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Understanding Achilles Tendon Bursitis

Posterior Achilles tendon bursitis is caused by inflammation of the bursa located between the skin and the Achilles tendon at the back of the heel. This often occurs due to repetitive pressure or irritation from footwear, particularly shoes with rigid heel counters or high heels. A heel counter is material that stiffens the back of a shoe. People with a bony prominence on the heel, called Haglund deformity, are at higher risk of developing posterior Achilles tendon bursitis. Symptoms include pain, redness, swelling, and warmth in the affected area, which may progress to the formation of a tender, fluid-filled nodule that may harden over time. A podiatrist can diagnose this condition through a thorough examination and suggest footwear modifications to reduce pressure on the heel, along with custom orthotics to stabilize the foot and limit friction. In severe cases, surgery may be needed to address underlying structural issues. If you have pain in the back of the heel, it is suggested that you schedule an appointment with a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Afsha Naimat-Shahzad, DPM of Leander Foot & Ankle. 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 Leander, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries

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