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Ironworks

Achilles Tendonitis Treatment

Achilles tendonitis treatment in Rolesville, NC. Shockwave therapy, PRP, stretching, and custom orthotics at Ironworks. Relief without surgery.

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Do You Have Any of These Symptoms?

If any of this sounds familiar, you’re in the right place. Call us or request an appointment online, and we’ll take a look.

Pain along the back of your heel or the Achilles tendon itself

Stiffness in the heel, especially first thing in the morning

Pain that starts when you begin exercising, eases, then returns after

A noticeable lump or thickening along the tendon

Difficulty pushing off or rising up on your toes

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You’re Not Alone, and You Have Options

The vast majority of Achilles tendonitis cases resolve without surgery.

Achilles tendonitis is inflammation or degeneration of the Achilles tendon, the thick band connecting your calf muscle to your heel. It’s especially common in runners, weekend athletes over 40, and anyone who suddenly ramps up activity. The pain is usually at the back of the heel or a few inches above it, and it’s often worst in the morning or at the start of exercise.

How we treat it

Rest, ice, and activity modification (first-line)

Eccentric calf stretching program

Custom orthotics with heel lifts to reduce tendon load

Extracorporeal shockwave therapy (ESWT) for chronic cases

PRP injections for tendinosis that hasn't responded to conservative care

Surgery, only for ruptures or severe long-standing cases

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What to Expect at Your First Visit

Your first visit for Achilles tendonitis focuses on confirming the diagnosis, then designing a stepped treatment plan.

Plan on 45 to 60 minutes. Wear athletic shorts or pants that roll up above the knee, and bring the shoes you wear most.

Discussion of when the pain started, what makes it worse, and what you've tried

Physical exam of the tendon, calf, and ankle

Diagnostic ultrasound in-office to check for tendon damage

Immediate start of a targeted stretching and loading program

Assessment for custom orthotics or heel lifts if needed

Discussion of shockwave or PRP if the condition is chronic

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Why Choose Ironworks

Ironworks is Rolesville’s dedicated podiatry and advanced wound care practice, serving Wake Forest, Youngsville, and the surrounding communities with the specialized, personal care you shouldn’t have to travel to Raleigh or Durham to find.

Board-certified wound physician and podiatric surgeon with advanced training in foot and ankle medicine and surgery

In-office digital X-ray diagnosis and treatment in a single visit

Two specialties under one roof: foot and ankle care plus advanced wound healing

Same-day appointments for new patients with urgent issues

A local practice with small-practice attention: you'll see the same doctor each visit

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Frequently Asked Questions

Most cases improve significantly within 6–8 weeks with proper treatment. Chronic or long-standing cases can take 3–6 months.

In mild cases, modified running (shorter distances, softer surfaces, avoiding hills) can be okay. Pain that increases during or after exercise is a sign to back off.

Tendonitis is acute inflammation, typically short-term and responds to anti-inflammatory treatment. Tendinosis is a chronic degenerative condition of the tendon without much inflammation, it needs different treatment (loading exercises, shockwave, PRP) rather than just anti-inflammatories.

Usually not. Diagnostic ultrasound in our office typically provides enough information to guide treatment.

Yes, generally. Cortisone injections directly into the Achilles tendon increase the risk of rupture and are avoided for that reason.

Ready to get started?

New patients are welcome, and most major insurance is accepted. Call us, request an appointment online, or stop by our Rolesville office. We’ll take care of the rest.

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