Pain and stiffness along the back of your heel can signal Achilles tendinitis, a condition that gets worse without proper care. Allyson Otten, DPM, at Kettle Moraine Podiatry in Cedarburg, Wisconsin, treats Achilles tendinitis for patients throughout Ozaukee County. Dr. Otten identifies what’s irritating your tendon, builds a treatment plan that reduces your pain, and helps you return to your normal activity level safely. Call today or schedule an appointment online to learn more about Achilles tendinitis care.

What is Achilles tendinitis?

Achilles tendinitis happens when the large tendon at the back of your ankle becomes inflamed and irritated. Your Achilles tendon connects your calf muscles to your heel bone and powers movements like walking, running, and jumping. When you push the tendon beyond what it can handle, small tears form in the tissue and trigger pain, stiffness, and swelling.

Two main forms of Achilles tendinitis exist. Insertional Achilles tendinitis affects the spot where the tendon attaches to your heel bone, while noninsertional tendinitis affects the middle portion of the tendon. Each type responds to slightly different treatment approaches, which is why a podiatry evaluation makes such a difference.

What causes Achilles tendinitis?

Achilles tendinitis usually develops from overuse rather than a single injury. Common contributing factors include:

• A sudden increase in running distance, speed, or intensity
• Tight calf muscles that put extra strain on the tendon
• Worn-out or unsupportive footwear
• Flat feet or high arches that change how force travels through your leg
• Hill running or repetitive stair climbing
• Age-related changes that reduce tendon flexibility
• Certain medications, including some antibiotics, that affect tendon health

Runners, dancers, and middle-aged patients picking up a new sport tend to develop the condition most often. Dr. Otten reviews your activity level and biomechanics to determine the cause behind your symptoms.

What are the symptoms of Achilles tendinitis?

Achilles tendinitis often starts as a mild ache that worsens over time. You might notice:

• A dull pain or burning sensation along the back of your heel
• Stiffness in the morning that loosens up as you move
• Tenderness when you press on the tendon
• Swelling that thickens the tendon over time
• Pain that intensifies during or after exercise
• A creaking or crackling sensation when you flex your foot

Ignoring these symptoms can lead to chronic tendon damage or even a rupture, so early treatment matters.

How do podiatrists treat Achilles tendinitis?

Dr. Otten typically starts with conservative care, including rest, ice, stretching, and anti-inflammatory medication. She may also recommend custom orthotics, heel lifts, physical therapy, or a walking boot to reduce strain on the tendon. Stubborn cases sometimes call for shockwave therapy, regenerative treatments, or surgery. 

Call Kettle Moraine Podiatry today or book online to schedule your Achilles tendinitis appointment.