WHAT IS IT? ACHILLES TENDINITIS
Achilles tendinitis is characterised by inflammation and thickening of the Achilles tendon over a gradual period of time. On palpation and ultrasound assessment of the paratendon, swelling, crepitus and discomfort can be detected.
WHAT CAUSES IT?
Irritation of the Achilles tendon can be due to the following factors:
Over pronation of the feet
Tight calf muscles
Poor tensile strength through the tendon and calf muscles
Hypomobile ankle and subtalar joints
Overtraining or change in intensity, duration, frequency Incorrect or poor footwea
Previous Achilles strain or rupture
HOW TO SELF MANAGE
In paratendinitis you want to reduce swelling, so rest and ice to the area is advised. A heel raise can also be useful to help offload the tendon.
This condition requires prompt management, as the tendon can remain thick and inflamed. This then has the potential to progress into a more degenerative condition referred to as Achilles Tendinopathy.
HOW PHYSIO HELPS?
Your physiotherapist can further reduce swelling using treatment including massage, deep transverse frictions, taping, exercise prescription and electrotherapy modalities.
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