Insertional Achilles tendinitis involves the lower portion of the heel, where the tendon attaches (inserts) to the heel bone. In both noninsertional and insertional Achilles tendinitis, damaged tendon fibers may also calcify (harden).Bone spurs (extra bone growth) often form with insertional Achilles tendinitis.ommon symptoms of Achilles tendinitis include: 1  Pain and stiffness along the Achilles tendon in the morning. 2  Pain along the tendon or back of the heel that worsens with activity. 3  Severe pain the day after exercising. 4  Thickening of the tendon. 5  Bone spur (insertional tendinitis).
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