How Long Does Achilles Tendonitis Pain Last?

Jul 02, 2025

While most common in athletes, Achilles tendonitis can strike anyone. Recovery can be long and painful, especially for people who don't seek help right away. Read on to learn its symptoms, treatments, and potential recovery times.

We all know being active is good for us which makes it all the more frustrating when an injury like Achilles tendonitis occurs.

If you or a loved one is experiencing sudden or recurring pain in the back of the calf or above the heel, it's important to get it checked out to help ensure the fastest and fullest recovery possible.

Our expert podiatric surgeons at Advanced Care Foot and Ankle in Corona and Ontario, California, provide patient-centric care for a wide range of foot and ankle concerns including arthritis, plantar fasciitis, Achilles tendonitis, and more. Whether your issue is an acute injury or a chronic condition, we personalize our treatment plans to utilize both conservative and cutting-edge protocols depending on the individual and their situation.

The Achilles tendon

The Achilles tendon is the largest and strongest tendon in the body and connects the calf muscles to the heel bone. It gives us our ability to push off for important movements like walking, running, and jumping. It can also be a relatively common place for an injury.

Achilles tendonitis

Achilles tendonitis can occur from a sudden injury, such as while playing basketball, football, soccer, or tennis. However, it is more often the result of overuse and is particularly common in runners. About a quarter of athletes will experience it at some point in their lives.

Symptoms

Tendonitis occurs when the tendon becomes inflamed or irritated. Symptoms can include one or more of the following:

Pain and stiffness

Pain in the Achilles tendon or back of the heel can occur in the morning, along with stiffness, and it may worsen with activity. Wearing shoes can also cause discomfort in the back of the heel. Severe pain may be experienced the day following exercise.

Swelling

Swelling may be constant or get worse when active or as the day goes on.

Other changes

The tendon may thicken or a bone spur may form.

Healing and recovery

Healing from an injury requires fluid and nutrients delivered by the blood. However, tendons are made up of fibrous tissue and don't get as much blood flow as muscles. This makes them both more likely to get injured and slower to heal. Plus, the Achilles tendon is large which also requires more recovery time.

Pain from Achilles tendonitis can last for several months especially when people have had ongoing symptoms. Typical treatments include the RICE method (rest, ice, compression, and elevation) with possible additions like medication, particular footwear, exercises, and physical therapy.

If pain continues past the six-month mark, surgery may be necessary.

Whether you have pain in the back of your lower leg or heel or already suspect you may have Achilles tendonitis, it's important to get a diagnosis and begin treatment as quickly as possible, since the more you delay, the longer and more difficult recovery will be.

We can help. Click to book an appointment or call the Corona office at 951-735-8806 or the Ontario office at 909-983-5710 today.