Achilles tendon guide

Achilles tendinitis treatment online in Virginia and West Virginia

This guide is for gradual pain above the heel from running or activity, not for a sudden pop with inability to push off, or calf swelling and warmth.

Start online

Start a $59 online review for Achilles tendinitis.

Review for adults with gradual pain and stiffness in the Achilles tendon above the heel that came on with running, walking, or a change in activity, and who can still stand on the toes of that leg: load management, a heel lift, a home eccentric calf program, and at the physician's discretion a bounded topical or screened oral anti-inflammatory course composed by hand.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Morning stiffness and aching 2 to 6 cm above the heel
Eases with warm-up, returns after running or long walks
Recently increased training or changed shoes

May fit online care

Adults 18 and older
Can still rise onto the toes of that leg
No sudden pop, snap, or gap in the tendon
No calf swelling, warmth, or redness
No fever or wound over the tendon

Look for another care setting

A sudden pop or snap, inability to rise onto the toes of that leg, or a gap you can feel in the tendon
One-sided calf swelling, warmth, or redness, or chest pain or shortness of breath
A hot, red, swollen ankle with fever, or a wound over the tendon
New numbness or weakness in the foot, or heel bruising

What to have ready

Recent changes in running volume, hills, or footwear
Whether you can still rise onto your toes on that leg
Any fluoroquinolone antibiotic or steroid use in the past 3 months
How many weeks the pain has lasted

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Why does a recent antibiotic matter?

Fluoroquinolone antibiotics (like ciprofloxacin or levofloxacin) and steroid courses in the past 3 months raise the risk of tendon rupture, so recent use of either changes how this is managed.

What is the home program?

Reducing running, hills, and speed work for 2 to 4 weeks, a heel lift or supportive shoes, and eccentric calf raises — 3 sets of 15 twice daily for 12 weeks — are the foundation, with ice after activity.

What would mean a possible tendon rupture?

A sudden pop or snap, inability to rise onto the toes of that leg, or a gap you can feel in the tendon needs an examination the same day, not online review.

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