Physical Therapy Nest

Tendinitis is usually diagnosed through:

• Medical history review (activity level, sports, or changes in training).

• Physical exam to check for tenderness, swelling, or pain with movement.

• Range of motion and strength testing to identify weakness or stiffness.

• Imaging:

  • Ultrasound can show tendon inflammation.

  • MRI may be used to assess tendon damage or rule out tears.

Physical therapy is highly effective in managing tendinitis and preventing long-term tendon damage. Treatment may include:

• Manual therapy to reduce stiffness and improve circulation

• Eccentric strengthening exercises (controlled lengthening of the tendon) to rebuild strength

• Stretching routines for calves, hamstrings, and surrounding muscles

• Balance and proprioception training to reduce strain on the tendon

• Pain management with ice, heat, ultrasound, or electrical stimulation

• Education on footwear, activity modification, and gradual return to sport
  In severe or chronic cases, immobilization or other medical interventions may be necessary, but physical therapy is key for recovery.

Symptoms of foot and ankle tendinitis vary depending on the tendon affected but may include:

• Aching or burning pain along the tendon (back of heel, inside ankle, or outside foot)

• Pain that worsens with activity and improves with rest

• Swelling or warmth around the tendon

• Stiffness, especially in the morning or after inactivity

• Weakness when pushing off the foot or standing on toes

• In severe cases, difficulty walking or running

To reduce the risk of foot and ankle tendinitis:

• Warm up before sports or exercise

• Stretch calves, hamstrings, and feet regularly

• Strengthen foot, ankle, and leg muscles for support

• Wear proper footwear that matches your activity

• Increase activity levels gradually instead of suddenly

• Rest and treat minor foot pain early before it develops into tendinitis