Achilles Tendonitis

Dull or sharp pain anywhere along the back of the tendon. But usually just above the heel bone.

The Achilles tendon connects the two major calf muscles in to the heel bone (calcaneus). The Achilles tendon is responsible for, amongst other things, enabling you to stand on your tiptoes and push off when running and jumping.

Sports that involve rapid acceleration such as football, sprinting and basketball put the Achilles tendon under severe strain. Inflammation and pain in this area is usually as a result of excessive prolonged tension in the tendon.

Causes

• Failure to warm up and warm down the calf muscles before and after exercising.
• Changing from daily high-heeled shoes wear to flat shoes.
• Over pronation (rolling in) of the feet. Excessive pronation increases the stress on the Achilles tendon.

Treatment

Initial treatment involves rest, ice and anti-inflammatory medication.

Temporary rigid strapping can be applied to reduce the pull on the tendon.

If the Achilles tendon is found to be tight, stretching exercises for the gastrocnemius and soleus muscles should be attempted.

Heel lifts can be made to elevate the heel and reduce the strain on the tendon.

Sports massage can prove to be of benefit.

If excessive pronation is evident, custom made Foot Orthotics will help to reduce the excessive torque on the tendon and alleviate the symptoms.

Note

However mild the symptoms, treatment should be sought immediately as prolonged inflammation of the Achilles tendon could develop and lead to complete rupture!

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