Symptoms Tendocalcaneal bursitis usually begins with pain and irritation at the back of the heel. There may be visible redness and swelling in the area. The back of the shoe may further irritate the condition, making it difficult to tolerated shoewear. Achilles tendonitis usually occurs further up the leg, just above the heel bone itself. The achilles tendon in this area may be noticeably thickened and tender to the touch.
Pain is present with walking especially when pushing off on the toes.
Finally, achilles tendon rupture is usually an unmistakable event. Some bystanders may report actually hearing the snap, and the victim of a rupture usually describes a sensation like someone kicked me in the calf. Following rupture there may be swelling in the calf and there is usually no ability to raise up on the toes. Diagnosis Diagnosis is almost always by clinical history and physical examination. With this machine, we are able to slice through the area we are interested in and see the tendons and ligaments very clearly.