Experiencing a sharp pain, sensitivity, and inflexibility in the area where your calcaneus (heel bone) connects to your calf muscles is a condition known as Achilles tendinosis, or Achilles tendinopathy. Frequently confused with a sore and irritated tendon (tendinitis), tendinosis takes place in the cells of the tendon. The tendon becomes damaged, breaks down, and creates a descending movement at the ankle. This is a byproduct of minute unhealed traumas to the tendon having accrued over time.
Achilles tendinosis will affect one in 600 people and an even higher number for those who train improperly.
The location of tendinopathy will differ according to the affected area of the tendon. The majority of those affected experience tendinopathy from two to seven centimeters on top of the calcaneus.
The acuteness of pain felt in the mid-portion is determined by the level of deterioration.
At Level 1, there is morning pain and rigidity, especially when first moving to an upright position. However, rigidity will fade regardless of the activity level.
At Level 2, exercise may produce pain, however, not to the extent of influencing your daily activity.
At Level 3, your exercise routine is impacted due to pain and tenderness. The pain associated with moving to an upright position will not dissipate.
At Level 4, an exercise routine is now impractical. You will feel stiff and have pain.
Insertional Achilles tendinopathy is the name of another variety of tendinopathy. The fibers of the tendon deteriorate at the place of heel bone insertion. Tendinopathy gradually worsens and is not caused by a trauma. Pain will increase if the activity level remains high.
Tendinopathy treatment will vary depending on when the problem is discovered.
Now, treatment is contingent upon which level the tendinopathy is at when it is detected.
Gentle action is implemented at the beginning levels. Green tea, ibuprofen for one to two weeks may reduce swelling and pain if approved by your medical expert. During that time decrease your normal mobility.
During load management, another type of treatment, tendons are pressured during muscle-contracting actions, so there is a lessening of the load, because you have lessened the distance or reduced the speed of the activity.
Given that the tendinosis is not yet highly developed, a reduction in activities and longer intervals between activities will help to determine the tendon’s ability to withstand exercise. Extended rest is not the answer, it will hasten deterioration.
During the reactive level, exercise the muscles without placing tension on them. Raise your calf, hold it two to four minutes for two or three moments to reinforce your muscles.
Gradually increase the weight ability of the muscle and tendon by increasing leg exercises. Again, your medical caregiver will discern what is suitable.
A delay in treatment causes evasive measures of treatment. This is found more often in older athletes and in young joggers who overdo jogging.
Identify negative triggers by creating an exercise journal.
Your selection of footwear is critical. Shoes that do not fit properly or are too flat must be avoided. Running barefoot is not an option. Without making direct contact with the skin, an ice pack or a bag of frozen vegetables may be set on the area for thirty minutes to reduce the flow of blood.
When at-home remedies fail, we propose wide-ranging methods after a thorough analysis. Achilles Tendinosis treatment is adapted according to the level of tendinosis including extracorporeal shockwave, eccentric training, and physical therapy.
Our physician-assisted clinic offers physical therapy techniques that are geared to reinforce a person’s core thereby improving balance. We apply heel therapy to activate foot joints, broaden soft tissues to reinforce the feet. For acutely damaged tissues, we prescribe extracorporeal shock-wave therapy to re-establish blood flow to the damaged foot.