Understanding Tendinopathies: Achilles Tendinopathy
In our last post, we discussed the differences in treatment approaches between the stages of tendon injuries “tendinopathy,” “tendinosis,” and “tendonitis”. Moving forward, we will explore the common tendinopathies we physiotherapists see and treat. In today’s post, we will be focusing on the Achilles Tendon.
What is the Achilles Tendon?
- The Achilles tendon is located at the back of the lower leg, and it connects the calf muscles (the gastrocnemius and soleus) to the heel bone (calcaneus). The Achilles tendon plays a crucial role in various movements, such as walking, running, and jumping.
What is Achilles Tendinopathy?
Tendinopathy as we know refers to the degeneration of the tendon due to overuse, resulting in pain, swelling, and stiffness. In the case of the Achilles, it often occurs after repetitive stress is placed on the tendon, leading to micro damage that doesn’t fully heal.
There are two primary types of Achilles tendinopathy:
- Mid-portion Achilles tendinopathy: This type affects the middle section of the Achilles tendon, which is mostly found in people who engage in sports that involve running or jumping.
- Insertional Achilles tendinopathy: This form affects the lower portion of the tendon where it inserts into the heel bone. It is more common in people who experience repetitive strain or have poor foot biomechanics.
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Causes of Achilles Tendinopathy: Below are some of the more common causes:
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Preventing Achilles Tendinopathy There are several steps you can take to reduce the risk of developing Achilles tendinopathy:
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Treatment of Achilles Tendinopathy:
As we know from our last post, treatment for tendinopathy depends on whether the condition is in the acute (tendonitis) or chronic (tendinosis) stage. Therefore, treatment may involve a combination of strategies based on the condition’s underlying cause and stage. Some common treatments include strengthening, stretching, modifying training or activities, footwear, taping, and local therapy for the tendon itself. For further information please read our last post on tendon treatment.
Conclusion:
In today’s post, we explored Achilles Tendinopathy. We identified what the Achilles was, the different types of Achilles tendinopathy, and their causes and prevention. For further information on Achilles tendinopathy, or if you believe you may be suffering from Achilles pain consult with one of the physiotherapists at Kamloops Physiotherapy & Sports Injury Centre who can appropriately identify the root cause of your issues and help you begin your journey to recovery.
This blog post was written by physiotherapist Jacob Coelho. To book an appointment with Jacob or one of our other experienced therapists, call 250-314-0788 or book online HERE.