Achilles Tendonitis Treatment in Houston, TX
Achilles tendonitis is inflammation and irritation of the Achilles tendon, the strong band of tissue that connects your calf muscles to your heel bone. At Foot Specialists of Memorial, our podiatrists help runners, weekend athletes, and everyday walkers relieve Achilles pain and return to activity with advanced treatments like EPAT shock wave therapy and custom orthotics.
request an appointmentWhat Causes Achilles Tendonitis?
The Achilles tendon is the largest tendon in the body and absorbs enormous force every time you walk, run, or jump. Achilles tendonitis usually develops from repetitive stress rather than a single injury. Common causes include sudden increases in running mileage or intensity, tight calf muscles, uphill running, worn-out or unsupportive shoes, flat feet or other biomechanical problems, and bone spurs at the back of the heel. It is also common in middle-aged adults who play sports on weekends after a sedentary week.
Types and Symptoms
Noninsertional Achilles tendonitis affects the middle portion of the tendon and is common in younger, active people. Insertional Achilles tendonitis affects the area where the tendon attaches to the heel and can occur at any age, often alongside heel spurs. Symptoms include pain and stiffness along the back of the heel, especially in the morning, pain that increases with activity, swelling or thickening of the tendon, and tenderness when you squeeze the tendon. A sudden pop with sharp pain may signal an Achilles rupture and should be evaluated right away.
Diagnosis
Our podiatrists examine the tendon, test your range of motion and calf flexibility, and evaluate your foot structure and gait. Digital X-rays can reveal heel spurs or calcification, and additional imaging may be recommended to assess the extent of tendon damage.
Achilles Tendonitis Treatment Options
Most patients improve with conservative care. Treatment may include rest and activity modification, ice, calf stretching and eccentric strengthening exercises, heel lifts, supportive footwear, and custom orthotics that correct faulty mechanics placing stress on the tendon. For chronic Achilles pain that has not responded to other treatments, EPAT shock wave therapy uses acoustic pressure waves to increase blood flow and stimulate tissue repair without surgery or downtime. In severe cases or when the tendon is torn, surgical repair may be recommended.
Related Heel and Ankle Conditions
Achilles pain often overlaps with other problems at the back and bottom of the heel, including heel spurs and plantar fasciitis, ankle sprains, and flat feet. Our team evaluates the full picture so your treatment addresses the true source of pain. Visit our conditions treated page to learn more.
Frequently Asked Questions About Achilles Tendonitis Treatment
What does Achilles tendonitis feel like?
It typically causes pain and stiffness along the back of the heel or lower calf, especially first thing in the morning or after activity.
How long does Achilles tendonitis take to heal?
Mild cases may improve in a few weeks, while chronic tendonitis can take several months. Early treatment shortens recovery.
Can I keep running with Achilles tendonitis?
Continuing to run through pain can worsen the injury. Your podiatrist can recommend modified activity and a safe return-to-run plan.
Does EPAT work for Achilles tendonitis?
EPAT is an effective non-invasive option for chronic Achilles tendonitis that has not improved with rest, stretching, and other conservative care.
Do custom orthotics help Achilles pain?
Yes. Custom orthotics can correct flat feet and other mechanical issues that strain the tendon, and heel lifts can reduce tension during healing.
What is the difference between tendonitis and an Achilles rupture?
Tendonitis is inflammation from overuse, while a rupture is a partial or full tear, often felt as a sudden pop. A suspected rupture needs prompt evaluation.
When is surgery needed for Achilles tendonitis?
Surgery is considered only when months of conservative care fail, when there is significant tendon damage or heel spurring, or when the tendon has ruptured.
Get Relief with Achilles Tendonitis Treatment in Houston
Our podiatrists are ready to help you move comfortably again. Call our Gessner office at (713) 464-3775 or our Greenhouse office at (281) 371-3338, or request an appointment online.