Treatment for Achilles Tendinitis. Like most athletic injuries, Achilles tendinitis should be treated as early as possible. It is also helpful to apply ice four or five times a day for 20 to 30 minutes. Gentle stretches may also help reduce the pain and spasms. If the calf is swollen, elevating the leg is recommended.
Exercise is safe when the heel is no longer swollen or tender, even if pain is still present.
If pain increases with exercise, however, the person should stop immediately. If pain continues, the ruptured tendon will require a cast and perhaps surgery. Surgery requires a long incision with a postoperative period of immobilization that can average six weeks. Complications can include a significant surgical scar, infection, and muscle atrophy. Less invasive techniques are being tested.