ACHILLES TENDONITIS (TENDONOSIS)

Definition: Achilles Tendinitis or Tendinosis is a painful degenerative, overuse syndrome of the thickest and strongest tendon in the human body. The Achilles tendon attaches the calf muscle (gastrocnemius and soleus) to the back of the heel bone (calcaneus).

Function: The Achilles Tendon is responsible for plantar flexion (same movement that occurs when you point your foot) and therefore important for activities such as walking, running, jumping, climbing.

Mechanism of Injury

The Achilles tendon is prone to injury because it is used in all weight bearing activities and in many sports. Micro tearing of the tendon often results from intensive repetitive activities especially which are predominantly eccentric in nature. The Achilles tendon also does not have a good blood supply, so injury can be slow to heal.

Signs & Symptoms

  • Pain at the attachment point (insertion) at the back of the heel, or in the mid-portion of the tendon (approx 1.5 cm above the heel)
  • Gradual development of symptoms include: pain that occurs in the tendon or insertion while exercising or a couple of hours after, morning stiffness and pain with increased activity level
  • Swelling or formations of a bump at back of heel or thickening within tendon, as well as some Achilles tendons 'creak' when touched or moved.

Causes

  • Can be caused by sudden increase in training volume or intensity/overuse
  • Lack of flexibility or improper stretching prior to injury
  • Decreased strength or endurance
  • Flat or high arched feet
  • Excessive hill running
  • Improper/overworn footwear
  • Drastic change in footwear heel height
  • Pedorthic Treatments

Custom made Orthotics are one of the most effective methods to reduce your symptoms and pain. They are able to redistribute and load the foot in a different way in order to decrease the stress put onto the ankle bones and long arches. Pedorthists use interventions such as a deep heel cups, and a stabilizing arch support. Proper footwear is just as important as the orthotic to recovery. Talk to your Pedorthist about proper footwear choices for you.

Other Treatment

STRETCHING: calf stretch HEAT/ICE: 10- 15 minutes to relieve pain and reduce swelling.
OTHER TREATMENT may include pain medication, physiotherapy, massage therapy, dorsi-flexion night splint.

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Waterloo Region Small Business Centre

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600 Princess St #102, Woodstock, ON N4S 4H4, Canada

(519) 539-1344

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Michelle Carlisle

5 out of 5 stars

posted 3 months ago

Darlene is amazing!!!!!! So professional! She cares and it shows! My orthotics changed my life, I've been pain free for 6 years thanks to foot by...

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Unreal place. They fixed my aching feet. I could barely walk anymore till I made the appointment. I would recommend this place to everyone. Give them...

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Darlene was very professional and friendly. She was gentle with my feet and spent some time explaining what I needed and how to help my feet feel...

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posted a year ago

Darlene was very thorough and professional. She explained our options and listened to our needs. Delivery and follow up was also fantastic! We will...

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I was very impressed with the service I received and how kind they where with helping me. I have a lot of problems with my feet and am so help that I...

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Gillian Planta
Gillian Planta

5 out of 5 stars

posted 3 years ago

Janine Dietrich
Janine Dietrich

5 out of 5 stars

posted 3 years ago

Jane is very professional, friendly, knowledgeable, and makes great orthotics!

Jenna-Leigh Caetano
Jenna-Leigh Caetano

5 out of 5 stars

posted 2 years ago

Absolutely love my orthotics, my problem knee is finally comfortable! Great customer service and to top it off, I had them match my favourite football...

Joe Hehn
Joe Hehn

5 out of 5 stars

posted 2 years ago

Thanks Michelle. Always a great job. See you next year!

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