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Common Causes of Achilles Injuries and Treatment Options

Achilles Tendonitis Causes: 7 Common Reasons & Finding Relief

Achilles Injury Causes

Page Highlights:

  • Sudden Injury
  • Return to Activity
  • Repetitive Overload
  • Footwear
  • Avoid Poor Guidance
  • Get Proper Guidance

With Knowledge and the Right Treatments, you will get better.

Whether your injury came from sudden trauma or developed over time, once the Achilles gets damaged, recovery from Achilles tendon pain requires your attention. Every day with every step, your Achilles carries a huge load and the repetitive motion through the day can aggravate your condition. In the early days of recovery, try to rest your ankle as much as possible.


Understanding Achilles Tendon Pain

Understanding Achilles tendon pain is crucial for effective recovery. The following common causes can lead to Achilles tendonitis, Achilles tendon tears, and other Achilles tendon injuries.



Why People Usually Experience Achilles Injuries

It's important to understand the root cause of Achilles tendon pain to ensure a full recovery. Achilles injuries can range from Achilles tendonitis to more serious conditions like a ruptured Achilles tendon.


#1 Accidental Sudden Injury

Typically, people recognize when this type of injury occurs. Whether it was due to a fall, over exertion, or moving the wrong way, it is usually accompanied by intense pain in the moment that continues to persist over time. The good news is that if your Achilles problems are the result of sudden injury, you just need to take the proper steps to recover, and it likely won't plague you again.


#2 'Normal' Activity After a Break

This is a super common scenario when it comes to Achilles injuries. When you drop your exercise levels, your tendons thin out and become weaker. When you attempt to resume your normal activity, you're much more vulnerable to tearing your Achilles. Returning to activity too quickly can lead to an Achilles tear or other serious complications.


  • Key takeaway: Avoid jumping back into activity at the level you were previously. Gradually ramp back up.
  • #3 Repetitive Overload

    This cause of injury may not be as obvious. This is typical of people who are very active and pushing their body more to its limits. Repetitive strain is a lot of motion under an unusually heavy load, and it can cause Achilles tendon pain.


  • Key takeaway: Repetitive motion that your body is not accustomed to and strains your Achilles more than it is used to, yes, that can cause a 'repetitive strain injury'. But light repetitive motion like walking or running is not a problem if your body is used to it, no matter how much you do.

  • #4 Footwear

    Achilles Shoe Pinch

    Footwear can cause Achilles tendonitis, but footwear can't fix it. If you suspect footwear may be part of the cause, you need to ditch the shoes or boots or sandals that aggravate the injury. Avoid arch supports, which can lead to other foot problems.


    If footwear was the cause, it should be pretty obvious - you'll feel the back of your shoe pressing on your Achilles as you move. If that's not the cause, changing your shoes won't fix your Achilles.


    #5 Antibiotics (taken for something else entirely)

    This one surprises a lot of people. Antibiotics are prescribed for good reason and if your doctor prescribes them, you should definitely use them. Antibiotics can often cause tendonitis to occur, so if you have been taking antibiotics and maintained a modest activity level while you were on them, this may have caused your Achilles pain.


    #6 The Wrong Stretching and Exercise

    Achilles Stretches

    Stretching and Exercise is great for muscles and it can be for tendons when done properly at the correct time. If you have an Achilles Tendon injury and you are trying to stretch and exercise it back to health you are only making the situation worse. At any time, if you feel Achilles tendon pain during any exercise or stretch, Stop immediately. If the stretch or exercise causes no tendon pain at all, you may be okay with that activity. Generally, when you have a tendon injury that is still painful, exercise and stretching really only put you at more risk of reinjury. You are better off resting until the Achilles pain subsides, and then work on strength and range of motion.

    #7 You Were Given Bad Advice

    Sadly, the Internet is full of misinformation today. There are probably more bad treatments suggested for Achilles tendon injuries than most other ailments we see. In many cases you are being told to try treatments that can actually make your condition worse! Among these are insoles, elastic sleeves, pain creams, and several types of injections. For a rundown of dangerous and ineffective solutions to beware of, check out our Achilles Treatment Myths Page.



