Achilles Tendon: Causes, Treatments, and What Really Works

When you feel a sharp pain at the back of your heel, especially after running or jumping, it’s often your Achilles tendon, the thick band of tissue connecting your calf muscles to your heel bone. Also known as the calcaneal tendon, it’s the strongest tendon in your body—but it’s also one of the most likely to get injured if you push too hard, too fast. This isn’t just a runner’s problem. Anyone who stands a lot, climbs stairs, or suddenly increases activity—like weekend warriors or new moms carrying babies—can strain it.

Most Achilles problems start as tendonitis, inflammation from overuse. You might notice stiffness in the morning, swelling near your heel, or pain that gets worse when you push off your foot. If ignored, it can lead to tendon rupture, a full tear that often feels like a snap or pop. That’s when you can’t stand on your toes or walk normally. It’s rare, but it happens—and it needs quick attention.

What helps? Rest is the first step, but not just sitting still. Gentle movement, like ankle circles or calf stretches, keeps blood flowing and prevents stiffness. Ice reduces swelling, and heel lifts in your shoes take pressure off the tendon. Physical therapy works better than pills for most people. NSAIDs like ibuprofen might ease pain, but they don’t fix the root issue—and they can hurt your kidneys if used long-term, as seen in other conditions like kidney disease. Stronger treatments like shockwave therapy or PRP injections are options, but they’re not magic. Surgery is usually only for full tears or when nothing else works after months.

Recovery takes time—weeks to months. Skipping rehab or going back to running too soon is the #1 reason people end up with the same problem again. The key is consistency: daily stretches, proper footwear, and listening to your body. If your heel pain doesn’t improve in two weeks, see a doctor. It’s not normal to hurt every time you move.

Below, you’ll find real-world guides on what works, what doesn’t, and how to avoid the traps that slow healing. From safe pain relief options to rehab routines that actually stick, these posts give you the straight facts—no fluff, no hype.