Monday, December 28, 2009

Achilles Tendonitis – It’s a pain in the ‘heel’!

As the cold weather is upon us and we begin to wear closed back shoes again after a long summer of those dreaded ‘flip flops’, many members of the Central Illinois community will experience pain in the back of their heels while walking. This is due to a condition commonly referred to as Achilles tendonitis (ITIS means ‘inflammation’).

The Achilles tendon is the largest and strongest tendon in the human body and can withstand forces of 1,000 pounds or more. It also is the most frequently ruptured tendon, usually as a result of a sports injury. Both professional and weekend athletes may suffer from Achilles tendonitis, a common overuse injury and inflammation of the tendon.

Events that can cause Achilles tendonitis may include:
  • Hill running or stair climbing.
  • Overuse, stemming from the natural lack of flexibility in the calf muscles.
  • Rapidly increasing mileage or speed when walking, jogging, or running.
  • Starting up too quickly after a layoff in exercise or sports activity, without adequately stretching and warming up the foot.
  • Trauma caused by sudden and/or hard contraction of the calf muscles when putting out extra effort, such as in a sprint.
  • Improper footwear and/or a tendency toward over pronation. (I.E. your foot turning ‘inward’ as you walk)

Achilles tendonitis often begins with mild pain after exercise or running that gradually worsens. Other symptoms include:

  • Recurring localized pain, sometimes severe, along the tendon during or a few hours after running.
  • Morning tenderness about an inch and a half above the point where the Achilles tendon is attached to the heel bone.
  • Sluggishness in your leg.
  • Mild or severe swelling.
  • Development of a bony ‘spur’ on the back of your heel – leading to comfort issues with shoegear.
  • Stiffness that generally diminishes as the tendon warms up with use.

Stay tuned to Thursday's Foot for Thought for treatment of Achilles Tendonitis.

If you are experiencing pain in your foot or heel, please feel free to contact me at 309-661-9975 or at our website.

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