    How We Can Help You with Achilles Pain:


  • More Information: This was a summary. To get all the background on these 7 major causes of Achilles Injuries see our Achilles Causes Explained Page.

  • Get Treatment Options: Explore effective ways to relieve Achilles pain and promote healing by visiting our Achilles Treatments Page.

  • Avoid Common Mistakes: To Avoid the most common things people do to make their Achilles worse, see our Achilles Myths Page.


  • Why Won't it Heal?


    Your Achilles is pretty tough and it's not that easy to hurt it in the first place. Regardless of which reason above caused the initial injury, once it is injured, the path back can sometimes be difficult. For most people, it's not feasible to just stop using your ankle. So for most people, as fast as your body is attempting to heal the injury, your daily activity is causing reinjury. You rest and take a couple steps forward in the healing process, and then you do some activity that sends you a couple steps backward, undoing the healing that you just did. It is a vicious cycle that needs to be corrected if the injury has been plaguing you for some time.


    Achilles tendonitis is often what develops when you had an initial injury that healed a bit and got reinjured, and that cycle has repeated for a long time. That pain you feel when you do activities, or perhaps it shows up afterwards, is a clear indication that you are moving the healing process backward. Pain in your Achilles means you are reinjuring your Achilles. There's no such thing as driving through the pain or pain being any kind of good sign when you are dealing with the Achilles. What is causing the pain is causing your Achilles Tendonitis to continue


    Some people will be surprised to realize that things they have been doing that they thought would help are actually making the condition worse. Are you stretching it to help it heal and it hurts a bit during the stretch? Are you doing exercises to strengthen in and they hurt? Does your physio hurt? If any of these things cause pain in your Achilles, that pain means they are doing more damage than good. Exercise, stretching and physio can be good, but only if they don't involve pain. Driving through the pain is always bad.


    Yes, it's impossible to stop all activity since you need to move to get through your day. Sometimes you're going to do something that hurts. That can't be avoided. But you definitely want to minimize the things that cause you pain. You want to make the backward steps of the healing process as few and as small as possible. That's usually enough to let you heal. If you don't want to wait, then there are also things you can do to make the steps forward in the healing process as big as possible.



    Rapid Recovery for Your Achilles Tendon Injury


    There are products that you need to heal quickly, and relieve pain quickly. To stimulate blood flow for faster healing, you need the BFST® Achilles Wrap. For immediate pain relief and to reduce swelling, you need a ColdCure® Achilles Wrap.


    Surgery for your Achilles Injury is rarely necessary. If you have a complete tear of the Achilles Tendon, you may need surgery to repair it. In all other circumstances, if you are just suffering from tendonitis or a partial tear, your body will heal naturally with the right tools. The King Brand BFST® and ColdCure® Achilles Wraps will help you recover quickly. If you do have to have surgery, they will accelerate the healing process post-surgery.


    The Ultimate Solution:


      If you really want to get better, here's exactly what you need to do.

    • Wear a ColdCure® Wrap as much as possible to relieve your pain and swelling and protect your Achilles from further damage.
    • Do a BFST® treatment first thing every morning. Do 2 or 3 more BFST® treatments throughout the day. This will help you heal quickly.
    • Avoid re-straining the injury as much as possible. Using KB Support Tape can help with this. Resting your ankle is hard, but it is very important in the early stages of healing.

    Do this and your Achilles Injury can truly heal - finally.


    For full assurance these products work, see our Reviewed Technology page.


    Blood Flow Is Essential For Healing


    You don't have to wait. You can heal much more quickly with the right treatment. For an Achilles Injury, blood flow is the most critical element in rapid recovery. Blood Flow Stimulation Therapy® (BFST®) gives your injured Achilles the blood flow it needs to heal quickly and completely.


