Achilles tendonitis (or tendinitis) is a painful, overuse condition of the achilles tendon, and is a common situation amongst athletes who overtrain or train in landscapes/areas that aren't ideal.
Whenever any of our patients ask us how they sustained this injury in the first place, what we would often share is:
It is the micro-tears that cause the pains, inflammations and discomfort.
From this, we can understand why tendons, including our achilles tendons, are slow to heal, tend to be injured (and prone to reinjury).
Main physiotherapy focus for patients with achilles tendinitis usually includes
We may also introduce therapy modalities such as ultrasound or shockwave to accelerate soft tissue healing, which is very useful for achilles tendinitis and plantar fasciitis.
Sometimes, the referring orthopedic surgeon or doctor will request that we create/custom-make a resting splint (for the foot, it's called Ankle Foot Orthosis, or AFO for short) to support the affected ankle to heal in the best position possible for the achilles tendon.
Patients are advised to be compliant with the gentle active exercises, and especially to rest and not to aggravate the achilles tendinitis for at least 1-2 weeks, and then we will slowly and gradually load the tendon with more and more active movement exercises.
Like any injuries, we believe prevention is 100% better than cure.
Some of the precautions to help prevent achilles tendonitis includes: