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Nov 16, 2007 - Achilles TendinitisBack
ACHILLES TENDINITIS
Definition:
Achilles tendonitis can cause inflammation and degeneration of the achilles tendon. The Achilles tendon is the large tendon located in the back of the leg that inserts into the heel. The condition usually develops gradually without a history of trauma or injury. The pain can be a shooting, burning, or even extremely piercing. Achilles tendonitis should not be left untreated, as there may be a danger that the tendon can become weak and rupture.
Achilles Tendonitis is aggravated by activities that repeatedly stress the tendon. In some cases even prolonged periods of standing can cause symptoms. It is a common problem often experienced by athletes. Achilles Tendonitis is a difficult condition to treat in athletes due to their high level of activity and reluctance to stop or slow down their training.
Individuals who suffer from achilles tendonitis often complain that their first steps out of bed in the morning are extremely painful. Another common complaint is pain after steps are taken following long periods of sitting. This pain often eases with activity.
Cause:
There are several factors that can cause achilles tendonitis. The most common of which is overuse and/or over-pronation. Over-pronation occurs in the walking process, when the arch collapses upon weight bearing, adding stress on the achilles tendon.
Other factors that lead to achilles tendonitis are over supination which also places an excessive strain on the tendon, improper shoe selection, inadequate stretching prior to sporting activities, a short achilles tendon, direct trauma (injury) to the tendon, and heel bone deformity.
Treatment & Prevention:
The need to incorporate a thorough stretching program to properly warm-up the muscles cannot be over stressed. Athletes should decrease the distance of their walk or run, apply ice after the activity and avoid any uphill climbs. If symptoms persist a medical and biomechanical assessment should be performed. Treatment may include the following:
• An evaluation of your footwear
• A tailored stretching programe
• The provision of prescription foot orthotics
• Modified activity and Physiotherapy
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