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Achilles tendonitis

Achilles tendonitis

Achilles tendinitis in an overuse injury of the calcaneal “Achilles” tendon, the band of tissue that connects calf muscles at the rear of the lower leg to the heel bone.

 

Achilles tendonitis most frequently affects runners who abruptly increase their run length or intensity. It’s also typical among middle-aged individuals who participate in weekend-only activities like basketball or tennis.

 

Under your doctor’s guidance, most cases of Achilles tendinitis can be treated with reasonably straightforward at-home care. Self-care techniques are usually required to stop recurrent episodes. Severe Achilles tendinitis can result in tendon ruptures which may need surgery.

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Causes

 Severe or recurring Achilles tendon strain.

 Age-related weakening of the Achilles tendon.

Physical issues

An Achilles tendon may be more strained if your foot has a naturally flat arch. Tight calf muscles and obesity can also exacerbate tendon strain.

Medical conditions

Achilles tendonitis is more common in people with high blood pressure and psoriasis

SYMPTOMS

 After jogging or other physical exercise, Achilles tendinitis pain usually starts as a slight aching in the back of the leg or above the heel. More intense pain episodes could happen after sprinting, stair climbing, or extended running. 

 

 Additionally, you may feel soreness or stiffness, particularly in the morning, although these normally go away with light exercise.

TREATMENTS

 If over-the-counter pain relievers like naproxen (Aleve) or ibuprofen (Advil, Motrin IB, etc.) don’t work well enough, your doctor may recommend stronger drugs to relieve inflammation.

A physical therapist may recommend one or more of the following courses of treatment: 

  • Exercises. Therapists frequently recommend particular stretching and strengthening activities to encourage the healing and strengthening of the Achilles tendon and its supporting components. It has been shown that “eccentric” strengthening—a unique type of strengthening that involves a slow let down of a weight after raising it—is particularly beneficial for chronic Achilles issues. 

  • Orthotic devices. A shoe insert or wedge that raises your heel just a little bit may reduce stress on your Achilles tendon and subject it to less force.

If your Achilles tendon is damaged and several months of more conservative therapy are ineffective, your doctor may refer you to surgeon for a consulation.

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