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Achilles Tendon Pain Treatment in Fort Lauderdale

Ultrasound diagnosis and non-surgical, image-guided care with Dr. Jorge A. Gonzalez, MD, triple board-certified

Pain, tightness or swelling at the back of the heel or lower calf usually comes from the Achilles tendon, the thick cord that connects the calf muscles to the heel bone. It is common in runners, weekend athletes and adults who suddenly increase their activity.

At the Institute of Regenerative Orthopedics & Sports Medicine (IROSM), Dr. Jorge Gonzalez, MD at IROSM in Fort Lauderdale uses in-office ultrasound to see whether the tendon is irritated, thickened or torn, and builds a non-surgical plan for appropriate candidates.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online
Achilles Tendon Tear on Ultrasound | Fort Lauderdale | Dr. Jorge Gonzalez, IROSM
Important Notice from IROSM: Achilles tendon care is a customized medical treatment led by Dr. Jorge Gonzalez. A thorough clinical evaluation at IROSM in Fort Lauderdale determines whether a loading program, an image-guided injection, or a surgical referral best fits your Achilles tendon.

What Causes Achilles Tendon Pain?

Achilles tendon pain usually comes from one of these problems:

  • Achilles tendinopathy (tendonitis): overuse irritation and wear of the tendon, felt a few inches above the heel or where it attaches to the heel bone.
  • Partial Achilles tear: a small tear in a worn tendon that causes pain and swelling.
  • Achilles rupture: a full tear, often with a pop and the feeling of being kicked in the back of the ankle.

Common triggers include a sudden jump in running or jumping, tight calves, poor footwear, and age-related tendon wear. Dr. Gonzalez evaluates Achilles pain at IROSM in Fort Lauderdale to tell these apart, because the treatment for each is different.

Achilles Cramp or Achilles Tendon Pain?

A calf or Achilles cramp is a sudden, tight squeeze of the calf muscle that often comes on at night or during exercise and eases within minutes with stretching. Achilles tendon pain is different. It tends to feel stiff first thing in the morning, hurt at the start of activity, and ache along the tendon itself.

Frequent cramps with tendon tenderness, swelling or a thick spot on the tendon are worth an exam. Sudden pain higher up in the calf is often tennis leg, a calf muscle tear, rather than an Achilles problem. A sudden pop with trouble pushing off the foot needs prompt care, as it can mean a rupture.

How Achilles Tendon Problems Are Diagnosed at IROSM

Diagnosis of Achilles tendon pain at IROSM in Fort Lauderdale starts with a hands-on exam of the tendon, calf and heel. Dr. Gonzalez then uses in-office ultrasound to look at the tendon in real time. Ultrasound shows swelling, thickening, small tears and full ruptures, and lets Dr. Gonzalez watch the tendon move as you flex your foot.

In the video at the top of this page, Dr. Gonzalez shows what an Achilles tendon tear looks like on ultrasound. Learn more about ultrasound for orthopedics and sports medicine.

Achilles Tendonitis Treatment Without Surgery in Fort Lauderdale

Most Achilles tendon pain is treated without surgery. At IROSM in Fort Lauderdale, a plan may include:

Tendon Loading Exercises

A guided program of slow calf-strengthening exercises is the first-line treatment for Achilles tendinopathy and is supported by research.

Activity, Footwear and Heel Lifts

Cutting back on running and jumping for a while, supportive shoes and small heel lifts can reduce strain on the tendon.

Image-Guided PRP Injection

For pain that lasts despite a full exercise program, a PRP injection placed with ultrasound guidance may be considered. See PRP therapy in Fort Lauderdale.

Orthobiologic and Stem Cell Injections

For some patients, injections using your own (autologous) cells prepared in our Advanced Regenerative Lab may be an option. See orthobiologic treatments.

Research on injections for Achilles tendinopathy is mixed (see below), so Dr. Gonzalez explains the evidence before recommending one. Achilles treatment is not right for every patient, and results vary. Candidacy is decided at an in-person evaluation. In this video, an athlete shares his experience with regenerative treatment for an Achilles injury at IROSM.

Achilles Injury and Stem Cell Therapy | Fort Lauderdale Athlete Story | IROSM

When Is Achilles Tendon Surgery Considered?

Surgery may be considered for a full Achilles rupture, especially in active people, or for long-lasting tendon pain that has not improved after a full course of non-surgical care. Some ruptures are also treated without surgery using a special boot and a structured rehab plan. If surgery is the better fit for you, Dr. Gonzalez will explain why and help with a referral to a foot and ankle surgeon.

Heel and ankle pain can also come from nearby problems. See plantar fasciitis and ankle arthritis treatment in Fort Lauderdale.

