
Common Causes of Achilles Tendon Pain
Pain at the back of your ankle can turn a walk, workout, or trip up the stairs into an uncomfortable challenge. The Achilles tendon works every time you push off the ground, making it vulnerable to irritation and injury.
Below, the podiatrists at New Jersey Podiatric Physicians & Surgeons Group explain common causes of Achilles tendon pain and when to seek care.
What Is Achilles Tendinitis?
Achilles tendinitis, also called Achilles tendonitis, develops when repeated stress irritates the tendon connecting the calf muscles to the heel bone. Pain may occur above the heel or where the tendon attaches to the bone. Other symptoms include stiffness, tenderness, swelling, or thickening.
Although Achilles tendinitis often affects runners and active people, it can also develop after a sudden increase in exercise or occasional sports activity.
Can Overuse Cause Achilles Tendon Pain?
Repetitive activity is one of the most common causes of Achilles tendon pain. Running longer distances, adding hills, exercising on hard surfaces, or increasing workout intensity too quickly can overload the tendon before it has time to adapt.
Tight calf muscles may increase strain by limiting ankle flexibility. Worn-out or unsupportive shoes can also contribute, especially when combined with changes in foot structure or walking mechanics.
Could a Bone Spur Be Responsible?
Insertional Achilles tendinitis affects the lower part of the tendon where it connects to the heel. In some cases, a bone spur develops near the attachment point and irritates the tendon or surrounding tissue. Pain may worsen when the back of a shoe rubs against the area.
What Are the Signs of an Achilles Tendon Tear?
A partial or complete Achilles tendon tear may result from a sudden, forceful movement. Warning signs include:
- A popping or snapping sensation
- Sudden, severe pain near the heel or calf
- Swelling or bruising
- Difficulty walking or pushing off the foot
- Inability to stand on the toes
When Should You See a Podiatrist?
Schedule an appointment if Achilles tendon pain persists, worsens, interferes with activity, or returns with exercise. Care may include activity modification, supportive footwear, physical therapy, orthotics, or other treatment.
At New Jersey Podiatric Physicians & Surgeons Group, our experienced podiatrists help resolve foot issues and develop personalized treatment plans that restore comfort and mobility. With more than 30 locations, from Newark, NJ, to Cape May, NJ, we value convenience and excellent service for our patients. To schedule an appointment, first find a podiatrist in your area.

