Symptoms
By Mayo Clinic staffThe most common sign of Achilles tendinitis is pain that develops gradually and worsens over time. Signs and symptoms of Achilles tendinitis include:
- Mild ache or pain at the back of the leg and above the heel after running or other sports activity
- Episodes of more severe pain associated with prolonged running, stair climbing or intense exercise, such as sprinting
- Tenderness or stiffness, especially in the morning, that usually improves with mild activity
- Mild swelling or a "bump" on your Achilles tendon
- A crackling or creaking sound when you touch or move your Achilles tendon
- Weakness or sluggishness in your lower leg
When to see a doctor
If you experience pain around an Achilles tendon or heel, call your doctor. The pain may be caused by Achilles tendinitis, inflammation of other nearby tissue or other tissue damage. Therefore, it's important to get a prompt diagnosis and appropriate care.
While waiting for an appointment, you may alleviate pain with the following measures:
- Engage in less strenuous exercise
- Take a break from your regular exercise routine
- Put an ice pack over the affected area after exercise or when you feel pain
- Take an over-the-counter nonsteroidal anti-inflammatory drug, such as ibuprofen (Advil, Motrin, others) or naproxen (Aleve, others), as directed on the label
Get immediate care if the pain or disability is severe. You may have a torn, or ruptured, Achilles tendon if you:
- Experience sudden, severe pain
- Are unable to bend your foot downward or walk on your toes on the affected side
- Cannot put weight on your foot or walk normally
- Achilles tendonitis. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00147. Accessed March 12, 2010.
- Achilles tendinitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec21/ch324/ch324m.html. Accessed March 12, 2010.
- Baer G, et al. Tendon injuries of the foot and ankle. In: DeLee J, et al., eds. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/0/view/2079/72.html. Accessed March 15, 2010.
- Simpson MR, et al. Tendinopathies of the foot and ankle. American Family Physician. 2009;80:1107.
- Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. March 22, 2010.
- Sampson S, et al. Platelet rich plasma injection grafts for musculoskeletal injuries: A review. Current Reviews in Musculoskeletal Medicine. 2008;1:165.

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