There can be a lot of problems that can cause pain in the Achilles tendon at the back of the heel. The most common is termed Achilles tendinopathy.
Tendinopathy is an umbrella term used to classify tendon problems. Initially termed tendinitis it has been shown recently that the tendon doesn’t get inflamed but the collagen structure of the tendon is disrupted. Achilles tendinopathy is an overuse injury of either the middle or insertional (bottom part) portion of the Achilles tendon. This type of injury usually occurs when a load applied to the Achilles tendon, over a period of time, exceeds the ability of the tendon to withstand that load.
There is a wide variety of ways Achilles tendinopathy can present. The onset of pain may be sudden, gradual or insidious with the severity ranging from minor to profound pain limiting activity. Typically you will feel stiffness in the Achilles at the start of the activity, which may “warm up” as you continue the activity. There may also be a palpable nodule in the middle of Achilles which can be tender to touch. It is common to have stiffness in the region when you wake up in the morning for the first few steps.
It is important to distinguish between mid-portion and insertional Achilles tendinopathy as each condition and each person requires a different treatment regime.
Your All Care physiotherapist will assess, diagnose and determine the cause while choosing the correct treatment pathway.
It is important to assess all the factors that have led to you having the problem in the first place. Overcoming these as well as applying the correct management techniques will get you back to the activity you love.
Gluteus maximus strengthening
Gluteus medius strengthening
Eccentric heel drop programme
The Alfredson eccentric heel drop programme is commonly used to help the Achilles tendon recover.
So if you have an Achilles problem, call 1300 291 133 and let our Physiotherapists get you back on track with the sport that you love!
All Care Physiotherapy