1. Oh My Aching Achilles!
Poor Achilles. He was done in by the same piece of anatomy that can hobble us all: his heel pain. It was his only vulnerable part. When the tendon that attaches the calf muscles becomes inflamed, it can interrupt the training of the most dedicated athlete. The most common cause of this problem is over training. The next most common cause is improperly fitted footwear. Shoes that either directly rub the tendon or don't properly support the forefoot as it strikes the ground while running are problematic.
2. What's the Pain Like?
The classic pain from Achilles tendonitis is an ache in the back of the lower leg. Activity will usually make it worse. For example, early on, a distance runner may note pain only towards the end of a long run. The area may also ache the day following a hard workout. Going up on your toes, an action that activates the calf muscles, will reproduce the pain.
3. Lumpy, Bumpy, and Grating
Physical examination of the tendon may reveal it to be tender, swollen and sometimes with a distinct lump. The lump represents an area that is beginning to scar. The tendon may even make a grating sound as the foot is moved. This is caused by the tendon, with its irregular areas of inflammation, rubbing against the tendon sheath that surrounds it.
4. And the Treatment Is ...
The only effective treatment is rest. This is not an injury that an athlete can tough out. Once the tendon is inflamed, it needs to be rested and iced 2 to 3 times a day. Anti-inflammatory medications such as aspirin, ibuprofen or naprosyn, will help the pain and probably accelerate the lessening of the inflammation of the achilles tendon. Be sure to check with your doctor before taking these medications.
5. Prevent Another Occurrence
The most important factor for reoccurrence of an Achilles tendonitis is making sure the tendon has completely healed before resuming workouts. Achilles tendonitis can lead to achilles tendon rupture, so this is a crucial reality. To prevent a tendonitis, wear footwear that allows free movement of the tendon and also has sufficient forefoot support. Stretching is important, but unfortunately, there are a number of studies that suggest it doesn't prevent tendonitis. The best stretch is leaning against a wall, extending one foot to the rear the the sole flat against the ground and gently bending the leg forward.
