Achilles Tendonitis or tendinosis

Achilles tendonitis presents as pain in the Achilles tendon or the back of the heel sometimes with a bump or defect. Left untreated or inadequately treated it can lead to permanent damage to the tendon including rupture of the tendon.  Achilles tendonitis is not a condition that should be treated at home due to the potential risks.  We recommend you see one of our specialists.

If you are unable to appoint promptly the following are some recommendations:

Follow these recommendations until your appointment.

  1. Use a Silipos Achilles Heel Guard to protect the tendon from pressure and friction in shoes. It is the only product which protects these areas without slipping.
  2. Reduce activity as much as possible.  Specifically high impact sports which require rapid changes in speed or direction.
  3. Use heel lifts in your shoes to reduce tension on the tendon. Use the lifts in both shoes even if only one tendon hurts. You want the lift the same on both sides to avoid knee or hip pain.
  4. Use an arch support in your shoes. Stabilizing excessive motion through the heel provides reduced stress on the Achilles tendon.  A very stable arch support is necessary and we recommend the Powerstep Medical Grade Orthotic or Superfeet from REI, both have a firm arch that is far superior to most other OTC supports. If this helps a true functional foot orthotic may also be a great help.
  5. Ice the tendon site 3 times per day, 10 minutes each session. You can use an ice bag or wrap. While many ice packs freeze solid, Active Wrap packs stay soft and flexible when cold so they mold comfortably in place.
  6. Use Biofreeze Gel to reduce pain at times you cannot ice.
  7. Stretch your Achilles tendon once per day. This ProStretch improves the quality of the stretch.
  8. Use a stable walking shoe with a firm heel. The stability prevents the heel from rolling or pronating. When that occurs, the arch flattens and the bones on top of the foot are compressed together.