This usually occurs in the middle aged. It is due to an "inflammation" of the tendon, or the sheath of the tendon. Inflammation and pain can also occur at the tendon insertion into the heel bone, or within the tissue behind the tendon.
There is pain and usually swelling.
A careful examination is essential. Ultrasound or MRI scans will help diagnose the cause of the pain.
Initially, physiotherapy and orthotics (insoles) are helpful. In some patients surgery is required.
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