Achilles Tendonitis

Achilles tendonitis causes inflammation and degeneration of the Achilles tendon. The Achilles tendon is the large tendon located in the back of the leg that inserts into the heel. The pain caused by Achilles tendonitis can develop gradually without a history of trauma. The pain can be a shooting pain, burning pain, or even an extremely piercing pain. Achilles tendonitis should not be left untreated due to the danger that the tendon can become weak and ruptured.

Achilles tendonitis is aggravated by activities that repeatedly stress the tendon, causing inflammation. In some cases, even prolonged periods of standing can cause symptoms. It is a common problem often experienced by athletes, particularly distance runners. Achilles tendonitis is a difficult injury to treat in athletes due to their high level of activity and reluctancy to stop or slow down their training.

There are several factors that can cause Achilles tendonitis. The most common cause is over-pronation. Over-pronation occurs in the walking process, when the arch collapses upon weight-bearing, adding stress on the Achilles tendon.

Other factos that lead to Achilles tendonitis:

Improper shoe selection

Inadequate stetching prior to engaging in athletics

a short Achilles tendon

direct trauma to the tendon

heel bone deformity

Athletes, particularly runners, should incorporate a thorough stretching program to properly warm-up the muscles. They should decrease the distance of their walk or run, apply ice after the activity and avoid any uphill climbs. Athletes should use an orthotic device for extra support. An orthotic device can be used to control over-pronation, support the longitudinal arch and reduce the stress on the Achilles tendon.