Recently, we have seen an increased prevalence in patients presenting with Achilles tendonitis. There are several factors that contribute to pain in one’s heel or achilles tendon.
Overuse is one common cause. You should never ignore pain if it is consistent and persistent. It is easier to treat an acute injury completely than it is to treat a condition once it becomes chronic.
Foot mechanics play a heavy role in why some people develop Achilles tendonitis. When the sub talar joint in the ankle is functioning in neutral you are less likely to develop an Achilles tendon injury when running or cycling. If you pronate and your sub talar joint turns medial with heel strike to toe off, it creates friction of the tendon. Overuse of that improper mechanics leads to inflammation, micro-tears and continuous thickening of the sheath.
To treat Achilles tendonitis, you have to have your foot mechanics evaluated by a health care professional. Ice, rest and the use of modalities i.e. cold laser and or ultrasound, can significantly reduce your pain. To prevent Achilles tendonitis, ensure you have proper sneaker wear when running and proper running mechanics. Additionally, if you are found to pronate, you may benefit from a custom made orthotics to be worn in your sneakers or shoes.
