Treatment for tendonitis in foot and ankle

Tendons are bands of tissue at the end of each muscle that attach to the bone. When they become overused or injured, you get inflammation around the tendon, called tendonitis. If left untreated, tendonitis can lead to continued inflammation, chronic pain and dysfunction, and sometimes tearing or partial tearing of the tendons.

Bursas are small, fluid-filled sacs that form cushions between your bones and other body parts like muscles, tendons or skin. When a bursa becomes injured or inflamed, it is called bursitis. Bursitis can cause muscle deterioration and limited movement in your ankles or feet.

Tendonitis and bursitis can cause swelling and inflammation in joints that are injured or overused. As mentioned, overuse, strain and frequent, repetitive motion may cause bursitis and tendonitis. ​However, in some cases, infection, sudden injury or abnormal foot structure may also be the cause.

The most common types of tendonitis and bursitis in the feet and ankles are:

Achilles tendinitis—affects your Achilles tendon—a fibrous band of tissue that links the muscles in your calf to your heel. When your Achilles tendon becomes swollen, inflamed and irritated, it is called Achilles tendinitis.

Flat feet—happens if the tendons of your feet become loose or worn out due to aging, injuries or illness. Flatfoot is also called posterior tibialis tendon dysfunction or PTTD. It’s one of the most common problems of the ankles and feet.

High arches—these can make you prone to overuse injuries. Because a smaller portion of your foot touches the ground, high arches make poor shock absorbers, which can cause issues like pain and swelling in your feet and ankles.

Tendonitis is when a tendon swells (becomes inflamed) after a tendon injury.

It can cause joint pain, stiffness, and affect how a tendon moves.

You can treat mild tendon injuries yourself and should feel better within 2 to 3 weeks.

How to treat tendonitis yourself

Follow these steps for 2 to 3 days to help manage pain and to support the tendon.

  • Rest: try to avoid moving the tendon for 2 to 3 days.
  • Ice: put an ice pack (or try a bag of frozen peas wrapped in a tea towel) on the tendon for up to 20 minutes every 2 to 3 hours.
  • Support: wrap an elastic bandage around the area, use a tube bandage, or use a soft brace. You can buy these from pharmacies. It should be snug, not tight.

It's important to take a bandage or brace off before going to bed.

When you can move the injured area without pain stopping you, try to keep moving it so the joint does not become stiff.

To help prevent further injury or pain, try to avoid:

  • heavy lifting, strong gripping or twisting actions that make the symptoms worse
  • playing sports, until the tendon has recovered

A pharmacist may help with tendonitis

A pharmacist can recommend the best painkiller for you. Paracetamol and ibuprofen can help to ease pain.

They may also recommend a nonsteroidal anti-inflammatory (NSAID) cream or gel you rub on your skin.

Find a pharmacy

Symptoms of tendonitis

There are tendons all over your body. They connect your muscles to bones in your joints, for example, in your knees, elbows and shoulders.

The main symptoms of tendonitis are:

  • pain in a tendon that gets worse when you move
  • difficulty moving the joint
  • feeling a grating or crackling sensation when you move the tendon
  • swelling, sometimes with heat or redness

Non-urgent advice: Go to a minor injuries unit or see a GP if:

  • your symptoms do not improve within a few weeks
  • you're in a lot of pain
  • you think you have ruptured (torn) a tendon

If the pain is sudden and severe, and happened during an accident or activity, you may have ruptured a tendon. You might have heard a popping or snapping sound when the pain started.

If your tendon is ruptured, you may be referred to a specialist for assessment.

You may be referred to hospital for an X-ray or scan if your doctor thinks you may have another injury, such as a broken bone.

Find a minor injuries unit

Treatment for tendonitis from a GP

A GP may prescribe a stronger painkiller or suggest you use a NSAID cream or gel on your skin to ease pain.

If the pain is severe, lasts a long time, or your movement is limited, you may be referred for physiotherapy. You can also choose to book appointments privately.

If physiotherapy does not help, you may be referred to a doctor who specialises in muscles and bones (orthopaedic specialist) or a local musculoskeletal clinic.

Some people with severe tendonitis may be offered:

  • steroid injections, which may provide short-term pain relief (this cannot be offered for problems with the achilles tendon)
  • shockwave therapy, which may help with healing
  • platelet rich plasma injections (PRP), which may help with healing
  • surgery to remove damaged tissue or repair a ruptured tendon

Find a physiotherapist

Preventing tendon problems

Tendonitis is usually caused by sudden, sharp movements or repetitive exercise, such as running, jumping or throwing.

Tendonitis can also be caused by repetitive movements, or having poor posture or technique while at work or when playing a sport. This is known as repetitive strain injury (RSI).

You cannot always prevent tendonitis. But there are things you can do to help reduce the chance of a tendon injury.

Do

  • warm up before exercising and gently stretch afterwards

  • wear supportive shoes for exercise, or insoles

  • take regular breaks from repetitive exercises

Don’t

  • do not over-exercise tired muscles

  • do not start a new sport without some training or practice

  • do not do the same repetitive exercises

Video: what is tendonitis?

This animation explains what tendonitis is and what causes it.

Media last reviewed: 1 April 2021
Media review due: 1 April 2024

Page last reviewed: 15 July 2020
Next review due: 15 July 2023

How long does it take for tendonitis to heal in the foot?

Tendonitis is when a tendon swells (becomes inflamed) after a tendon injury. It can cause joint pain, stiffness, and affect how a tendon moves. You can treat mild tendon injuries yourself and should feel better within 2 to 3 weeks.

What is the fastest way to heal tendons in the foot?

How is foot tendonitis treated?.
Rest: Stop physical activity to avoid further damaging the tendons in your foot..
Ice: Put an ice pack or cold compress on your foot for up to 20 minutes at a time. ... .
Compression: Reduce swelling by applying a compression bandage or wrap around the injured tendon..

What is the fastest way to heal tendonitis in the ankle?

The first line of treatment is resting the ankle. Your healthcare provider may also suggest shoe inserts or other orthotics, anti-inflammatory medication, or physical therapy. Stretching your muscles before exercise is a good way to prevent tendonitis.

How long does it take for tendonitis in the ankle to heal?

Peroneal tendinitis generally takes 6-8 weeks to improve and early activity on a healing tendon can result in a set back in recovery. Non-compliance can double the recovery time and can be very frustrating for patients. Early and aggressive conservative treatment is recommended to prevent further tendon injury. Dr.