In the condition Achilles tendonitis, pain is located at the heel's back, within the heel cord (normally at the base or the thinnest part).
Normally this discomfort increases when walking or running.
The pain comes from inflammation within the tendon itself.
Because it can be an early sign of an Achilles tendon rupture, it is best to rest and seek care, especially if you’re a passionate athlete.
The pain is generally sharp and often throbs after exercise. In 10% of cases, swelling might be present. In other situations, there can be an inflammation without swelling, heat, or even redness. In these chronic (long-standing) conditions, the term Tendinosis is more appropriate.
Subtle training errors often cause the cause. Most suffers are runners or sportsmen and normally in their 30’s or 40’s.
- Two forms of the condition are recognized (Insertional and Non-Insertional);
While each type typically requires the same treatments (ESWT being the gold standard these days), each type defines a slightly different type of repetitive strain to the Achilles cord.
Defining your type often helps discover the error and fix the appropriate aggravator or avoid future injury catalysts
Small tears in the middle fibres of your tendon start to break it down. This minor tearing causes discomfort and thickening. This type of tendonitis usually affects active, younger adults.
Interestingly, the Achilles cord/tendon's design is an hour-glass shape, i.e. tapering in the middle. And it is at this thinner tapered location where we tend to see the tears.
This damage happens in the location where your tendon, the heel cord, meets your heel (AKA the calcaneal) bone.
Bone spurs (extra bone growth) can also form with this type giving a bumpy appearance.
The Insertional Achilles tendonitis type of tendonitis can happen at any age, even in people who are not active.
Achilles tendonitis gets fantastic results with the Achilles Treatment Protocol and rehab programme designed by our practitioners at the Foot Pain Clinic Wimbledon.
Each module of therapy is written for your specific type of Achilles tendonitis.
We use Shock Wave Therapy treatment to stimulate your Achilles Tendon crisis, and the results are excellent! Shock wave treatment is typically employed as the primary measure when clients have suffered for over eight weeks, and no positive changes are seen.
Stability of the foot is paramount in non-insertional cases of Achilles tendonitis but don't worry, less than 5% of the case require a boot or cast. Instead, we focus on education, subtle taping techniques and foot re-education and strengthening exercises.
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