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Achilles Tendonitis Treatment

What is the treatment of Achilles tendonitis?

By Jonathan Cluett, M.D., About.com

Updated: April 09, 2007

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Achilles tendonitis can develop into a chronic problem if treatment is not initiated in a timely manner. Over time, inflammation can lead to degenerative changes within the tendon, and may even contribute to a higher chance of Achilles tendon rupture. Therefore, it is important to initiate treatment for symptoms of Achilles tendonitis.

What are the treatment options for Achilles tendonitis?
The best treatment of Achilles tendonitis is prevention. Stretching the Achilles tendon before exercise, even at the start of the day, will help to maintain flexibility in the ankle joint. Problems with foot mechanics can also be treated with devices inserted into the shoes. Products such as heel cups, arch supports, and custom orthotics can be used to correct for abnormalities such as overpronation and help prevent Achilles tendonitis.

The treatments of Achilles tendonitis include:

  • Rest
    Resting the painful Achilles tendon will allow the inflammation to subside and allow for healing. A period of rest after the onset of symptoms is important in controlling Achilles tendonitis.

  • Immobilization
    In patients who have more significant symptoms, a period of immobilization can help. Either a removable walking boot, or sometimes even a cast, can allow the inflamed tissue to cool down quickly.

  • Heel Wedge
    A heel wedge can be inserted into the shoe to minimize the stress on the Achilles tendon. These can be placed in both athletic shoes and work shoes.

  • Ice the Injury
    Applying ice to the area of inflammation can help stimulate blood flow to the area, and relieve the pain associated with inflammation. Apply ice after exercise, as well as several other times over the course of the day.

  • Anti-Inflammatory Medications
    Nonsteroidal anti-inflammatory medications (NSAIDs) include a long list of possibilities such as Ibuprofen, Motrin, Naprosyn, Celebrex, and many others.

    Achilles tendonitis treatment can be improved by these medications that will decrease pain and swelling. Be sure to talk to your doctor before starting these medications.

  • Physical Therapy
    Physical therapists can help formulate a stretching and rehabilitation program to work on flexibility of the Achilles tendon.
Cortisone injections are infrequently used in patients with Achilles tendonitis because studies have shown an increased incidence of Achilles tendon rupture after cortisone injections.

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