Ask The Doctor: I have pain in the back of my ankle, what can I do to stop it?

Many patients visit our office complaining of pain in the posterior aspect of the heel, a condition that often turns out to be Achilles tendonitis. This inflammation of the Achilles tendon, particularly at its insertion on the back of the heel, can lead to persistent discomfort. 

Achilles tendonitis commonly arises from overuse syndromes, often affecting individuals who engage in activities with repetitive impacts, such as runners. It can also be linked to a history of tight Achilles or high heel cords, with those who were toe walkers as children being particularly susceptible.

The telltale signs of Achilles tendonitis include swelling, warmth, and tenderness in the affected area. If the condition progresses to redness and significant swelling, seeking professional guidance is imperative. In some cases, a noticeable lump on the back of the heel, known as a heel spur, can contribute to focal Achilles tendonitis.

Given the varied causes and symptoms, it's crucial to seek professional advice for long-standing tenderness in the Achilles. Our team often recommends a multifaceted approach to address Achilles tendonitis, ranging from conservative measures to more intensive interventions.

If you experience persistent heel pain or suspect Achilles tendonitis, seeking professional guidance early on can make a significant difference in the effectiveness of the chosen treatment plan.