What's Behind Achilles Tendinopathy?
Published: Feb 16, 2024
Achilles tendinopathy can slow down anyone from athletes to couch potatoes. Understanding its causes and symptoms can help in managing and preventing it.
Contents
What is Achilles Tendinopathy?
Achilles tendinopathy involves pain and stiffness in the Achilles tendon, which connects the calf muscles to the heel bone. This condition is common among athletes who suddenly ramp up their training intensity, but it can also affect those who are less active. The pain often results from microtrauma and stress, leading to degeneration of the tendon tissue.
Who is at Risk?
Athletes, particularly those involved in sports requiring sudden starts and stops, are at higher risk for Achilles tendinopathy and ruptures. Risk factors also include age, male sex, obesity, and a history of tendinopathy. Cold-weather training and inappropriate footwear can further increase the likelihood of developing this condition.

Symptoms You Shouldn't Ignore
Symptoms of Achilles tendinopathy include a burning pain or stiffness in the tendon, especially 2 to 6 cm above the heel. The pain worsens with activity and improves with rest. In contrast, a tendon rupture might feel like a sudden 'pop' in the back of the ankle, often accompanied by severe pain.
Frequently Asked Questions
It is caused by overuse or stress leading to tendon degeneration.
Athletes, especially those in sports with sudden movements, are most at risk.
Yes, even sedentary individuals can develop Achilles tendinopathy.
Common symptoms include pain and stiffness in the Achilles tendon.
Key Takeaways
Achilles tendinopathy is a common but manageable condition with proper awareness and care.
References
- Alfredson H, Lorentzon R. Chronic Achilles tendinosis: recommendations for treatment and prevention. Sports Med 2000; 29:135.
- Leppilahti J, Puranen J, Orava S. Incidence of Achilles tendon rupture. Acta Orthop Scand 1996; 67:277.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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