Achilles TendinitisAchilles tendinitis impacts the Achilles tendon or the heel cord. The Achilles tendon is a very strong and large cord of the body running from the knee back to the heel and used for walking. It gives the foot the support to walk, as we would not be able to raise the heels without it.

Pain in the heel is one of the symptoms along the tendon when walking or running. Pain and stiffness may also be experienced in the morning.

Facts Of Achilles Tendinitis

Causes and Risks

If you are an athlete and have taken part in sports, such as squash, football, and tennis and so on, you might have experienced sudden starts or a sudden stop. These are the risk situations for being affected by Achilles tendinitis, especially if you are not properly conditioned. You might be affected by it if you don’t wear the right footwear during such sports. In addition, Achilles tendonitis rupture could also occur if the ground is slippery or not even.  If you take up such an activity without warming up or if you overdo the activity, you tend to suffer from Achilles tendinitis.

In addition, those who are not used to exercising much and suddenly start a strenuous exercise regimen are also at high risk. This is because after a period of inactivity, the tendons tend to become stiff and not flexible. Women wearing high heels are also at higher risk. When they wear high heels continually, the tendon becomes shorter and adapts itself, but if the person goes back to wearing flat heels, the tendon gets stretched suddenly and this can result in swelling. Do some stretching exercises in the morning before wearing the high heels for such cases. Moreover, Achilles tendinitis can also be a genetic condition and one could be born with the problem.

Common Overuse Injury

  • Retrocalcaneal bursitis: Inflammation of the retrocalcaneal bursa, sparing tendon,
  • Paratenonitis: Paratenon inflammation,
  • Achilles tendinitis: Acute inflammation of the tendon with paratenon inflammation,
  • Tendinosis: Intrasubstance degeneration of the tendon,
  • Location: Noninsertional (several centimeters above attachment to the calcaneus) versus insertional (at insertion point on the posterior calcaneus)

Dealing with the Stress

One can usually detect the signs of such stress to the tendon and experience heel cord pain, either during exercise or after it. In some cases, there is swelling, redness and irritation in the area. You might also find it painful while walking, especially while climbing. There might be pain while stretching the area and a general stiffness in the mornings. When the Achilles tendon is under extreme pressure, you could even sense a cracking sound.

Though there are several treatment options, such as resting the leg, compressing it, elevating it and so on, these don’t always work in severe cases. You might need to put the leg in a case for a few months and in more severe cases, Achilles tendonitis could even necessitate surgery. In extreme cases, you may also need a long rehabilitation before your leg can come back to normal. However, the most important thing to remember is that if you start experiencing heel cord pain, the first step to take would be to give your feet rest. Just apply the RICE treatment – consisting of resting, isolation, compression of the foot and elevation. Continue to do this till the pain subsides.

Treatment Options

How to prevent it?

Yes, heel cord pain can be prevented by developing a defense against it. You should set up a daily practice of warming up and stretching of about ten minutes, before your daily physical activities. Never overdo the physical activities. Jogging and jumping would also suffice be effective in preventing Achilles tendinitis. Always keep to the limits and wear the right type of footwear, with the footwear being designed for the particular sport.

Cure For Achilles Tendonitis.

Physical Examination:

  • Check for pain on dorsiflexion of the ankle,
  • localize the pain by palpating the tendon,
  • Is the tendon sheath swollen,
  • Apply Thompson test to rule out tendon rupture,
  • Lab test,
  • Imaging,

Make an appointment with us today. The sooner you start seeking consultation with our doctor, the sooner you’re rid of Achilles Tendonitis.

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