What is Achilles Tendonitis?
Achilles tendonitis is a common running injury. It can be related to the runner:
- Having tight calf muscles
- Having high foot arches
- Doing speed training
- Doing hill repeats
Achilles Tendonitis Symptoms
The runner will describe pain that occurs behind their ankle near where the achilles tendon attaches to their heel bone. The pain usually gets progressively worse with speed or distance and can prevent one from running.
3 Minute Video: Achilles Tendonitis vs. Achilles Tendonosis
Tendinitis can correct itself using rest, ice, compression and elevation. The problem, he said, is that many athletes – runners in particular – often keep running…Without the proper rest needed for the condition to heal, Achilles tendinitis can evolve into a condition called Achilles tendonosis.
Conditions Similar to Achilles Tendonitis/Tendonosis:
- Achilles Bursitis
- Haglund’s Deformity
- Achilles Entheseopathy
- Achilles Tendonsis
3 Minute Video: What is Achilles Tendonosis?
Achilles Tendonitis: Common Treatments
Runners will usually describe a scenario where they iced and took anti-inflammatory medication combined with stretching but the achilles pain has gradually worsened.
Sometimes the runner not only has achilles tendonitis but retrocalcaneal (heel) bursitis. Heel bursitis is a very painful condition that complicates the treatment of achilles tendonitis. Some of the “quick-fixes” that runners try are:
- Heel lifts in the shoe to alleviate achilles tightness
- Achilles compression wraps
- Compression socks
- New shoes that have an increased heel-toe height ratio
- Custom orthotics
I have not seen any of these “quick-fixes” for achilles pain work most of the time. Custom orthotics can be very effective for a variety of running injuries, but they are not the first choice in treatment for achilles tendonitis.
Achilles Tendonitis: Effective Treatment Methods
The most effective self-help tool I have seen help achilles tendonitis is a proper achilles stretching outine, rest from running and then when pain free instituting an aggressive strengthening program that focuses on the “negative” aspect of a typical calf raise. By performing achilles eccentrics or “negatives” the runner will strengthen their achilles tendons and hopefully prevent future achilles problems.
Other effective techniques for treating achilles tendonitis and achilles tendonosis include:
- Ultrasound technology to heat, vibrate, and break down scar tissue
- Scar tissue must be broken down and then normal tissue formed in proper alignment
- Muscle stretches to re-align new tissue
- Alter-G Anti-Gravity Treadmill
Dr. Runco’s Suggestions for Achilles Tendonitis
If you have been suffering from heel or ankle pain or have been diagnosed with achilles tendonitis and it is not getting better stop by the San Diego Running Institute.
Our running specialists can provide you with more information on your condition and they may refer you to Dr. Victor Runco. Dr. Runco is a foot/ankle specialist and has helped hundreds of runners and non-runners with chronic achilles tendonitis. If you prefer to just schedule an appointment with Dr. Runco call (858) 268-8525.