- Pain and swelling of the tendon that worsen with activity.
- Pain and stiffness of the tendon after waking up in the morning or after keeping the ankle in one position for a long time such as when traveling by plane, or while at your desk.
After informing your doctor of your level of activity, job-related activities, any injury that might have caused this, he then would need to inspect the affected area for any redness and swelling. Gentle palpation and/or squeezing the area may cause jolting pain. Thickening of the tendon can also be observed. Active and passive ranges of motion may be limited due to pain.
- X-rays may be done to determine any bone involvement. Bone spurs, if any, can be identified as well.
- Ultrasound and Magnetic Resonance Imaging (MRI) may be done to visualize soft tissues that are not visible through the x-ray. This can also determine the amount of inflammation.
- To avoid pain, one must need to stop or decrease the activity that causes pain.
- Ice has anti-inflammatory effects. Apply ice a few times in a day to lessen pain and swelling.
- Calf stretches – exercises that bend the ankle or raising the foot – stretches the calf muscle.
- Nonsteroidal anti-inflammatories – your doctor may prescribe these depending on your individual need.
- Physical Therapy – very effective for this condition. Your physiotherapist will teach you exercises and will make sure you are doing the exercises right. He/she will monitor your progress and will help you plan your treatment program.
- Percutaneous Electrolysis Therapy – the best choice for most people, especially athletes, suffering from long term Achilles tendinopathy.
- Surgery – Lastly, if all other pain management is unhelpful because of recurrent pain or if a tendon tear is evident and cannot be managed by just conservative treatments, surgery is recommended.
- Increase your activity level gradually. If you're just beginning an exercise regimen, start slowly and gradually increase the duration and intensity of the training.
- Take it easy. Avoid activities that place excessive stress on your tendons, such as hill running. If you participate in a strenuous activity, warm up first by exercising at a slower pace. If you notice pain during a particular exercise, stop and rest.
- Choose your shoes carefully. The shoes you wear while exercising should provide adequate cushioning for your heel and should have a firm arch support to help reduce the tension in the Achilles tendon. Replace your worn-out shoes. If your shoes are in good condition but don't support your feet, try arch supports in both shoes.
- Stretch daily. Take the time to stretch your calf muscles and Achilles tendon in the morning, before exercise and after exercise to maintain flexibility. This is especially important to avoid a recurrence of Achilles tendinitis.
- Strengthen your calf muscles. Strong calf muscles enable the calf and Achilles tendon to better handle the stresses they encounter with activity and exercise.
- Cross-train. Alternate high-impact activities, such as running and jumping, with low-impact activities, such as cycling and swimming.