presented by Dr. Mary Ann Bender, Advanced Physical Medicine

Why do I have pain in the back of my heel?
 
The Achilles tendon is a very powerful structure which extends from the knee to the heel bone, and it plays a very important function in normal walking.  It controls the movement of our ankles. 
 
What are the causes? 

Occasionally, the Achilles tendon can develop inflammation and can become painful and sore.  There are many reasons why it can become inflamed:  overuse, twisting or some other abnormal motion, improper shoes, obesity, and flat foot structure.
 
How is Achilles Tendonitis treated? 

There are a variety of treatment options that can be used, depending on the severity of the case:  Icing, antiinflammatory medications, wrapping or bracing, walking boots, physical therapy, and rest are some of the most common remedies.
 
What if it is not getting better? 

If the Achilles Tendonitis is not improving with these treatment modalities, a diagnostic ultrasound or MRI may be ordered.  These tests allow for better visualization of the Achilles tendon, as it is not adequately visualized on X-Rays.  Occasionally, the Achilles tendon has a tear in it and will require more aggressive treatment.
 
How do I prevent this type of injury? 

1. It is important to wear supportive shoe gear, such as athletic shoes, when exercising or standing and walking for prolonged periods.  The heel of the shoe should be firm and there should be support in the arch.  Additionally, it is important that the shoe cannot be twisted. 
2.  Stretching the Achilles tendon before exercising or prolonged walking is essential to preventing this condition. 
3.  Reducing excess body weight is also very important.  Elevated body weight puts extra pressure on the lower extremity and can aggravate this condition.
 
If you feel that you have this condition, or have any other foot or ankle condition, please call for an appointment with Dr. Bender.
Oak Park 708-763-0580
Chicago 63rd 773-776-3166
Chicago Drexel 773-994-0417