Treatment Options for Achilles Insertional Tendinopathy

Pain where the Achilles tendon attaches to the heel bone is called Achilles insertional tendinopathy. This condition often develops gradually and can be stubborn to resolve. Treatment usually begins with reducing strain on the tendon. Activity modification is important, especially avoiding hills, stairs, and sudden increases in exercise. Wearing supportive shoes with a slightly elevated heel can decrease tension at the site. Stretching should be approached carefully, since aggressive stretching may worsen symptoms in this area. Targeted exercises often focus on strengthening the lower leg muscles and improving ankle motion in a controlled way. Anti-inflammatory measures may help calm pain and swelling. In some cases, orthotics or heel lifts are used to improve foot mechanics and reduce stress on the tendon. Advanced options may be considered if pain persists. When heel pain limits walking or daily activity, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries

Nurses and Waterproof Shoes

Nursing is a highly demanding job that requires long hours of standing, walking, and responding quickly to patient needs. Waterproof nurse shoes are essential because they protect the feet from spills, bodily fluids, and frequent exposure to moisture throughout the workday. This protection helps reduce the risk of skin irritation, infections, and unpleasant odors. Slip resistant soles provide added safety on wet hospital floors and help prevent workplace injuries. Comfort is also critical during long shifts, and wearing supportive waterproof shoes help reduce foot fatigue, joint stress, and back discomfort. Durable materials ensure the shoes withstand daily wear, while remaining easy to clean and maintain. A podiatrist can help nurses select footwear that offers proper support, cushioning, and fit, based on individual foot needs. If you are a medical professional and have developed foot pain, it is suggested that you schedule a visit with a podiatrist who can treat various foot conditions, helping to protect your feet and stay comfortable on every shift.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Handle a Long Work Day on Your Feet

Effective Foot Stretches for Plantar Fasciitis Relief

Plantar fasciitis can cause significant heel pain, often resulting from inflammation of the connective tissue along the bottom of the foot. Targeted foot stretches can help relieve discomfort and improve flexibility. Calf stretches and step stretches lengthen tight muscles and tendons, reducing strain on the heel. Doming exercises strengthen the arch, while toe spread and squeeze movements improve overall foot stability and control. Performing these stretches consistently can support healing and prevent further injury. A podiatrist can provide a thorough evaluation, recommend the most effective exercises, and offer additional treatments such as custom orthotics and supportive footwear advice to enhance recovery. If you have plantar fasciitis, it is suggested that you consult a podiatrist who can offer additional remedies and stretching techniques for relief.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

If you have any questions please contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Stretch Your Feet

Bunions and Foot Joint Health

A bunion is a progressive foot deformity that develops when the joint at the base of the big toe shifts out of proper alignment, causing the toe to angle inward. Common causes include joint problems, poorly fitting shoes, and inherited foot structure influenced by genetics. Over time, uneven pressure on the joint leads to inflammation and structural changes. Symptoms often include a visible bump, redness, swelling, stiffness, and pain that worsens with walking or prolonged standing. As the condition progresses, normal movement of the foot may become limited. A podiatrist can evaluate joint alignment, identify contributing factors, and create a personalized treatment plan. Care may include footwear guidance, orthotics, padding, or advanced treatment options to relieve discomfort and slow progression. If you have the beginning signs of a bunion developing, it is suggested that you consult a podiatrist who can offer you effective management tips.

If you are suffering from bunion pain, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions

Connect With Us

scroll to top