Achilles Tendon Pain

Achilles tendon pain occurs due to irritation or overuse of the Achilles tendon, which connects the calf muscles to the heel bone. This tendon plays a crucial role in activities such as walking, jumping, and standing on your toes. Athletes who frequently run or jump are at a higher risk of Achilles tendon injuries. When the tendon is overused, it can lead to inflammation or, in severe cases, a tendon rupture. Achilles tendon pain is often caused by a combination of factors, such as overexertion, poor technique, or wearing improper footwear. It’s a vulnerable area, and timely treatment is essential to prevent further complications.

What Symptoms Are Associated with Achilles Tendon Pain?

Symptoms of Achilles tendon pain can range from mild discomfort and stiffness to severe, persistent pain that restricts movement. In the early stages, the Achilles tendon may feel tender, swollen, and warm to the touch, often accompanied by visible redness. The pain is typically located a few centimeters above the heel bone and may worsen with activity or after a period of rest. In more severe cases, you might hear a cracking or crunching sound when moving the tendon, and there may be noticeable loss of strength. Without proper treatment, the pain can become chronic, making everyday activities and sports challenging.

What Causes Achilles Tendon Pain?

Achilles tendon pain is most commonly caused by overuse, often due to repetitive or intense activities such as running or jumping. Contributing factors include wearing improper footwear, sudden changes in training intensity, or exercising on unfamiliar surfaces. Internal factors such as reduced muscle strength, decreased blood flow to the tendon with age, or abnormalities in foot alignment—such as flat feet or high arches—can also increase the risk of injury. Excess weight may add extra strain on the Achilles tendon, further raising the likelihood of discomfort. In some cases, trauma to the foot can also lead to Achilles tendon pain.

How Do We Treat Achilles Tendon Pain?

A thorough gait analysis is crucial for Achilles tendon pain. We evaluate foot movement and pinpoint the areas of highest stress using pressure measurements and video recordings. Often, a raised heel in an insole helps reduce tendon tension. We complement this with exercises and footwear recommendations.

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