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The stress may be due to: Overuse of the tendon Degeneration of the tendon Intense physical activity A sudden increase in activity Tight calf muscles Bone spurs or extra bone growth Types of Achilles Tendinitis Based on which part of the tendon is affected, Achilles tendinitis can be differentiated into: Insertional Achilles tendinitis: In this type, the lower portion of the tendon, where it attaches (inserts) to the heel bone is inflamed due to bone spurs

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23 Once an initial acute gout attack has occurred, further attacks are likely to follow