Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Home Care pain and inflammation warning signs Prevention Outlook Underlying Cause Anatomy

Heel Tendinitis Home Care

Home care for Achilles tendinitis includes:

  • Apply a cold compress:
    • Apply for 20-30 minutes, every 1-2 hours, for the first few days.
  • Apply an elastic wrap.
    • Re-wrap the joint every 6 hours.
  • Apply warm compresses:
    • Apply for 20-30 minutes, every 4 hours, after 2 days
  • Rest the leg until pain resolves.
    • Use crutches
    • Use a cane
  • After the pain resolves:
  • Place a heel lift in your shoe:
    • This reduces stress on the tendon.
  • Increase activity gradually without causing pain.
  • Take acetaminophen for pain
  • Nonsteroidal anti-inflammatory medications for pain:
  • Take prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Be aware of the common side effects that may be caused by your medication.

Heel Tendinitis Pain and Inflammation

Medications commonly used to control pain and inflammation in adults with Achilles tendinitis include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Heel Tendinitis Warning Signs

Notify your doctor for Achilles tendinitis and any of the following:

Continue to Heel Tendinitis Prevention

Last Updated: Nov 29, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Heel Tendinitis References
  1. Aldridge T. Diagnosing heel pain in adults. Am Fam Physician. 2004 Jul 15;70(2):332-8. [15291091]
  2. Alfredson H. Chronic midportion Achilles tendinopathy: an update on research and treatment. Clin Sports Med. 2003 Oct;22(4):727-41. [14560544]
  3. McLauchlan GJ, Handoll HH. Interventions for treating acute and chronic Achilles tendinitis. Cochrane Database Syst Rev. 2001;(2):CD000232. [11405956]
  4. Paavola M, Kannus P, Jarvinen TA, Khan K, Jozsa L, Jarvinen M. Achilles tendinopathy. J Bone Joint Surg Am. 2002 Nov;84-A(11):2062-76. [12429771]
  5. Sella EJ. Disorders of the Achilles tendon and its insertion. Clin Podiatr Med Surg. 2005 Jan;22(1):87-99, vii. [15555846]
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