The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after running or other sports activity. Episodes of more-severe pain may occur after prolonged running, stair climbing or sprinting.You might also experience tenderness or stiffness, especially in the morning, which usually improves with mild activity.
When to see a doctor?
If you experience persistent pain around the Achilles tendon, call your doctor. Seek immediate medical attention if the pain or disability is severe. You may have a torn (ruptured) Achilles tendon.
Achilles tendinitis 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 — particularly in people who may participate in sports only on the weekends or who have suddenly increased the intensity of their running programs.
A number of factors may increase your risk of Achilles tendinitis, including:
- Your sex - Achilles tendinitis occurs most commonly in men.
- Age - Achilles tendinitis is more common as you age.
- Physical problems - A naturally flat arch in your foot can put more strain on the Achilles tendon. Obesity and tight calf muscles also can increase tendon strain.
- Training choices - Running in worn-out shoes can increase your risk of Achilles tendinitis.
- Tendon pain occurs more frequently in cold weather than in warm weather, and running on hilly terrain also can predispose you to Achilles injury.
- Medical conditions - People who have psoriasis or high blood pressure are at higher risk of developing Achilles tendinitis.
- Medications - Certain types of antibiotics, called fluoroquinolones, have been associated with higher rates of Achilles tendinitis.
Achilles tendinitis can weaken the tendon, making it more vulnerable to a tear (rupture) — a painful injury that usually requires surgical repair.
