Achilles Tendinitis Treatment: How Do I Cure It? Evidence-Based Podiatry Care Clinic

Blog 96 – Achilles Tendinitis Treatment: How Do I Cure My Achilles Tendonitis? Evidence-Based Podiatry Treatments

Adam Uncategorized

If you’re struggling with Achilles tendinitis, you’re likely seeking effective ways to alleviate the pain and promote healing. Evidence-based podiatry treatments offer a range of options to address this common condition. From targeted exercises to advanced therapies, these methods can greatly improve your symptoms and restore function.

Understanding the nature of Achilles tendinitis, its causes, and its diagnosis is crucial before embarking on the path to recovery. Armed with this knowledge, you’ll be better equipped to explore the most appropriate treatment options for your specific case.

Key Takeaways

  • Apply the R.I.C.E protocol to manage pain and inflammation effectively.
  • Perform eccentric loading exercises to strengthen the Achilles tendon.
  • Use orthotic appliances to correct foot biomechanics and reduce tendon strain.
  • Consider shockwave therapy for enhancing blood flow and stimulating tendon repair.
  • Consult a podiatrist for a customised treatment plan and gait analysis.

Understanding Achilles Tendinitis

Understanding Achilles tendinitis begins with identifying it as an inflammation of the Achilles tendon, which frequently causes pain and swelling at the back of your ankle. Achilles tendon pain often results from overuse, appearing in individuals who engage in repetitive activities like running or extended walking. The inflammatory response can lead to symptoms such as tenderness, stiffness, and difficulty performing daily activities.

Achilles Tendon issues are just one of several reasons you may be experiencing heel pain. This is why it is so important you work with an experienced heel pain Podiatrist that can accurately diagnose the root cause of your heel pain so an effective treatment plan can be put in place.

To accurately diagnose Achilles tendinitis, a physical examination by an experienced podiatrist is essential. This typically involves evaluating the tendon for signs of inflammation and tenderness. We may use imaging tests like MRI or ultrasound to confirm the diagnosis and rule out more severe conditions like tendon ruptures.

Managing Achilles tendinitis involves addressing both the symptoms and the underlying causes. Tailoring treatment strategies to your individual needs is essential for an effective recovery, empowering you to regain your freedom of movement and reduce the risk of future issues.

Causes of Achilles Heel Pain

Achilles heel pain is often caused by overuse of the muscle and tendon during activities such as:

  • Running or jumping. Continuous stress without adequate rest can lead to inflammation and discomfort.
  • Poor foot function, such as flat feet or overpronation, puts additional strain on the Achilles tendon, exacerbating pain.
  • Sudden increases in training intensity or frequency without proper conditioning can also lead to Achilles tendon issues. Whether you're ramping up your sprint sessions or logging extra miles, a sudden change can precipitate tendon distress.
  • Surprisingly, excessive cushioning in the heel of your shoes can alter foot mechanics, contributing to the problem.
  • Tight calf and hamstring muscles are another vital factor. These tight muscles increase strain on the Achilles tendon, leading to inflammation and discomfort over time.

Addressing these factors is essential for effective achilles tendonitis treatment. Proper therapy for achilles tendonitis may involve calf exercises to strengthen surrounding muscles, ensuring best possible tendon function and reducing the risk of a detached achilles tendon.

Understanding these causes empowers you to make informed decisions about your training and footwear, potentially reducing your risk of Achilles heel pain and enhancing your overall freedom to pursue athletic activities.

Podiatry Diagnosis Methods

Podiatrists use various key diagnostic methods to accurately identify Achilles tendinitis:

  • Physical Examination

    We always start with a physical examination, examining your tendon's thickness, sensitivity, and range of motion. This hands-on approach allows us to measure your condition's seriousness and pinpoint areas of concern.

  • Imaging Tests

    To get a clearer picture of your tendon's internal structure, your podiatrist may suggest imaging tests. Ultrasound and MRI scans offer detailed visualisations of tendon damage and inflammation, aiding in determining the extent of your injury.

  • Clinical Tests

    We will use specific clinical tests, such as the Thompson test, to assess the integrity of your tendon. These targeted evaluations provide valuable insights into your tendon's functionality and overall health.

  • Lifestyle & Footwear

    Your podiatrist will also ask about your activity levels, footwear choices, and medical history. This information helps them understand the potential contributing factors to your Achilles tendinitis.

  • Biomechanical Assessment

    Finally, your podiatrist will conduct a thorough evaluation of your biomechanics, gait, and foot structure.

This holistic approach enables your podiatrist to tailor a treatment plan that addresses your individual needs, setting you on the path to recovery and long-term tendon health.

Evidence-Based Podiatry Treatments

You can get back to doing the things you love pain free. Make Achiles tendonitis a thing of the past and get the help you need today.

