What Happens to a Smashed Achilles Heel?

Contrary to Greek mythology, humans don't have Achilles heels, we have Achilles tendons. The tendon runs from the heel up the back of the calf; it's named after the legend of Achilles' fatal weakness, his heel. Most Achilles tendon injuries are easily diagnosed and treated. They are most common in athletes, especially tennis and soccer players, because of the continual heel-to-ground pounding involved in those sports.

Achilles Tendinosis

• Achilles tendinosis is a chronic problem that makes the tendon painful to touch, but does not cause swelling or inflammation. Achilles tendinosis is caused by many tiny tears in the tendon. This may begin without notice and worsen over time. The best ways to treat Achilles tendinosis are stretching the tendon daily, undergoing physical therapy or using shoe inserts.

Achilles Tendonitis

• Achilles tendonitis occurs when the tendon becomes inflamed or irritated. It can be brought on by overuse of the Achilles tendon or by bluntly striking the heel on the ground. Achilles tendonitis should be treated as soon as possible, because the condition will worsen if left untreated. In minor cases, rest and occasionally icing the tendon should reduce swelling. In more serious cases, crutches or tendon immobilization may be required.

Bruised Heel

• Sometimes jumping from great heights or applying too much pressure to the back of the heel during athletic activity can bruise the heel. This often is mistaken for an Achilles tendon injury because the heel is close to the tendon. A bruised heel will hurt to walk on and feel tender. If you are experiencing a bruised heel, ice the area daily and put very little weight on it until it has healed.

Tendon Rupture

• The Achilles tendon is quite strong, but severe accidents can result in an injury that requires orthopedic surgery. A full rupture splits the Achilles tendon so that it no longer connects with the calf muscle, typically immobilizing the person. If there is a chance that your Achilles tendon is torn, consult a doctor immediately.