Achilles Tendonitis

With Achilles tendon problems it is important to find out whether it is an inflammation or an overload. At Foot First Podiatry & Acupuncture we can see which complaint pattern suits you and help you with this.

Achilles tendon pain & Achilles tendon complaints

Achilles tendon pain can have various causes.
The Achilles tendon is strongly influenced by the position of the foot and it
walking pattern. Also shoes and loads during sports, for example
an important role. When an imbalance occurs, the Achilles tendon can
become overloaded and cause complaints. The podiatrist can then advise you
about intensity of exercise, giving shoe advice or podiatry
measuring and/or taping soles.

What is Achilles tendon pain?

Pain in the Achilles tendon is often seen in athletes (football players, runners).
but also in children and the elderly. The Achilles tendon is located
at the back of the leg and attaches to the heel bone and the
calf muscles. The complaints are usually accompanied by an unfavorable one
foot position, gait pattern, muscle length and/or overload of the
Achilles tendon and the calf musculature.

Achilles tendonitis or Achilles tendon overload?

Achilles tendon complaints can arise for various reasons.
There is almost always overload of the Achilles tendon. If it
When it comes to Achilles tendonitis, we are talking about an Achilles tendon
tendonitis, we call it an Achilles tendon overload
Achilles tendonitis.

What are the complaints of Achilles tendonitis or Achilles tendon overload?

Pain in the Achilles tendon usually localizes 4-5 cm above it
heel bone or at the attachment of the Achilles tendon to the heel bone.
In the presence of inflammation, there is often a clear thickening
palpable at the painful point. Often there is a sharp, stabbing and
burning pain is present that is usually palpable in the morning
starting up or under load after sitting for a while. This is what we call
start-up complaints. After walking a few steps, the pain becomes worse
fewer. The complaints usually worsen after prolonged strain or exercise
to. In most cases, the complaints decrease during rest.

What causes Achilles tendon pain?

Achilles tendon injuries can occur due to various causes.
The Achilles tendon is usually overloaded due to disturbed movement
of the foot. Due to blockages of the foot or ankle joint, it becomes
heel bone lifted off the ground too early, causing the Achilles tendon to strain
must deliver higher and sometimes longer lasting forces. With a flat foot or
a foot position with an inward or outward tilted midfoot
the tensile forces on the Achilles tendon are often increased. because of this
Small tears occur in the Achilles tendon, causing irritation
to arise. This usually causes pain in the Achilles tendon. We see this in athletes
often that shortened calf muscles can cause a
Achilles tendon overload or Achilles tendonitis occurs.
With a long-term Achilles tendon injury, the Achilles tendon may
becomes thickened and Achilles tendonitis can develop. Execute it
from improper warm-up before exercising and wearing
Wrong (sports) footwear can be a contributing factor
cause or aggravate Achilles tendon injury.

Symptoms of Achilles tendon complaints

  • Disturbed movement of the foot and blockage of the foot and ankle joint.
  • Shortened calf musculature.
  • Too little stretching of the legs during office work.
  • Wrong warm-up athletes, football players, runners.
  • Wrong footwear.

What can you do for Achilles tendon pain?

Achilles tendon injuries usually do not go away on their own. Often the
complaints get worse the longer you walk with them. It is therefore advisable
to seek help when you recognize the symptoms. Complaints will
usually occur due to disturbed movement of the foot during exercise
to walk. This could be due to blockages of the foot and
ankle joints, which affects the function of the foot joints and the
movement of the foot is hindered. The unfavorable foot position will
most likely affect foot function and excessive
pulling forces on the Achilles tendon.

Treatment of Achilles Tendon Pain:

At Foot First Podiatry we will firstly determine the cause of the
investigate and investigate complaints. Using a custom
made orthopedic sole which is manufactured with a very
advanced 3D laser scan and manual therapy will
the function of the foot and ankle can be improved. In combination
with muscle stretching exercises and training advice, the pulling forces on the
Achilles tendon and calf muscles. With tape, for the time being, the
tension of the Achilles tendon and calf musculature can be reduced.
You can also opt for treatment in combination with:
(electro)acupuncture, dry needling, cupping or supplements. Often becomes
Suitable shoe advice was also given. This will cause the complaints
gradually decrease. After 6 weeks there will be a check-up appointment
take place. Sometimes there is a multidisciplinary approach together with the
physiotherapist needed. This will be discussed thoroughly with the client
take place under the supervision of the podiatrist and physiotherapist.

It is expected that the complaints will usually be between 50% – 70%
reduce after about 4-6 weeks.

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