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Achilles Tendonitis
It is estimated between 5-20% of all running injuries are Achilles Tendonitis. The Achilles tendon, which is the largest tendon in the body, connects the calf muscles (Gastrocnemius and Soleus) to the heel bone (Calcaneus). Inflammation and irritation can occur due to overuse leading to pain and potential tearing of the tendon.
Risk Factorsmore common as we agepoor flexibility in the calf musclesover pronation of the foot / flat footarthritislonger second toe (Morton's Toe)tightly or poor fitting shoes, especially those that place pressure on the tendonrunning on concrete or asphalt
Symptomspain and in the back of the heel, especially in the morningswelling in the back of the heelincreased pain after inactivitytenderness approximately 1.5 inches above the heelpain with movements such as walking, running or jumping, especially uphillpain worse with pushing off the toeimproves with restmay be able to feel lumps in the tendon approximately 2 centimeters above the heel
Treatmentsresticeheel lift or ankle support (pictured to the left), temporary aid while tendon healsconservative sports chiropractic caresoft tissue therapy / massagetapingnon-steroidal anti-inflammatory drugs (NSAIDs)stretchingcortisone injectionssurgery
Preventionperform regular exercises to improve flexibility of the calf musclesstretch before and after activitywear proper fitting shoesavoid sudden changes in workout / training
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