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| Achilles
Pain (Achilles
Tendonitis) |
Medical Etiology: (information for health
professionals)
Definition:
Inflammation of the Achilles
Tendon, commonly found in athletes.
Symptoms:
The
patient presents with a sharp and nagging pain above the heel.
Limited ankle flexibility and inflammation over the affected area
are often present.
Biomechanical aetiology:
Achilles Tendonitis commonly occurs from shearing
and tractional forces placed on the Achilles Tendon at the back of
the heel. The calf muscles assist inversion of the calcaneus at heel
lift. When a condition occurs where the foot accelerates into an
excessively pronated position and the calcaneus is everted, there�s
an increase in medial tendo-achilles traction and this results in
transverse shearing of the tendon and sheath - this commonly leads
to inflammation and pain. Often, a lumpy build-up of scar tissue
occurs. This mechanism has been linked to Sever�s Disease, Restless
Leg Syndrome and �growing pains� etc.
Treatment:
By
preventing excess subtalar joint pronation orthotics reduce medial
tendo-achilles traction, therefore helping to alleviate the
problem.
Additional treatment: Ice therapy (15 minutes, 3 times a
day), rest from running.
Exercises:
� Achilles
stretch - stand with legs straight on balls of your feet
on a
curb or rung of ladder. Drop heels down and hold position
for
20-25 seconds per leg in extended & flexed positions.
�
Stretching of the calf muscles
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