Achilles Tendinitis

What are the treatments for the disease?

Achilles tendinitis will often respond to rest or changes in activity, stretching, ice after activity. NSAIDs, which are nonsteroidal anti- inflammatory drugs, such as ibuprofen or naproxen may also help. Physical therapy focusing on stretching and strengthening, massage, alternating hot and cold baths, and ultrasound or sound waves can also help with healing and comfort. The temporary use of a heel lift or the insertion of an arch support, called an orthotic, into the shoe or sneaker can also help. Although seldom necessary, the ankle may be kept in a short leg cast or splint. Surgery is rarely needed but can remove bone spurs or the bony prominence of the heel bone. The injection of corticosteroids such as cortisone into the area of the Achilles tendon is usually avoided due to the risk that it will cause tendon rupture.

What are the side effects of the treatments?

NSAIDs may cause indigestion, ulcers, or gastrointestinal bleeding. They may also affect the kidneys or liver. Surgery has a risk of infection, tendon injury, or problems with skin healing in an area of poor blood supply.

What happens after treatment for the disease?

Without protection, rupture of the tendon can occur. After full recovery, a person is generally able to go back to regular activities.

How is the disease monitored?

Pain and swelling should be monitored for any worsening. Feeling a sudden "pop" usually means the tendon has ruptured, which requires a cast or surgery to avoid permanent disability.