Achilles Tendon Problems: Home Treatment

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Home Treatment

Home treatment is often used for Achilles tendinopathy and in physical therapy or rehabilitation after an Achilles tendon rupture.

Achilles tendinopathy

If you have Achilles tendinopathy, follow these steps to rest, heal, and strengthen your Achilles tendon and prevent further injury:

• Rest your Achilles tendon. Avoid all activities that strain the tendon, such as stair climbing or running. While allowing your tendon the days, weeks, or months it needs to heal, try alternative activities, such as swimming. Your health professional will give you information on what you can and cannot do.
• Reduce pain by icing your Achilles tendon and taking nonprescription pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) as directed. Examples of acetaminophen include Panadol and Tylenol. NSAIDs include ibuprofen (Advil, Motrin) and aspirin. Do not give aspirin to anyone younger than 20 because of the risk of Reye's syndrome.
• Follow your physical therapy program if one has been prescribed for you, and do gentle stretching and strengthening exercises, especially focusing on calf stretches.
• Do not smoke or use other tobacco products. Smoking slows healing because it decreases blood supply and delays tissue repair.
• Wear footwear that protects the tendon while it is healing.
  • Quality athletic shoes that support your arches and cushion your heels can make a big difference in your daily comfort and the healing process. If necessary, talk to your physical therapist or podiatrist about heel pads or orthotics.
  • A bandage that keeps your foot flexed can restrict the motion of the Achilles tendon.
  • A silicone sleeve or pad can distribute pressure on the Achilles tendon.

Your health professional may suggest you wear a night brace to keep your foot flexed, if your Achilles tendon shortens and stiffens while you sleep.

Achilles tendon rupture

Whether you treat an Achilles tendon rupture with surgery or use a cast, splint, brace, walking boot, or other device to keep your lower leg from moving (immobilizing your leg), after treatment it's important to follow the rehabilitation program prescribed by your health professional and physical therapist. This program helps your tendon heal and prevents further injury.

Last updated:	January 30, 2007
Author:	Kathe Gallagher, MSW
Reviewed By:	Martin Gabica, MD - Family Medicine, Nicola Maffulli, MD, PhD - Orthopedics
Editors:	Kathleen M. Ariss, MS, Pat Truman, MATC