What the Research Says About Achilles Tendinopathy Treatment

  • Exercise-based treatment: In a randomized trial of people with Achilles tendinopathy, two different calf-strengthening programs both led to good, lasting improvement in pain and function at one year. Beyer R, et al. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. Am J Sports Med. 2015;43(7):1704-1711. View the study.
  • PRP compared with a sham: In a large randomized trial of chronic midportion Achilles tendinopathy, a single PRP injection did not improve tendon function more than a sham procedure at 6 months. Evidence for injections in Achilles tendon pain is still developing. Kearney RS, et al. Effect of Platelet-Rich Plasma Injection vs Sham Injection on Tendon Dysfunction in Patients With Chronic Midportion Achilles Tendinopathy: A Randomized Clinical Trial. JAMA. 2021;326(2):137-144. View the study.

Achilles Tendon Pain Treatment in Fort Lauderdale

Providing Achilles tendon pain and injury evaluation and treatment to residents in Fort Lauderdale, Oakland Park, Tamarac, Lauderdale Lakes, Plantation, Pompano Beach, and Broward County. For our Hialeah office, se habla español.

Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
3333 West Commercial Blvd, Suite 101
Fort Lauderdale, FL 33309
Phone: (954) 751-6990

Frequently Asked Questions About Achilles Tendon Pain at IROSM

What causes Achilles tendon pain?

What causes Achilles tendon pain?
Achilles tendon pain is most often caused by overuse irritation and wear of the tendon (tendinopathy), a partial tear, or a full rupture. Sudden increases in running or jumping, tight calves and poor footwear are common triggers.

Is it an Achilles cramp or Achilles tendonitis?

Is it an Achilles cramp or Achilles tendonitis?
An Achilles or calf cramp is a sudden muscle squeeze that eases within minutes. Achilles tendonitis usually causes morning stiffness, pain at the start of activity and tenderness along the tendon. Ongoing symptoms should be checked with an exam and ultrasound.

Can Achilles tendonitis be treated without surgery?

Can Achilles tendonitis be treated without surgery?
Yes, most Achilles tendonitis is treated without surgery. A guided calf-strengthening program is the first-line treatment, along with activity changes and footwear. At IROSM in Fort Lauderdale, image-guided injections may be considered for pain that lasts, and results vary.

Is there an injection for Achilles tendonitis?

Is there an injection for Achilles tendonitis?
Yes. For Achilles pain that lasts despite exercise, PRP or orthobiologic injections placed with ultrasound guidance may be considered at IROSM in Fort Lauderdale. Research on these injections is mixed, so Dr. Gonzalez reviews the evidence with you first. Corticosteroid injections into the Achilles tendon are generally avoided.

Is stem cell therapy an option for the Achilles tendon?

Is stem cell therapy an option for the Achilles tendon?
For some patients with long-lasting Achilles tendon pain, orthobiologic injections using your own (autologous) cells may be an option. Candidacy is decided at an in-person evaluation, and evidence is still developing.

Do I need surgery for an Achilles tendon tear?

Do I need surgery for an Achilles tendon tear?
Not always. Full Achilles ruptures are treated either with surgery or with a special boot and rehab plan, depending on the person. Partial tears are usually treated without surgery. Dr. Gonzalez will explain your options and refer you if surgery is the better fit.

Is Achilles treatment covered by insurance?

Is Achilles treatment covered by insurance?
Coverage depends on the treatment and your plan. Office visits, ultrasound and physical therapy are often covered, while PRP and other regenerative injections usually are not. Our team explains costs clearly before any treatment begins.

Do I need a referral to be seen at IROSM?

Do I need a referral to be seen at IROSM?
It depends on your insurance. Many HMO, Medicare Advantage and Medicaid plans need a referral from your primary care doctor before you see a specialist. Please check with your plan, or call us at (954) 751-6990 before your visit to confirm.

Find Out What Is Causing Your Achilles Pain

Triple board-certified · Fellowship-trained at the Andrews Institute · Fort Lauderdale & Hialeah

Schedule a consultation with Dr. Jorge Gonzalez at IROSM in Fort Lauderdale for an in-office ultrasound and a clear plan for your Achilles tendon pain.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online
Dr. Jorge A. Gonzalez, MD
Medically reviewed by: Dr. Jorge A. Gonzalez, MD
Institute: Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
Last reviewed: September 2026

Disclaimer: This content is for general educational purposes and does not constitute formal medical advice. Individual patient outcomes will vary. Achilles tendon treatment at IROSM in Fort Lauderdale requires a clinical examination by Dr. Jorge Gonzalez to establish candidacy. Serving Fort Lauderdale, Pompano Beach, Plantation, and surrounding Broward County communities.