Achilles Tendonitis
What is Achilles Tendonitis?
Achilles Tendonitis is an overuse injury causing inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. This condition is common in athletes, particularly runners and those involved in sports that require sudden starts and stops.
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Mechanism of Injury:
Achilles tendonitis typically develops due to repetitive stress on the tendon, often from:
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Overuse: Repetitive activities such as running, jumping, or dancing can lead to microtears in the tendon.
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Sudden Increase in Activity: A rapid increase in exercise intensity or duration, especially without adequate warm-up, can strain the tendon.
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Tight Calf Muscles: Limited flexibility in the calf muscles places additional stress on the Achilles tendon.
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Improper Footwear: Wearing shoes that do not provide adequate support or cushioning, particularly during high-impact activities.
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Flat Feet or Overpronation: These conditions can increase stress on the Achilles tendon during movement.
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Symptoms
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Pain and Stiffness: Pain along the back of the leg, near the heel, which often worsens with activity and may be most noticeable in the morning or after periods of rest.
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Swelling: Swelling along the tendon, sometimes accompanied by a visible lump or thickening of the tendon.
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Tenderness: Tenderness when pressing on the Achilles tendon, particularly just above the heel.
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Limited Mobility: Stiffness and a decreased range of motion in the ankle, making it difficult to walk or perform activities involving the calf muscles.
Treatment
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Assessment: A comprehensive examination to determine the severity of the condition, including testing for tenderness, range of motion, and strength in the affected leg.
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Dry Needling: Used to release tightness in the calf muscles and stimulate healing in the tendon.
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Ultrasound Therapy: Applied to the Achilles tendon to reduce inflammation, promote blood flow, and accelerate tissue healing.
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Massage: Focused on the calf muscles and Achilles tendon to relieve tightness, improve circulation, and reduce pain.
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Hot Stones: Applied to the calf muscles to relax them and ease tension, indirectly reducing stress on the Achilles tendon.
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Cupping: Used around the calf to enhance blood flow, reduce muscle tightness, and promote healing in the tendon.
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Rehabilitation Plan: A personalised exercise program designed to gradually strengthen the calf muscles and Achilles tendon, improve flexibility, and correct any biomechanical issues. This may include eccentric strengthening exercises for the calf muscles, stretching routines, and recommendations for proper footwear and activity modification.