Achilles tendonitis is a common issue among long-distance runners and other athletes, which occurs when the Achilles tendon, located at the back of the foot, becomes irritated and inflamed.
Causes of Achilles Tendonitis
- Tightness in the Achilles tendon: limited flexibility in the Achilles tendon can lead to increased stress and strain during physical activities, resulting in irritation and inflammation.
- Overpronation of the foot: overpronation, characterized by excessive inward rolling of the foot during movement, can cause abnormal stress on the Achilles tendon, contributing to inflammation and discomfort1.
Symptoms of Achilles Tendonitis
- Pain behind the heel, particularly after periods of rest or inactivity.
- Swelling and tenderness in the Achilles tendon area2.
- Stiffness and limited range of motion in the ankle joint.
Treatment Options
Effective management of Achilles tendonitis involves a multifaceted approach aimed at:
- reducing inflammation,
- alleviating pain, and
- promoting healing.
Treatment options may include:
- rest,
- ice for inflammation,
- therapeutic ultrasound,
- dry needling,
- stretching and strengthening exercises,
- eccentric strengthening, and
- acupuncture3.
Comprehensive rehabilitation programs guided by our trained therapists focus on strengthening supporting muscles, improving mobility, and preventing future injuries.
References
- Karzis, K., Kalogeris, M., Mandalidis, D., Geladas, N., Karteroliotis, K., & Athanasopoulos, S. (2017). The effect of foot overpronation on Achilles tendon blood supply in healthy male subjects. Scandinavian Journal of Medicine & Science in Sports, 27(10), 1114–1121. https://doi.org/10.1111/sms.
12722 - Medina Pabón MA, Naqvi U. Achilles Tendinopathy. [Updated 2023 Aug 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/
books/NBK538149/ - Malliaras, P. (2022). Physiotherapy management of Achilles tendinopathy. Journal of Physiotherapy, 68(4), 221–237. https://doi.org/10.1016/j.
jphys.2022.09.010