Evidence-based podiatry treatments for Achilles tendinitis emphasise pain reduction, inflammation control, and tendon healing:

  • RICE Protocol

    To achieve effective relief, begin with the R.I.C.E. protocol: rest the affected leg, apply ice to reduce swelling, use compression to minimise inflammation, and elevate the leg.

  • Physical Therapy

    Beyond initial measures, your podiatrist will likely recommend specific exercises. Eccentric loading exercises are critical because they involve the muscle's lengthening phase, which enhances tendon strength. Research often supports the effectiveness of these exercises.

  • Shockwave Therapy

    Incorporating shockwave therapy can further bolster healing. This technique involves using sound waves to stimulate blood flow and cellular repair in the tendon.

  • Custom Orthotics

    Orthotics may also be prescribed. These devices adjust your foot's biomechanics, relieving excessive strain on the Achilles tendon.

  • Footwear Modifications

    Footwear modifications are another practical measure; wearing shoes that offer proper support reduces tendon stress.

Long-Term Care and Prevention

Proper extended care and preventive measures are critical for managing and avoiding Achilles tendinitis recurrence. Consistent, evidence-based strategies can reduce your risk and support the tendon’s health. Implementing a thorough approach to prevention involves several key steps:

  • Warm-up & Stretching

    Always perform a suitable warm-up before exercise. Regularly stretch your calf muscles and Achilles tendon to maintain flexibility and reduce tension.

  • Exercise Progression

    Gradually increase your exercise intensity. Sudden increases can overload the tendon, leading to inflammation and injury.

  • Supportive Footwear

    Wear shoes that offer adequate support for your heel and arches. Consider using orthotics if you have any biomechanical imbalances or existing foot conditions.

  • Strength Training

    Engage in calf-strengthening exercises. Strengthening the muscles surrounding the tendon can enhance its resilience and minimise strain.

Moreover, extended care involves maintaining a healthy weight to reduce tendon stress, avoiding high-impact activities, and considering conservative treatments like physical therapy and shockwave therapy.

Collaboration with a podiatrist for personalised care and follow-up ensures optimal recovery and preventive management. By following these preventive measures, you’ll reduce the risk of recurrence and enjoy sustained tendon health.

When To Seek Professional Help

Recognising the right time to seek professional help is important for effectively managing Achilles tendinitis. If you’re experiencing persistent pain, swelling, or difficulty walking, it’s vital to consult a podiatrist without delay. These symptoms indicate that your condition may be worsening and requires expert intervention.

Do you have tendon pain when you walk? Is there a noticable lump or swelling? You may have Achilles Tendinitis - a very common and readily treatable condition. Get the help you need today at Bellevue Podiatry.

Podiatrists can provide personalised treatment plans tailored to your specific needs. We’ll assess the underlying causes of your Achilles tendinitis and recommend evidence-based interventions. Early professional involvement can prevent further deterioration and promote faster recovery.

By seeking timely assessment and guidance, you’ll address the root issues contributing to your condition. A podiatrist may prescribe targeted exercises to strengthen the muscles around your Achilles tendon, recommend orthotic devices to reduce strain, or suggest other proven treatments like shockwave therapy.

Don’t underestimate the value of professional help in managing Achilles tendinitis. By consulting a podiatrist at the right time, you’re taking a proactive step towards long-term tendon health and freedom from pain. 

Remember, early intervention is key to preventing chronic issues and ensuring a successful recovery.

Summing It All Up...

You’ve now gained insight into evidence-based podiatry treatments for Achilles tendinitis. Armed with this knowledge, you’re better equipped to tackle your heel pain.

Remember, the path to recovery isn’t always a sprint; it’s often a marathon. Implement these proven methods diligently, and you’ll be on your way to improved function and reduced discomfort.

Key treatments include conservative measures such as stretching, custom orthotics, physical therapy, and, in some cases, extracorporeal shockwave therapy.

Don’t hesitate to consult a podiatrist if symptoms persist or worsen. Your journey to healthier tendons starts now.

You don’t need to put up with Achilles Tendonitis any longer.  Our team of experienced Podiatrists have the education and experience to get you moving pain free again.  Take control today by booking in online or call us today on (03) 8104 9270 to get this issue sorted once and for all.

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Bellevue Podiatry

Bellevue Podiatry has been serving the people of Rosanna and its surrounding suburbs for over 12 years. We have the qualifications, experience and education to effectively treat any lower limb condition or injury that requires expert podiatry care.

Article References:

If you would like a deeper understanding of the topics discussed in this article, please click on the links below:

  1. PubMed: https://pubmed.ncbi.nlm.nih.gov/25108348/
  2. Statistics: NCBI Bookshelf: https://www.ncbi.nlm.nih.gov/books/NBK538149/
  3. OrthoInfo: https://www.orthoinfo.org/en/diseases–conditions/achilles-tendinitis/
  4. The National Institute of Arthritis, Musculoskeletal, and Skin Diseases: https://www.niams.nih.gov/grants-funding/clinical-trials-spotlight/tendinopathy-education-achilles-clinical-trial-teach
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