Achilles Tendinopathy (Tendonitis)
Most Achilles tendon problems occur in middle-aged athletes and are basically overuse injuries. In a few cases, other medical conditions contribute to the weakening of the tendon. A high-arched or low-arched foot may increase the stresses on the Achilles tendon.
As we get older the tendon becomes less flexible and less able to absorb the repeated stresses of running. Eventually small "degenerative" tears develop in the fibres of the tendon. The body tries to repair these tears. Sometimes the repair process is successful. However, the blood supply of the lower part of the tendon is not very strong and the combination of this and the continued stresses of running mean that the tendon may not completely heal. Instead, the tendon and its lining become painful and swollen, and the tendon may feel weak. The combination of degenerative and repair processes in the tendon is called tendonitis.
If you think the tendon has torn completely, you should go to your local casualty department as you may need to have it repaired.
If you have a painful tendon consult one of our Physios who will introduce a programme aimed at reducing the inflammation and pain in and around the tendon. Once the inflammation is improving, our Physios will start exercises to strengthen and stretch the Achilles tendon.
If you have a foot shape that increases the stresses on your Achilles tendon, a moulded insole in your shoe may help. Our Physios will advise you on this. Please see Biomechanics section.
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