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Back of Heel Pain - Achilles Tendonitis

Pain in the back of the heel is becoming a more common problem as people are more active and living longer lives.

Back of Heel Pain involves pain, swelling and inflammation in the area between the calf muscle and the heel bone.

Commonly this pain begins where the Tendo Achilles inserts. It starts with the morning's first steps and gets worse with increased activity (overuse) and with time.

The Achilles tendon attaches the calf muscles with the heel bone (the calcaneus). Achilles tendonitis is underpinned by preexisting diagnosable foot type, posture, muscle engine capability and performance and overuse issues that cause the calf muscle to increase tension within the tendon putting tissue stress on the tendon and calcaneus.

This eventually causes redness, pain, swelling, injury, tearing and eventual rupture until or unless the underpinning pathological forces are buffered, eliminated or replaced and/or the overuse activities are reduced.

At LifeStyle Podiatry, when it comes to back of heel pain, we relieve your pain but in addition, before during or after back of heel pain exists, we strengthen and balance the structure and engineering of your feet and lower extremity using The BEFLE Program.

Starting with:

  • A Personal History surrounding the complaint
  • A Functional Foot Typing
  • A Stance Evaluation
  • A Gait Evaluation
  • A Neuromuscular Evaluation

A two prong plan can be developed patient by patient.

  1. Aggressive treatment of the presenting complaint, pain and disability
  2. Diagnosis and treatment of the underpinning biomedical endogenous and exogenous physiology and biology that can be applied to prevention, performance, quality of life and wellness of which the Achilles tendonitis is a “canary in a cage”.

Rarely requiring surgery, Back of Heel Pain treatment options include:

  • Heel Lifts
  • Foot/Ankle Centering Strappings
  • Foot Centering Pads
  • Foot Centering Orthotics
  • Compensatory Threshold Muscle Engine Training
  • Limb and Foot Balancing
  • Injection Therapy
  • Physical Therapy
  • Laser Treatment
  • Surgical Repair in rare, resistant cases

The professionals at LifeStyle Podiatry will develop a custom plan of care selecting the best set of treatment options in your case.

Lifestyle Podiatry is a podiatry practice tailored to the needs, coverage & pocketbook of every foot. All our doctors accept many different kinds of medical insurance. If one does not, we will accommodate you by allowing another doctor to treat you. Please call us if you have any questions about a particular insurance, as we most likely accept it.


Call our office at (212) 343-3668 to schedule an appointment. Special arrangements can be made for some procedures & emergency cases.

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