Achilles Tendonitis

Achilles tendonitis can develop due to a variety of factors, primarily stemming from overuse or repetitive strain on the tendon. It is commonly seen in athletes, especially those who engage in activities like running, jumping, or hill climbing. According to a study published in the British Journal of Sports Medicine, Achilles tendon injuries account for around 9-18% of all running-related injuries, making it one of the most common tendinopathies among athletes (source).

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When the tendon is overstressed, it can become irritated, leading to inflammation and pain. There are two primary types of Achilles tendonitis:

• Acute Achilles Tendonitis: This type of tendonitis occurs after overuse, often from training too intensely or too quickly. It is commonly linked to activities performed on hard surfaces or uphill, which place excessive stress on the tendon.

• Chronic Achilles Tendonitis: If acute Achilles tendonitis is left untreated or not managed properly, it can develop into a chronic condition. Chronic tendonitis is characterized by recurring pain and inflammation in the tendon, and often requires more advanced treatment options to fully heal.

If you’re experiencing Achilles tendonitis, you may notice the following symptoms:

• Pain in the tendon during physical activity, especially while running or warming up.

• Swelling over the Achilles tendon, which can cause visible puffiness at the back of the ankle.

• Redness on the skin above the tendon, indicating inflammation.

• A sensation similar to a creaking or grating feeling when pressing the tendon and moving the foot, which may indicate a rough texture or buildup within the tendon.

If these symptoms sound familiar, it’s important to seek treatment at Hazba Medical Center to prevent the condition from worsening or becoming chronic.

The treatment for Achilles tendonitis varies based on the severity and duration of the condition. At Hazba Medical Center, our specialists offer a comprehensive range of treatments designed to reduce pain, promote healing, and prevent future injuries. Common treatment options include:

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• Immobilization: Resting the tendon is critical for recovery. This may involve using a cast or a removable walking boot to limit movement and reduce strain on the tendon during the healing process.

• Ice Therapy: Applying ice to the tendon can help reduce swelling and inflammation. Cold therapy is especially effective in the early stages of Achilles tendonitis.

• NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): Medications such as ibuprofen can help alleviate pain and reduce inflammation in the tendon. These are typically recommended for short-term use during flare-ups.

• Physical Therapy: At Hazba Medical Center, our physical therapists employ various techniques, including strengthening exercises, soft-tissue massage, and ultrasound therapy to promote healing and improve mobility. Gait re-education and specific stretching exercises can help realign the tendon and reduce the risk of re-injury.

• Orthotics: The use of custom-made foot orthotics and heel elevation can relieve stress on the tendon and improve walking mechanics, offering significant pain relief and facilitating the healing process.

 

In some cases, if conservative treatments do not yield sufficient results, surgical intervention may be necessary to repair the tendon or remove any damaged tissue.

Preventing Achilles tendonitis involves a combination of proper training techniques and taking steps to reduce stress on the tendon. At Hazba Medical Center, we recommend the following strategies:

• Warm-Up Properly: Prior to physical activities, always warm up your muscles and tendons with stretching exercises to prepare them for strenuous activity.

• Gradual Training Progression: Avoid sudden increases in intensity or duration of physical activity. Gradually build up your training to allow your muscles and tendons time to adapt.

• Wear Supportive Footwear: Proper shoes with adequate arch support and cushioning can reduce the strain on your Achilles tendon. Orthotics can also be beneficial if you have a history of tendon issues.

• Rest and Recovery: Allow adequate time for recovery between intense workouts to prevent overuse injuries. If you start to experience any discomfort in your Achilles tendon, take a break and seek professional advice from a specialist.

If you experience persistent pain, swelling, or discomfort in the Achilles tendon, especially after physical activity, it’s important to seek treatment early.

Left untreated, Achilles tendonitis can lead to more severe complications, including chronic tendon damage, reduced mobility, and even the risk of tendon rupture. Early intervention is key to avoiding these long-term effects and ensuring a full recovery.

• Achilles tendonitis is a common condition caused by overuse, especially in athletes.

• It can be classified into acute or chronic forms, depending on the duration and severity of symptoms.

• Treatment typically involves rest, ice therapy, physical therapy, and, in some cases, surgery.

• Prevention focuses on proper training, footwear, and recovery techniques to avoid strain on the tendon.

If you are experiencing symptoms of Achilles tendonitis, don’t wait for the condition to worsen. Contact Hazba Medical Center today to schedule a consultation and begin your treatment plan to get back on your feet!