Insertional Achilles Tendinitis
What is insertional Achilles tendinitis?
Insertional Achilles tendinitis is degeneration of the Achilles tendon where it connects to the heel bone. This causes inflammation and pain at the back of the heel.
What causes insertional Achilles tendinitis?
Insertional Achilles tendinitis is the result of chronic injury over time from overuse and repetitive activities. It is often the result of “wear and tear” to the tendon.
What are the symptoms of insertional Achilles tendinitis?
Symptoms of insertional Achilles tendinitis include pain and swelling at the back of the heel, stiffness, weakness, and difficulty walking and standing.
How is insertional Achilles tendinitis diagnosed?
Insertional Achilles tendinitis is diagnosed with medical history, thorough physical examination and imaging studies. X-rays will be ordered to evaluate for any bony abnormalities such as a bone spur or calcification of the Achilles tendon. An MRI is often ordered to better assess the state of the Achilles tendon.
How is insertional Achilles tendinitis treated?
Nonsurgical
Insertional Achilles tendinitis can be treated successfully with conservative measures. Rest, anti-inflammatory pain medications, immobilization in a walking boot, ice to decrease swelling, and activity restrictions are often prescribed. Physical therapy is used for strengthening, stretching and walking rehabilitation.
Surgical
In more severe cases, surgery is indicated to remove the inflamed tissue from the Achilles tendon.