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Achilles
Tendonitis
Definition
Achilles Tendonitis causes 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 pain caused by achilles
tendonitis can develop gradually without a history of trauma. The
pain can be a shooting pain, burning pain, or even an extremely piercing
pain. Achilles tendonitis should not be left untreated due to the
danger that the tendon can become weak and ruptured.
Achilles Tendonitis is aggravated by activities that repeatedly stress
the tendon, causing inflammation. In some cases even prolonged periods
of standing can cause symptoms. It is a common problem often experienced
by athletes, particularly distance runners. Achilles Tendonitis
is a difficult injury 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 after long periods of sitting.
This pain often lessens with activity.
Cause
There are several factors that can cause achilles tendonitis. The
most common cause is 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 improper shoe selection, inadequate stretching
prior to engaging in athletics, a short achilles tendon, direct trauma
(injury) to the tendon, and heel bone deformity.
Treatment
and Prevention
Athletes, particularly runners, should incorporate a thorough stretching
program to properly warm-up the muscles. They should decrease the
distance of their walk or run, apply ice after the activity and avoid
any up hill climbs. Athletes should use an orthotic device, heel
cup, or heel cradle for extra support.
A heel cup or heel
cradle elevates the heel to reduce stress and pressure on the achilles
tendon. The device should be made with light-weight, shock absorbing
materials. An orthotic device can be used to control over-pronation,
support the longitudinal arch, and reduce stress on the achilles tendon.
If the problem
persists, consult your foot doctor.
Back
to List of Foot Conditions
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