Achilles Tendonitis

Experiencing Achilles Tendon Pain in Southern Delaware?

If you're experiencing Achilles tendon pain, Southern Delaware Foot & Ankle is here to help. Achilles tendonitis is a common condition that can put a damper on your active lifestyle. Whether you're a weekend warrior, a seasoned athlete, or just someone who enjoys a morning jog, understanding Achilles tendonitis is crucial for maintaining your foot health. Our team is dedicated to providing comprehensive care for your foot and ankle issues to our patients in Millsboro, Seaford, and throughout southern Delaware.

Diagram of Achilles tendon pain: healthy tendon, Achilles tendon symptoms, and posterior ankle with red pain areas

What is Achilles Tendonitis?

Achilles tendonitis is an overuse injury of the Achilles tendon, the band of tissue that connects your calf muscles to your heel bone. It’s the largest and most powerful tendon in the human body, capable of withstanding forces of 1,000 pounds or more. However, it is also the most frequently ruptured tendon. Achilles tendonitis is an overuse injury that affects the Achilles tendon. When the tendon becomes inflamed or irritated, it can cause significant pain and discomfort. Several factors can contribute to the development of Achilles tendonitis:

Person holding a glowing red ankle while seated on a bed

When to See a Doctor for Achilles Tendon Pain

If you experience persistent pain, swelling, or difficulty walking, it's important to consult one of our healthcare professionals. Early intervention can prevent the condition from worsening and help you recover more quickly. Achilles tendonitis often begins with mild pain at the back of the leg or above the heel after physical activity. Recognizing the signs of Achilles tendonitis early can help prevent further damage. Other common symptoms include:


  • Pain – Mild ache above the heel after running or other sports activities.
  • Tenderness – Morning tenderness about an inch and a half above where the tendon attaches to the heel bone.
  • Stiffness – Stiffness that generally diminishes as the tendon warms up with use.
  • Swelling – Swelling along the Achilles tendon.
  • Limited Range of Motion – Difficulty flexing your foot or standing on your toes.

Diagnosis and Treatment

  • Rest – Reducing or avoiding activities that aggravate the tendon.
  • Ice – Applying ice packs to the affected area to reduce swelling and pain.
  • Medication – Taking nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation (consult your physician before taking any medication).
  • Compression and elevation – Using an elastic bandage and keeping the leg elevated can help reduce swelling.
  • Taping or bracing – Supporting the foot with tape or a brace can restrict motion and reduce pain.
  • Massage and ultrasound therapy – These treatments can help reduce inflammation and promote healing.
  • Orthotics – Using custom or over-the-counter shoe inserts to support the arch and reduce stress on the tendon.
  • Physical Therapy – Engaging in stretching and strengthening exercises for the calf muscles and Achilles tendon.

In severe cases where conservative treatments fail, surgical intervention may be necessary to repair the damaged tendon.

How to Prevent Achilles Tendonitis

Prevention is always better than cure. Here are some tips to minimize your risk of developing Achilles tendonitis:


  • Wear Proper Footwear – Choose the right shoes that fit well and provide adequate support and cushioning.
  • Warm Up – Always warm up before engaging in physical activities and include stretching exercises for your calf muscles.
  • Gradual Increase – Increase your activity level gradually to avoid sudden stress on your tendons.
  • Strength Training – Strengthen your calf muscles to better handle the stresses of physical activities.
  • Avoid Repetitive Strain – Alternate between high-impact activities and low-impact activities like swimming or cycling.

Contact Us

If you're experiencing Achilles tendon pain or any other foot-related issues, the expert podiatrists at Southern Delaware Foot & Ankle are here to help. With comprehensive care and personalized treatment plans, we aim to get you back on your feet and enjoying your daily activities pain-free.

Contact us at our Millsboro or Seaford locations to learn more about how we can assist you.