American Family Children's Hospital

Achilles Tendonitis/Tendonopathy

UW Health's Sports Medicine doctors in Madison, Wisconsin, treat a wide range of common athletic injuries, including achilles tendonitis/tendonopathy.


About the Achilles Tendon


The achilles tendon connects the calf muscles (gastrocnemius and soleus) to the heel bone (calcaneus). Achilles tendonitis is inflammation of this tendon and/or the tissues surrounding the tendon. This condition is usually a result of repetitive stress being placed on the tendon.


Signs and Symptoms

  • Tenderness 1-2 inches above the area where the Achilles tendon and heel bone meet
  • Swelling or thickening of the Achilles tendon may or may not be present
  • Pain or stiffness when getting out of bed in the morning
  • Pain or stiffness at the beginning of activity and decreasing during activity
  • Pain may be constant in advanced cases


  • Sudden increases in activities or training, especially with duration, frequency and intensity
  • An excessive amount of hill running or sprint workouts
  • Running shoes with poor flexibility or a stiff heel counter
  • Running on uneven or banked surfaces
  • Tight calf or hamstring muscles
  • Biomechanical problems including excessive pronation, cavus foot (high arch) and/or tibia vara (bowlegs)


  • Modify activity by decreasing running mileage, hill workouts and speed workouts
  • Apply moist heat, before activity
  • Ice the tender area 15-20 minutes after activity
  • Light calf and hamstring stretching
  • Orthotics for biomechanical problems, heel lift or new shoes
  • Anti-inflammatory medication as prescribed by a physician
  • Platelet Rich Plasma injections may be a treatment option for those suffering from this condition chronically
  • If symptoms persist, be wary of high impact activities that may increase the chance of rupturing the tendon