heel and form the Achilles tendon. This tendon is the largest and strongest tendon in the body and transmits power to the heel and foot when the calf flexes. It is crucial for walking, running, and jumping.

What Causes Achilles Tendinitis?

Achilles tendinitis is caused by repetitive motion or intense training to the calf muscles. It is common in sports that involves running, jumping, and squatting. The overuse causes inflammation and pain to the tendon.

What are the Signs and Symptoms?

  • Pain at the back of the leg

  • Pain aggravated by physical activity such as running and jumping

How is Achilles Tendinitis Diagnosed?

Achilles tendinitis is diagnosed with a thorough medical history, physical examination, and orthopedic testing.

What are the Treatment Options?

Achilles tendinitis can be treated by rest or modifying activities. If untreated, the Achilles tendon can become weak and eventually tear (Achilles rupture).

  • Chiropractic manipulation and mobilization

  • Soft tissue therapies

  • Gua-sha

  • Cupping

  • E-stim

  • Ultrasound

  • Ergonomic/postural counseling

  • Rehabilitative exercises

Other treatments that patients may seek (not provided at Ngan Chiropractic) include NSAID medication, PRP injections, and surgery if severe.  

References

  1. Medina Pabón MA, Naqvi U. Achilles Tendonitis. [Updated 2022 May 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538149/

  2. Miners AL, Bougie TL. Chronic Achilles tendinopathy: a case study of treatment incorporating active and passive tissue warm-up, Graston Technique, ART, eccentric exercise, and cryotherapy. J Can Chiropr Assoc. 2011 Dec;55(4):269-79. PMID: 22131563; PMCID: PMC3222702.

  3. Vo, Thuy Phuong MD; Ho, Garry W. K. MD, FACSM, FAMSSM, FAAFP, CAQSM, RMSK; Andrea, John DO. Achilles Tendinopathy, A Brief Review and Update of Current Literature. Current Sports Medicine Reports 20(9):p 453-461, September 2021. | DOI: 10.1249/JSR.0000000000000884