Achilles Tendonitis Treatment

Coral Gables & Miami, FL — Get back to running, training, and living without pain.

About Achilles Tendonitis

The Achilles tendon is the largest tendon in the body, connecting your calf muscles to your heel bone. When it becomes inflamed — from repetitive stress, overtraining, or structural issues — the result is aching, throbbing soreness down the back of your lower leg and into your heel. Left untreated, Achilles tendonitis can progress to tendinosis (degeneration) or even tendon rupture.

Symptoms

• Aching, throbbing, or soreness down the back of the lower leg
• Swelling along the lower leg or heel area
• Tenderness when pressure is applied to the tendon
• Reduced range of ankle movement
• Thickening or nodule formation in the tendon
• Pain worsens with activity and eases with rest — initially

Common Causes

• Distance running without adequate warm-up or cool-down
• Sudden increase in workout intensity or mileage
• Tight or inflexible calf muscles
• Change in exercise type or training surface
• Bone spurs at the heel (Haglund's deformity)
• Improper or worn-out footwear

Treatment at Katz Regenerative

Dr. Katz begins with a thorough physical examination and diagnostic ultrasound to assess tendon integrity. Treatment is tailored to the stage and severity:

• ESWT Shockwave Therapy — stimulates blood flow and tendon remodeling
• Ultrasound-Guided PRP Injections — growth factors accelerate tendon healing
• Custom Orthotics & Heel Lifts — reduce tendon strain during recovery
• Physical Therapy Protocol — eccentric strengthening to rebuild tendon resilience
• Immobilization Boot — for acute flares requiring rest
• Surgical Repair — reserved for ruptures or cases where conservative care fails