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Managing Achilles Tendinopathy

11 September 2024

Managing Achilles Tendinopathy

person_outlineVanessa Adams
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What is Achilles Tendinopathy?

Achilles Tendinopathy is a condition caused by repetitive stress and microtrauma to the Achilles tendon. The Achilles connects the calf muscles to the heel bone. This condition is common among both athletes and non-athletes. Specifically those that like running, football, and tennis.

Symptoms of Achilles Tendinopathy

Common symptoms include swelling and pain around the tendon. You may notice stiffness after periods of inactivity. Pain is often worse in the morning or during/after physical activity. These symptoms can make everyday activities, such as walking or climbing stairs, challenging.

Who is at Risk?

Achilles Tendinopathy is more prevalent in men over 30. Being overweight and having underlying inflammatory conditions like diabetes are also risk factors. Additional risk factors include:

  • Weak or tight calf muscles
  • Poor biomechanics
  • Stiff joints in the foot
  • Poor core stability impacting the hip and knee

Training Errors That Can Lead to Achilles Tendinopathy

Certain training mistakes can increase the risk of developing it, such as:

  • Running too far/ fast too soon
  • Increasing distances too quickly
  • Wearing inappropriate or ill-fitting footwear
  • Excessive hill running

Osteopathic Treatment

Osteopathic treatment can play a crucial role in managing Achilles pain. During your assessment, I will identify any structural imbalances or dysfunctional movement patterns contributing to the condition.

My treatment can include:

  • Soft tissue techniques
  • Joint mobilizations
  • Muscle energy techniques
  • Articulations and manipulations
  • Dry needling (when appropriate)

Self-Care Tips

  • Footwear: Avoid flat, hard, or unsupportive shoes that can exacerbate symptoms. A small heel lift in both shoes may provide relief.
  • Pain Management: Apply cold packs or ice wrapped in a towel for up to 15 minutes, four times a day, to reduce pain and swelling.
  • Activity Modification: Consider cross-training activities like swimming, Pilates, or weight training that don’t aggravate symptoms.

Recovery Time

Recovery times for Achilles Tendinopathy vary based on the severity of the condition and the patient’s medical history. Acute cases may resolve within 6-8 weeks with early treatment and correct exercises. Chronic cases, where tendon degeneration has occurred, may take 6 months or longer to heal.

Need Help?

If you’re struggling with Achilles Tendinopathy, I am here to help. Contact us at 0208 394 0393 or book an appointment online.

Vanessa Adams

Vanessa Adams author

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