Tendonitis, the inflammation of a tendon, is a common condition that can affect various parts of the body, but it’s particularly prevalent in the feet and ankles. However, the fact that it’s common doesn’t make it any less painful!

In this post, Alta Ridge Foot Specialists will explain what tendonitis is, how it progresses, and, most importantly, how a podiatrist can help you find relief and get back to doing what you love.

What is Tendonitis (and Why Does it Hurt So Much?)

Tendons are the strong, fibrous cords that connect your muscles to your bones. They’re built to withstand a lot of force, but overuse, repetitive strain, or sudden injuries can cause them to become inflamed. This inflammation is what we call tendonitis.

Common Foot and Ankle Tendonitis Locations:

• Achilles Tendonitis: Pain at the back of the heel.
• Posterior Tibial Tendonitis: Pain along the inside of the ankle and arch.
• Peroneal Tendonitis: Pain on the outside of the ankle.
• Flexor Tendonitis: Pain on the bottom of the foot, often near the big toe.
• Extensor Tendonitis: Pain on the top of the foot.

From Inflammation to Degeneration

Ignoring tendonitis can lead to more serious problems:

• Acute Tendonitis (Inflammation):
  • Symptoms: Pain, swelling, tenderness, and stiffness, often worse after activity.
  • Treatment:
    • R.I.C.E.: Rest, Ice, Compression, Elevation.
    • Over-the-Counter Pain Relievers: Ibuprofen or naproxen.
    • Stretching and Gentle Exercises: As pain subsides.
    • EPAT Shock Therapy: An excellent noninvasive method that features high success rates and minimal downtime.
• Chronic Tendinosis (Degeneration):
  • Symptoms: Persistent pain, even at rest. Thickening or a lump on the tendon. Reduced range of motion.
  • Why it Happens: If acute tendonitis isn’t properly addressed, the inflammation can lead to microscopic tears and degeneration of the tendon tissue.
  • Treatment:
    • Physical Therapy: A crucial component focusing on eccentric strengthening exercises.
    • Custom Orthotics: To support the foot and reduce stress on the tendon.

• Tendon Tears (Partial or Complete Rupture):
  • Symptoms: Sudden, sharp pain, often with a “popping” sensation. Significant weakness and inability to bear weight or perform certain movements.
  • Why it Happens: A weakened, degenerated tendon is more vulnerable to tearing, either from a sudden injury or continued overuse.
  • Treatment:
    • Partial Tears: May be treated with immobilization (boot or cast) and physical therapy.
    • Complete Ruptures: Often require surgery to repair the torn tendon, followed by extensive rehabilitation.

Why Early Intervention is Key

The earlier you address tendonitis, the better the outcome. Early treatment can:

• Prevent the progression of chronic tendinosis or a tear.
• Reduce pain and inflammation more quickly.
• Minimize the need for more invasive treatments.
• Get you back to your activities faster.

Tendonitis is a common and often painful condition, but it’s highly treatable, especially with early intervention. Don’t ignore tendon pain – listen to your body and seek professional help from a podiatrist. We can accurately diagnose the problem, develop a personalized treatment plan, and help you get back on your feet pain-free.

At Alta Ridge Foot Specialists, Dr. W. Aaron Broyles, Dr. Robert L. Van Brederode, Dr. Thomas Verla, Dr. Samantha Price, and the rest of our staff at our Mars Hill, Spruce Pine, and Boone, NC, offices are here to help with any of your foot concerns. Contact us at one of our three locations today to make an appointment.