Achilles Tendonitis Podiatry
Achilles Tendonitis Podiatry:
Our Achilles tendon is the largest tendon in our human body, and is made to be able to withstand thousands of pounds of force. At the same time, because it's so frequently used (everyday as we walk, stand, work - all the time, even when we cook and shower), it tends to be the most frequently injured and ruptured tendon.
It is also often injured as a result of a sports or contact injury. It doesn't matter if you're a professional or a weekend warrior - both are equally at risk of developing achilles tendonitis, which is a very common overuse injury and inflammation of the tendon.
What can cause or aggravate Achilles tendonitis?
There are several potential causes or aggravators of this injury, which can compound the condition to make it chronic (long term)
- Individuals who enjoys hill running or stairs climbing.
- Individuals who have pre-existing overused injury, which is usually caused by stiffer/decreased calf muscle flexibility
- Individuals who increased their walking, jogging or running distance and speed too rapidly for their achilles tendons to adjust well
- Individuals who have insufficient warm up, or who has been sedentary and suddenly picking up exercise and sports without adequately stretching and warming up their feet
- Individuals who had direct trauma caused either by sudden and/or strong calf muscle contraction, such as in bursting into a sprint
- Improper footwear and/or a tendency toward overpronation.
Achilles Tendonitis Podiatry - Symptoms
Most of our patients who develop achilles tendonitis often starts with the development of mild ache and pain after running or exercise that progressively feels more and more painful.
Other tell-tale signs and symptoms include:
- Localized pain that seems to keep recurring, from mild to severe in intensity, along the achilles tendon or a few hours after jogging or running
- In the morning, they may feel tightness and tenderness just above where the achilles tendon attaches to the heel
- "Heaviness" or "sluggishness" in your leg
- Swelling that may be mild to severe in nature
- "Sudden Pain" when you get out from bed and place force/stand on your feet in the tendon and this pain gradually goes away as your tendon warms up with use
- Stiffness that generally diminishes as the tendon warms up with use.
Treatment normally includes:
- Tape or bandages specifically designed to restrict motion of the tendon.
- Taking nonsteroidal anti-inflammatory medication for a period of time. Note: Please consult your doctors before taking any forms of medication.
- Customized insoles and orthotics, corrective shoe inserts designed to help support the calf muscle and relieve stress on the achilles tendon. Both nonprescription orthoses
(such as a heel pads or over-the-counter shoe inserts) and prescribed
custom orthotics may be recommended depending on the length and severity
of the problem.
- Individuals to rest from exercises that aggravate the symptoms or
- Switch to exercises that do not stress the tendon (such as swimming).
- Stretching and exercises to strengthen the weak muscle
group in front of the leg, calf, and the upward foot flexors, as well as
massage and ultrasound.
In extreme cases, surgery is performed to remove the fibrous tissue and repair any tears.
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Phoenix Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
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- read more on our specializations here
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Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations.
As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth, but you can also make an appointment without seeing any doctors (that being said, if you do need a referral to a specialist orthopedic surgeon or sports GP, we will recommend you too as value added service at no additional costs to you).
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver (we are proud to say that we try our best to only engage the most experienced and specialist therapists - which makes a big difference in clinical outcomes).
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