Achilles tendon bursitis develops when a bursa becomes irritated near the back of the heel where the tendon attaches. The bursa, a small sac of fluid, helps reduce friction between the tendon and nearby tissues. When it becomes inflamed, pain and swelling can make walking and wearing shoes uncomfortable. Posterior Achilles tendon bursitis affects young women more frequently than other groups. One important risk factor is wearing high-heeled shoes. Another is a Haglund deformity, which is a bony bump on the back of the heel bone. Repeated rubbing between this bony area and the back of a shoe can irritate the bursa and lead to ongoing inflammation. Symptoms include redness, warmth, and tenderness near the back of the heel.
A podiatrist diagnoses Achilles tendon bursitis by discussing symptoms and examining the back of the heel. The location of the pain and the presence of the tender lump help confirm the diagnosis. Imaging tests also help identify a Haglund deformity or rule out other causes of heel pain. Conditions affecting the Achilles tendon can cause similar discomfort, but they usually do not produce the soft lump that develops with bursitis. An accurate diagnosis is important because treatment depends on identifying the exact source of the pain.
Treatment focuses on reducing irritation surrounding the inflamed bursa and preventing further pressure against the heel. A podiatrist recommends shoes that fit properly and have lower heels. Custom orthotics can improve foot stability and reduce stress on the back of the heel while walking. Protective padding also helps reduce rubbing between the shoe and the irritated area. When symptoms continue despite conservative care, surgery to remove the bony prominence or inflamed tissue can be recommended. If you have Achilles tendon pain, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Deborah Rosenfeld of Rosenfeld Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our office located in Marlton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
