Achilles Pain

Pain at the Achilles tendon can either be due to Achilles tendonitis or Achilles tendonosis. These two disorders cause pain at the heel cord – often described as a dull, shooting, or burning pain at the back of the heel. Athletes (especially runners) and men over the age of 30 are prone to this condition. The main culprit of tendon problems is overuse; repeated strain to the tendon causes minor tears. When these tears are not allowed to heal properly because of continuous stress, Achilles tendonitis or tendonosis may occur.

Overpronation can also precipitate Achilles tendon pain because of the added pressure caused by excessive inward rolling of the foot. P.O.L. CustomFit™ Orthotics are prescription-grade insoles that can effectively protect the muscles, supportively cushion the foot from repetitive movement, and allow for healing of the affected muscles to provide fast relief without spending thousands of dollars for surgeries and expensive, traditional orthotics from a doctor.

In some cases, untreated Achilles tendon problems can lead to degeneration with or without pain. The tendon may become swollen or develop nodules in the area that may rupture over time.

Symptoms of Achilles tendon pain

  • Stiffness, soreness, and tenderness at the affected area

  • Intense pain when pressing the sides of the tendon

  • Pain that is more intense in the morning or after periods of rest

  • Pain when flexing the foot

  • Tightness at the calf muscles

  • Severe and abrupt pain for a ruptured tendon

  • A snapping or popping sound when an injury occurs

Causes of Achilles tendon pain

  • Certain activities may cause Achilles tendonitis and tendonosis, such as running, excessive exercise, and walking

  • Exercising without a proper warm-up

  • Wearing poorly fitting footwear

  • Wearing high-heeled shoes for long periods of time

  • Having collapsed arches or flat feet

  • Any foot deformity that causes overpronation


There are many ways to treat Achilles tendonitis and tendonosis. There are non-invasive methods you can do at home, but a licensed podiatrist is still the best person to recommend the appropriate treatment for you. The RICE method is a helpful routine you can do at home right after the injury:

Rest – stop any activities that put pressure on your tendon for a couple of days. You can use crutches if you need to walk long distances

Ice – place ice in a bag and wrap it in a cloth material. Apply the ice pack against your skin for 15 to 20 minutes

Compression – put a bandage or athletic tape around the tendon to compress the injury

Elevation – raise your foot above the level of your chest to reduce the swelling of your tendon

For Achilles tendon pain caused by gait abnormalities and foot deformities like collapsed arches, and those with feet that tend to overpronate, the use of P.O.L. CustomFit™ Orthotics is enough to facilitate healing provide pain relief.

Aside from alleviating symptoms, these personalized medical-grade orthotics are treatment-focused and can address the root of the problem providing long-term foot health.

Dr. Tim Nguyen (Wynn) of Poditech Orthotic Laboratory developed and patented this type of orthotic which is 100% personalized to the exact size and contour of your feet. It only takes 15 minutes to personalize the orthotic, and in most cases, you will not even need to seek an expensive in-office consultation with a podiatrist.

Until now, medical orthotics have been prescribed by podiatrists and cost more than the over-the-counter comfort insoles. In most cases, hand-crafted orthotics are shaped in a laboratory by workers and have shape errors and inconsistencies that cause pain and can require multiple expensive doctor visits to correct. That is not the case with Poditech P.O.L. CustomFit™ Orthotics. They are inexpensive, prescription quality, 100% personalized in your shoes, and feature a medical-grade, rigid resin layer, and durable super soft comfort pads.

Other treatment modalities:

  • Take anti-inflammatory medication and pain relievers such as Ibuprofen and Aspirin unless you are allergic to them.

  • Reduce your physical activity.

  • Wear shoes with better stability and built-up heel to reduce the tension from the Achilles tendon.

  • Wear night splints to maintain the position of the Achilles tendon during sleep.

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