Achilles Tendonitis is an inflammation with pain on motion in the back of the heel where the Tendo Achilles inserts. The pain starts with the morning’s first steps and then gets worse with increased activity. Often due to excess activity or wearing unhealthy heels, this problem presents as either acute or chronic. X-rays or MRI studies reveal the extent of the problem which can include bursitis, bone bruises as well as partial or complete tears of the tendon. Treatment includes injection therapy, reduced activity and the use of higher heeled shoes temporarily as well as OTC anti-inflammatory oral meds and topicals can be helpful, but if pains and disability increases, it is wise to get a professional opinion as delays can cause greater injury. Injection therapy and prescription medication, when combined with a strapping, soft cast or a CAM Walker for immobilization usually allows healing while maintaining activity but if there is a tear, a cast or surgical repair may be necessary.