Does Achilles tendinitis cause heel pain?

The lower Achilles tendon attaches to the heel bone. Repeated strain can irritate this area and cause tenderness, stiffness, or aching at the back of the heel. Pain may be more noticeable when taking the first steps after rest, walking uphill, running, or lifting the heel from the floor. Pain under the heel has a different pattern and may involve other structures. A clinician can assess the tender spot, ankle movement, calf strength, and footwear to clarify the source.

Pause or reduce activities that repeatedly provoke the pain, particularly hills, sprinting, jumping, and long walks on hard surfaces. Choose supportive shoes and avoid sudden changes in footwear or training. Gentle ankle movement is usually more useful than complete stillness, but stop if it sharply increases symptoms. If pain continues or interferes with work, exercise, or sleep, arrange an assessment for a paced strengthening programme.

Seek prompt care after a sudden pop or snap, new weakness when standing on the toes, pronounced swelling, or bruising at the back of the ankle. Urgent review is needed if you cannot walk safely or if the area becomes hot and red with fever. A heel wound, numbness, or rapidly increasing pain should also be assessed without delay.

Ask whether the pain is at the tendon attachment or beneath the heel, what footwear and activity changes may help, and how to start strengthening. Explain whether symptoms are worse after rest, during exercise, or with direct pressure from a shoe.