Achilles tendinitis, tendinosis and retrocalcaneal bursitis in Laval
Symptoms
- ✓Pain at the back of the heel
- ✓Morning stiffness of the tendon
- ✓Pain when rising on tiptoes
- ✓Swelling or thickening of the tendon
- ✓Pain that increases with activity
Treatments
- ✓Custom orthotics
- ✓PRP treatment
- ✓Therapeutic laser
- ✓Stretching and strengthening exercises
What is Achilles tendinitis?
Pain at the back of the heel can be related to several distinct conditions: Achilles tendinitis, Achilles tendinosis, and retrocalcaneal bursitis. At Clinique podiatrique de l'Avenir, our podiatrists in Laval provide evaluation and management of posterior heel pain, using a progressive and individualized approach.
Anatomy of the Achilles tendon
The Achilles tendon connects the calf muscles (gastrocnemius and soleus) to the heel bone (calcaneus). It is the largest tendon in the body and supports significant loads during walking, running, and jumping.
Symptoms
Typical symptoms include:
- Pain at the back of the heel: often more intense upon waking or after a period of rest
- Stiffness: difficulty rising on tiptoes
- Thickening of the tendon: visible or palpable
- Worsening with effort: pain increases with prolonged walking or running
Causes and risk factors
- Sudden increase in physical activity or training intensity
- Inappropriate footwear (heels too high or too flat)
- Overpronation or biomechanical imbalances
- Shortening of the calf muscles
- Age (natural tendon degeneration)
Treatments
Our approach includes:
- Biomechanical evaluation: identification of contributing factors
- Custom orthotics: correction of imbalances and offloading of the tendon
- Exercises: calf stretching and eccentric strengthening
- Complementary treatments: PRP, therapeutic laser, shock waves as indicated
Consult a podiatrist at the first sign of symptoms to prevent the condition from becoming chronic.
Frequently Asked Questions
What is the difference between Achilles tendinitis and tendinosis?
Tendinitis refers to acute inflammation of the tendon. Tendinosis corresponds to chronic degeneration of the tendon with little inflammation. Treatment varies depending on the stage.
How long does it take to recover from Achilles tendinitis?
With proper treatment (relative rest, orthotics, stretching, PRP if indicated), most patients see improvement within 6 to 12 weeks. Chronic cases may require more time.
Can I continue running with Achilles tendinitis?
It is generally recommended to temporarily reduce the intensity and duration of running. Your podiatrist can guide you based on the severity of your condition.
This content is for informational purposes and does not replace a professional consultation.