Achilles Tendonitis

What is Achilles Tendinitis?

Achilles tendinitis is a micro fibre strain and inflammation of the Achilles tendon. The Achilles is the bodies strongest and largest tendon. It connects your Gastrocnemius (Calf) muscles to the Calcaneus (heel bone). This tough tendon allows the foot to roll heel to toe and propel off the forefoot.

There are two regions of pain and inflammation. Insertion at the Calcaneus and mid fibre or non-insertional. In both instances micro-fibre tears become inflamed and can, over time calcify.

Causes

Achilles tendinitis is caused by repetitive or intense strain on the Achilles tendon. There is rarely one specific cause, but is generally associated with overuse from work and sport. The Achilles tendon can weaken with age, making it more susceptible to injury, especially in people who are active intermittently. Tight Gluteal muscles, Hamstrings and Calf muscles increase strain on the Achilles tendon. We have also identified excessive twisting and strain of the tendon attachment caused by a deviation inward of the heel bone (Calcaneus).

Symptoms

• Pain and tightness in the morning

• Aching in the back of the leg or above the heel

• Pain after running or during quick movement sports

• Acute pain for several days after activity

• Bony spurs can develop at the base of the heel bone

Treatment

After 20 years and several thousand patients the most effective treatments are:

• Icing

• Stretching tight leg muscles

• Appropriate footwear

• Rest

• Avoiding intermittent activity

• Increase activity gradually

A good Sports Physiotherapist combined with our Kraedl Insoles, rest and icing will resolve most cases. Attempting to stretch an Achilles will further aggravate the injury. It is non-elastic tissue.