    Blood flow brings oxygen and nutrient-rich blood to the injured area - a requirement for the body to heal itself. Unfortunately, an injured Achilles at rest often has restricted blood flow, which in turn limits the body's ability to heal. Physical activity will promote blood flow but all too often it also results in small but frequent re-injury, which extends your healing time and greatly increases the amount of scar tissue that develops. With a King Brand® BFST® Achilles Wrap, blood flow can be stimulated in the injured area while you are at rest. With improved blood flow and without physical activity and the risk of re-injury, you can recover from your Achilles Injury at a surprisingly rapid rate.


    Cold Compression is Essential for Managing Pain


    To minimize pain and swelling, complete a ColdCure® treatment any time your pain level increases, or if you have been active. The ColdCure® Achilles Wrap provides superior relief of the swelling and pain that comes with Achilles Tendonitis. ColdCure® Achilles Wraps use cold and compression together, because cold and compression are the two things you need to eliminate pain and swelling as quickly and effectively as possible. The application of cold compression must be uniform and complete if it's going to work the best. This is why the ColdCure® Achilles Wrap has been custom designed to perfectly fit the back of the Ankle, to ensure that your injury receives an even distribution of cooling power.

    Protect Your Achilles Between Treatments


    King Brand Support Tape

    When you're not doing treatments with your BFST® or ColdCure® Wrap, your injured tissue becomes vulnerable to further damage. You don't want to re-injure your already fragile tissue and make your Achilles Tendonitis worse. Apply KB Support Tape between your BFST® and ColdCure® treatments to provide your Achilles Tendon with additional support and protection.


    Your ankle moves a lot through the day, and when you're injured with an Achilles Tendon Injury, you feel every little movement. You can't stop and wait for your Achilles Tendonitis to go away, so let's provide some support for your ankle, without taking away your range of motion. KB Support Tape is designed to protect your tendons, ligaments and muscles and help prevent further damage as you go through your day. It does this all without restricting your range of motion.


    Our skin is soft and elastic and can stretch much more than the tissue underneath. When you apply KB Support Tape to your skin, it becomes a much more rigid surface than before; serving to limit how much the skin can stretch. KB Support Tape makes your skin a source of outside support to hold your tissue in place, helping you avoid re-injury. That's why we call it armor for your injury.


    The information on your website has been very helpful and your products are excellent! Thank you.

    Doreen from New JerseyColdCure Ankle | BFST Ankle | Pre-Cut TapeFeb 12, 2023


    Dealing With Pain


    Painkillers are BAD, Not Good


    Painkillers mask the pain, causing you to continue to stress and injure your Achilles. This will only make your condition worse. It is understandable that people need relief from the pain, so if you have to take painkillers, restrict them to times when you are off your feet. You can use painkillers to help you sleep. Using them when you are active is a recipe for permanent damage. Your choice of pain killers is important. You can give us a call to discuss which ones are best.


    The ColdCure® Achilles Wrap is designed to relieve the pain associated with Achilles Tendon Injuries. This safe and effective pain reliever is also great at bringing down swelling and inflammation. The ColdCure® Achilles Wrap is incredibly soothing and provides support and protection for your ankle. The painkilling element is incredibly powerful and it works instantly - there's no 20 minute wait like with pills.


    Ankle Sprain Treatment Without Drugs

    Achilles Injuries can be extremely painful and debilitating. Painkillers such as ASA or acetaminophen are often used to treat the pain but these drugs do nothing to treat the actual condition. In fact, most painkillers are also blood thinners and make the bleeding worse for fresh tissue injuries. Cortisone injections are used in extreme cases but these too are intended to address the pain. They do not promote healing of the injury itself and they put you at a very high risk of further injury.



    What I am learning in this, there are times in life when you have to be very proactive, because the medical establishment will let you slip through the cracks. You guys are extraordinary with this follow up, thank you. I never recommend anything - but I'm recommending you.

    Sheila from California BFST Ankle | Pre-Cut TapeMay 05, 2023


    For in-depth information on how the injury process works, click here.

    To learn about common mistakes in treating Achilles Tendonitis, click here.

    To lean more about advanced treatment solutions for your Achilles, click here.

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