Achilles tendonitis will often result with acute or chronic mechanical overload of the tendon. With time, the tendon is overused which will lead to swelling and pain in the tendon. The pain is usually localized to the back of the tendon just above its attachment to the heel bone. No scar tissue is formed at this point and the treatment is conservative. Care often requires removal of the mechanic problems with custom molded orthotics and muscle training. Physical therapy is used to decrease pain and increase flexibility. If left unattended, Achilles tendinosis and internal scar tissue in the tendon can develop.
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