Tendonitis: Causes and Treatment
Tendonitis involves inflammation and pain of the sheath surrounding a tendon. When force is particularly large or repetitive over a long time, a tendon can strain or tear. Tendonitis can develop in any of the tendons of the foot and ankle. Common sites include the Achilles tendon (at the back of the heel bone), the posterior tibial tendon (supporting the inside of the arch), and the tibialis anterior tendon (supporting the top of the arch). Untreated tendonitis can weaken the tendon, potentially leading to rupture.
Treatment for tendonitis often includes orthotic therapy, muscle strengthening, and stretching exercises. Extracorporal shock wave therapy may be used when necessary. Our podiatric surgeon may prescribe non-steroidal anti-inflammatory drugs (NSAIDs) or administer cortisone injections. Treatment may also involve the use of a postoperative shoe, “moon boot,” or brace. In severe cases, surgery may be necessary to promote healing.