February 2012 - NewsletterAchilles Tendonitis – February 2012

Achilles tendonitis describes pain in the posterior aspect of the heel and calf which can be an acute or chronic condition. Tendonitis is defined as inflammation of a tendon due to being placed under extreme and rapid forces. These forces in the Achilles region may be caused by activities such as running, soccer, basketball or tennis. Achilles tendonitis is the most common overuse injury of the lower leg.

Factors which may contribute to Achilles tendonitis are lack of stretching, over-training, hill training, weakness in the gastrocnemius musculature, weakness in muscles supporting the arch, poor arch support and/or dysfunction in other parts of the lower extremity. Symptoms of Achilles tendonitis are pain in the posterior aspect of the lower leg/heel which is exacerbated by activity. Sometimes stiffness and swelling may occur as well. Pain may be experienced before, after or during activity depending on level of irritation.

Stages of Achilles Tendonitis:
• Type 1: Characterized by pain that is only experienced after activity or the morning when getting or of bed. Experts suggest reducing your exercise by 25% if you are in this category
• Type II: Characterized by pain which occurs both during and after exercise, but does not affect performance. Experts suggest reducing activity by 50%
• Type III: Characterized by pain during and after activity that does affect performance. Experts suggest temporarily discontinue activity

Conservative intervention of Achilles tendonitis would include RICE (rest, ice, compression, elevation) within with first 48-72 hours. More chronic tendonitis would want to incorporate stretching and strengthening of the Achilles/calf, correction of any other lower extemity issues such as knee pain or low back pain, correct foot wear and use of orthotics.

Do not allow pain and dysfunction to limit your activities. Contact us at Cresswell Physical Therapy and we can advise on a specific regimen to assist your healing. Pick up a business card on our office door located in the front office of Sun Oaks. Set up an appointment. We can assist you with all matters of medical referral, insurance, etc. We look forward to helping you stay in your sport. Call us at 244-7686.