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  • More
    • Home
    • Golf
      • Herniated Disc
      • Shoulder Bursitis
      • Rotator Cuff Tendinitis
      • Golfer's Elbow
    • Cross Country
      • Achilles Tendinopathy
      • Shin Splints
      • Plantar Fasciitis
      • Runner's Knee
      • Iliotibial Band Syndrome
    • Tennis
      • Carpal Tunnel Syndrome
      • Labral Tear
      • Patellar Tendonitis
      • Tennis Elbow
  • Home
  • Golf
    • Herniated Disc
    • Shoulder Bursitis
    • Rotator Cuff Tendinitis
    • Golfer's Elbow
  • Cross Country
    • Achilles Tendinopathy
    • Shin Splints
    • Plantar Fasciitis
    • Runner's Knee
    • Iliotibial Band Syndrome
  • Tennis
    • Carpal Tunnel Syndrome
    • Labral Tear
    • Patellar Tendonitis
    • Tennis Elbow

Achilles Tendinopathy

Achilles tendinopathy is an umbrella term for injuries involving both acute and chronic inflammation of the Achilles tendon, which is the tendon that connects your calf muscles to your heel bone. Two broad categories exist under Achilles tendinopathy: tendinosis and tendinitis. Tendinosis describes a degenerative change in the tendon, which makes the tendon easier to break. Tendinitis, on the other hand, is an inflammatory process that can result from overuse, lack of training, or even trauma. 


The general mechanism of action resulting in any Achilles tendinopathy is an imbalance between the power of the calf muscles and the ability of the Achilles tendon to stretch to meet the power demand, which can happen in both athletes and non-athletes. In athletes, repetitive motions can place chronic stress on the Achilles tendon and cause symptoms. 

Symptoms

  • Swelling over and around the Achilles area
  • Pain in the morning (improves with movement) 
  • Subtle visible changes of the outline of the Achilles tendon (may become thicker)

When to see a doctor

  • When pain is persistent despite conservative treatment
  • Inability to bear weight/walk on the injured leg 
  • Significant stiffness/swelling 

Prevention

  • Eccentric exercise therapy (e.g. heel drop on the stairs)
  • Toe-to-wall stretch
  • Soleus stretch 
  • Towel calf stretch 
  • Gradual progression of running distance and speed 
  • Conducting proper warm-ups and cool-downs before and after running 
  • Choosing appropriate runnning shoes 

Recovery

  • RICE (rest, ice, compress, and elevate)
  • NSAIDS (like ibuprofen) to reduce swelling 
  • Calf strengthening exercises, especially eccentric heel drops

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