Achilles Equinus Treatment Options (Non-Surgical and Surgical)


Achilles Equinus Treatment Overview


What is Equinus (Tight Achilles Tendon)?

Equinus or tight Achilles tendon is a condition in which the upward bending of the ankle joint is limited. Someone with equinus lacks the flexibility in their ankle joint and can occur in one or both feet.

People with tight Achilles tendon develop ways to “compensate” for their limited ankle motion. Individuals can compensate by picking up the heel early when walking (early heel off) leading to “toe walking”, picking up the heel early when walking, and this often leads to other foot, leg, or back problems.


What Causes of Tight Achilles Tendon

  • Tightness of gastrocnemius muscle (calf muscle)
  • Tightness of soleus muscle
  • Conginetal (present at birth)
  • Long cast immobilization
  • Use of crutches
  • Wearing high heel shoes
  • Lack of stretching exercises
  • Neurological (spastic) disorder


What Foot Problems Are Related to Equinus (Tight Achilles Tendon)

  • Plantar fasciitis (arch/heel pain)
  • Calf cramping
  • Achilles Tendonitis
  • Metatarsalgia (pain on the ball of the foot)
  • Callus formation on the ball of the foot
  • Flatfoot deformity
  • Midfoot arthritis
  • Ulcer (pressure sore) to the ball of the foot
  • Bunions
  • Hammertoes
  • Shin Splints


Diagnosis of Equinus (Tight Achilles Tendon)

To diagnose equinus, the foot and ankle surgeon will evaluate the ankle’s range of motion when the knee is flexed (bent) as well as extended (straightened). Less than 10 degrees of ankle dorsiflexion is considered tight Achilles tendon (equinus)


Achilles Equinus Treatment (Non-Surgical)

  • stretching exercises that lengthen Achilles tendon
  • Night Splints shopping cart
  • Physical therapy
  • Topical pain relieving gel shopping cart


Achilles Equinus Treatment (Surgical)

In some cases, surgery such as Achilles tendon lengthening or gastrocnemius recession may be needed to correct the cause of equinus.