Insertional Achilles Tendinopathy
Insertional Achilles tendinopathy affects the lower part of the Achilles tendon, where it attaches to the heel bone. This type of tendinopathy can cause pain and swelling at the back of the heel. It often occurs in people who engage in activities that involve a lot of running or jumping. Common symptoms include:
- Pain at the back of the heel, especially after physical activity or when waking up in the morning.
- Swelling and tenderness where the tendon meets the heel bone.
- Difficulty performing activities that put stress on the Achilles tendon, like climbing stairs or running.
Non-Insertional Achilles Tendinopathy
Non-insertional Achilles tendinopathy affects the middle part of the Achilles tendon. This type is more common in younger and more active individuals. It is characterised by the degeneration of the tendon fibers, leading to thickening and pain in the middle section of the tendon. Symptoms include:
- Pain and stiffness along the middle part of the Achilles tendon.
- Swelling and thickening of the tendon.
- Pain that worsens with activity and improves with rest.
- Tenderness and discomfort when touching or squeezing the tendon.
Risk factors for Achilles tendinopathy include:
Age: Tendons become less flexible and more prone to injury as you age.
Gender: Men are more likely to develop Achilles tendinopathy than women.
Intense Physical Activity: High-impact sports like running, basketball, or soccer can put excessive strain on the Achilles tendon.
Sudden Increase in Activity: Rapidly increasing the intensity or duration of physical activities can stress the tendon.
Improper Footwear: Wearing shoes that don’t provide proper support can increase the risk.
Foot Structure: Flat feet or high arches can cause abnormal stress on the Achilles tendon.
Tight Calf Muscles: Tight calf muscles can increase tension on the Achilles tendon.
Poor Exercise Technique: Incorrect form during physical activities can lead to tendon strain.
Previous Injuries: A history of Achilles tendon injuries can weaken the tendon and increase the risk of tendinopathy.
Obesity: Excess body weight places additional stress on the Achilles tendon.
Certain Medical Conditions: Conditions such as diabetes and hypertension can affect tendon health.
Medications: Some antibiotics, like fluoroquinolones, have been linked to an increased risk of tendon injuries.
Effective Treatments for Achilles Tendonitis and Tendinopathy
Treating Achilles tendinopathy requires a combination of methods to reduce pain and promote healing. At The Lower Limb Clinic, we offer a range of treatments tailored to your needs.
For most patients, non-surgical treatments are effective. These include:
- Biomechanical Assessment: Evaluating your movement patterns to identify and correct issues that contribute to tendon pain. This is how we start off new patients at The Lower Limb Clinic.
- Rest and Activity Modification: Giving your tendon time to heal by reducing activities that cause pain.
- Prescribed Anti-Inflammatory Drugs: Medications to reduce inflammation and pain at the already inflamed site.
- Physical Therapy and Exercises: Specific exercises to strengthen the Achilles tendon and calf muscles, improving flexibility and reducing pain.
- Shockwave Therapy: This non-invasive treatment uses sound waves to stimulate healing in the Achilles tendon and surrounding tissue.
- Custom Orthotics: Specially designed shoe inserts to support your heel and reduce strain on the Achilles tendon.
When Surgery is Necessary
Surgery is considered for severe cases of Achilles tendinopathy, including a complete rupture or chronic damage. Procedures may involve removing damaged tissue, repairing tears, or lengthening the tendon.
Combined Approach
Often, combining these treatments provides the best results. At The Lower Limb Clinic, we create a personalised treatment plan to address your specific condition and needs. Our goal is to provide successful treatment and help you return to your normal activities without Achilles tendon pain.
If you’re experiencing Achilles tendon pain, contact us to learn more about the treatment options available at our Melbourne clinic. We’re here to help you find relief and get back on your feet.
Why Choose The Lower Limb Clinic for Achilles Tendon Treatment?
At The Lower Limb Clinic, our team of podiatrists has extensive experience in treating Achilles tendon problems. Our clinic is equipped with advanced equipment to ensure you receive the best possible treatment for your condition. We create a personalised treatment plan tailored to your specific needs. Whether you need non-surgical treatments, advanced therapies, or surgery, we ensure that your treatment is suited to your condition and lifestyle.
Located in Elsternwick, Melbourne, our clinic is easily accessible. We offer flexible appointment times to fit your schedule, making it convenient for you to receive the care you need.
Ready to Take the First Step?
Don’t let achilles pain hold you back any longer. Experience the difference that personalised treatment at The Lower Limb Clinic can make. Our expert team is ready to help you achieve better comfort, mobility, and overall foot health. Book your initial consultation today and take the first step towards better mobility and comfort. Click here to schedule your appointment or call us at 03 9532 7455.
Frequently Asked Questions (FAQ)
What is the fastest way to heal an Achilles tendon?
The fastest way to heal an Achilles tendon involves a combination of rest, avoiding activities that cause pain, and following a structured physical therapy program. Advanced treatments like shockwave therapy can also speed up the healing process. At The Lower Limb Clinic, we tailor your treatment plan to ensure the quickest and most effective recovery possible.
Is walking OK with Achilles tendonitis?
Yes, walking is generally okay with Achilles tendonitis, but you need to be cautious. Listen to your body—if walking causes significant pain, you should rest and avoid further aggravating your tendon. Wear supportive shoes to help reduce strain on your Achilles tendon. Using custom orthotics can provide added support. Stick to flat surfaces and avoid walking uphill or on uneven ground, as these can stress your tendon more.
What happens if you ignore Achilles tendonitis?
If you ignore Achilles tendonitis, it can lead to more serious problems. The inflammation can worsen and cause chronic pain. Over time, the tendon fibers can start to break down, leading to Achilles tendinopathy or Achilles tendinosis. This degeneration can make the tendon weaker and more prone to tears or even a complete rupture, which might require surgery to repair. Ignoring the condition can also lead to long-term mobility issues and make it harder to treat effectively later on.
Should you massage Achilles tendonitis?
Massage can be helpful, but it’s important to do it gently. Focus on massaging the calf muscles and the area around the Achilles tendon to relieve tension and improve circulation, but avoid putting direct pressure on the inflamed tendon itself. You can use tools like foam rollers or massage balls to help with this. Remember, massage should be part of a broader treatment plan that includes rest, stretching, and strengthening exercises.
If you have more questions or need to schedule an appointment, contact us at The Lower Limb Clinic in Melbourne. We’re here to help you find relief and get back to your daily activities.
