Achilles Tendonitis
Overview
The Achilles tendon connects the calf muscle to the heel, and, though considered one of the longest and strongest tendons in the body, able to withstand 1,000 pounds of pressure, it is the most frequently ruptured.
Injuries to this tendon are common in runners and basketball players, especially following a dramatic change or increase in exercise routine.
Choosing properly designed athletic shoes, strengthening calf muscles, and increasing exercise gradually can reduce risk of developing this condition.
Tendonitis is generally treated with rest, application of ice, and anti-inflammatory medications like ibuprofen.
Physical therapy, stretching, ultrasound, and massage can help to lessen existing symptoms, and prevent further symptoms.
A ruptured tendon, will require surgery and is followed by six to eight weeks in a cast or brace. Physical therapy to regain strength and motion will also follow.
Signs and Symptoms
Pain and irritation at the back of the heel may indicate bursitis or tendonitis. Redness, swelling and discomfort when wearing shoes may also be indicators of irritation at the site of attachment of the Achilles tendon to the heel.
Tendonitis may present with increasing pain along the tendon above the heel bone during or after exercise. Tenderness in the morning above the heel; stiffness prior to warm-up; and some swelling are additional indicators of Achilles tendonitis.
A ruptured tendon is usually unmistakable; it can be accompanied by an audible snap, severe pain, and an inability to raise up on the toes.
Expectations of Recovery
Recovery can be long and slow. Rehabilitation for both a minor or severe tendon injury is required to achieve and complete recovery.
Persistent weakness and/or re-injury is a serious concern in the absence of rehabilitation.
It is possible to re-rupture the tendon, especially if a non-surgical option is chosen.
If you have experienced symptoms similar to this please contact your Athletic Trainer or Orthopedic Doctor. For more information on Achilles Tendonitis or other health concerns, feel free to contact Diego Garcia at Professional Athletic Performance Center 516-794-3278 or via email at [email protected]
Diego Garcia ATC is a Certified Athletic Trainer at Professional Orthopedic & Sports Physical Therapy. He has worked with St. Mary’s basketball as the Athletic Trainer and is based in Garden City at Professional Athletic Performance Center.
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