Tendon Injuries

What are tendon injuries?

Tendons are strong bands of tissue that connect muscles to bones and help control movement of the foot and ankle. Tendon injuries can range from inflammation and small tears to complete ruptures that require more advanced treatment.

Common tendons affected in the foot and ankle include:

• Achilles tendon
• Posterior tibial tendon
• Peroneal tendons
• Anterior tibial tendon
• Flexor and extensor tendons

Without proper treatment, tendon injuries can lead to chronic pain, weakness, instability, and long-term limitations in mobility.

What causes tendon injuries?

Many different factors can contribute to tendon injuries, including:

• Sports and athletic activities
• Overuse and repetitive stress
• Sudden increases in exercise or training
• Improper footwear
• Tight muscles or poor flexibility
• Trauma or direct injury
• Flat feet or high arches
• Arthritis and inflammatory conditions
• Age-related degeneration

Athletes, runners, and individuals who spend long periods on their feet may be at an increased risk of developing tendon injuries.

What are the symptoms of tendon injuries?

Symptoms vary depending on the tendon involved and the severity of the injury, but common symptoms include:

• Pain in the foot or ankle
• Swelling and tenderness
• Weakness with movement
• Stiffness, especially after periods of rest
• Difficulty walking or exercising
• A popping sensation at the time of injury
• Bruising
• Instability or loss of function

Symptoms may develop gradually over time or occur suddenly following an injury.

How are tendon injuries diagnosed?

Your physician will perform a thorough examination of your foot and ankle and review your symptoms and medical history. Diagnostic testing may include:

• X-rays to evaluate the bones and alignment of the foot and ankle
• Ultrasound imaging to assess tendon integrity
• MRI scans to identify inflammation, tears, or ruptures
• Evaluation of your gait and biomechanics

An accurate diagnosis is important to determine the most effective treatment plan.

How are tendon injuries treated?

Many tendon injuries can be successfully treated without surgery. Your physician may recommend:

• Rest and activity modification
• Ice and elevation to reduce pain and swelling
• Immobilization with a walking boot or brace
• Physical therapy and stretching exercises
• Anti-inflammatory medications
• Custom orthotics to improve foot mechanics
• Supportive footwear

For severe tendon injuries, large tears, or complete ruptures, surgery may be recommended to repair the damaged tendon and restore strength and function.

Early diagnosis and treatment can help prevent long-term complications and improve recovery. With the proper treatment plan, most patients can return to their normal activities and maintain an active lifestyle.

If foot or ankle pain is limiting your mobility or interfering with your daily activities, the specialists at Metropolitan Foot and Ankle Specialists can help determine the cause and recommend the treatment option that is right for you. To request a personalized consultation, call Metropolitan Foot and Ankle Specialists today.