Achilles tendinosis
The Achilles tendon is composed of the gastrocnemius and soleus muscles. These muscles originate on the back of the leg and knee and attach to the back portion of the heel bone. The two muscles form the Achilles tendon and act to lift the heel off of the ground during walking. Overuse of this muscle can cause inflammation to the soft tissue lining overlying the Achilles tendon just prior to its attachment to the heel bone.
Symptoms
Pain to palpation of the Achilles tendon prior to its attachment
Pain with initial weight bearing activity (i.e. shifting from a sitting to standing position)
Possible swelling to the Achilles tendon
Possible tendon thickening of the Achilles tendon
Radiography
X-rays not helpful for diagnosis
MRI may be needed if tendon thickening has heen noted
Conservative Treatment
ICE to heel twice daily 10-15 minutes
Anti inflammatory medications like ibuprofen or naproxen as indicated by treating physician
Calf stretching (Pro-Stretch PS-100)
Shoe with heel or internal heel lift within the shoe
Cast boot or CAM walker with heel lift for three weeks for acute pain
Night splint during all phases of treatment to maintain the foot at ninety degrees to the leg
