Achilles tendonitis

Achilles tendonitis is a very common problem in athletes who run a lot as part of their training routine, especially on the hard road. It is more common in older athletes. Achilles tendon injuries tend to heal more slowly as they do not have a direct blood supply and rely on blood filtering in from the blood supply from the sheaths that are around the tendon. The main site for the injury is 2-3 centimetres above the insertion into the heel bone, where the blood supply is at its lowest.

Achilles tendonitis is generally caused by a combination of factors. The most common is overuse, that is just doing too much running or doing something like too much too soon when they should be building up slowly. Tight calf muscles are also considered a risk factor as they put more strain on the tendon. Running shoes that are worn out are also considered a risk factor. Abnormal foot biomechanics is also a factor in increasing the load on the achilles tendon.

Treatment for Achilles tendonitis usually starts with some rest or activity modification (such as substituting swimming for running); using with ice to reduce swelling; and maybe some anti-inflammatory medication. A heel raise is also often used. Achilles tendonitis foot orthotics are sometimes needed to alter foot biomechanics to make the running more efficient. Running shoes will need to be looked at to ensure that they are appropriate. A gradual return to full running needs to be carefully planned so as to prevent recurrence.

Medical advice should be sort by all those with achilles tendonitis.