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).
Integrated Case Management Services (ICMS) ICMS functions in the belief that adults with serious and persistent mental illness can better manage their illness, increase their functioning and improve their sense of mastery and well being with appropriate information and support.
The NIMS is the essential foundation to the National Preparedness System (NPS) and provides the template for the management of incidents and operations in support of all five National Planning Frameworks. Use the images below for direct links to all pages within the NIMS website.