Achilles Tendinitis
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What is Achilles Tendinitis?

Achilles tendinitis is a condition characterized by inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. This tendon is crucial for walking, running, and jumping. Achilles tendinitis typically results from overuse or intense physical activity and can affect anyone, though it is particularly common among athletes and individuals who engage in activities that involve repetitive stress on the tendon.

Causes

Achilles tendinitis can be caused by various factors, including:

Overuse
Repetitive stress from activities such as running, jumping, or intense exercise can lead to inflammation.
Sudden Increase in Activity

Rapidly increasing the intensity or duration of physical activity can strain the Achilles tendon.

Improper Footwear
Wearing shoes that do not provide adequate support or cushioning can contribute to tendon strain.
Foot Mechanics

Abnormal foot structures or mechanics, such as flat feet or high arches, can increase the risk.

Tight Calf Muscles
Lack of flexibility in the calf muscles can put additional strain on the Achilles tendon.
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Symptoms

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Heel Pain: Pain and stiffness along the Achilles tendon, especially in the morning or after periods of inactivity.

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Swelling: Swelling and tenderness along the tendon.

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Tenderness: Tenderness or pain that worsens with activity.

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Limited Range of Motion: Decreased flexibility in the ankle joint.

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Thickening: Noticeable thickening of the tendon.

Diagnosis of Achilles tendinitis

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Medical History and Physical Examination:

Assessing symptoms, tenderness, and range of motion.

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Imaging Studies:

Ultrasound: To visualize inflammation, thickening, or tears in the tendon.

MRI: Detailed imaging to assess the extent of tendon damage and inflammation.

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When to See a Doctor

Consult a doctor if you have:

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When your foot or ankle pain is severe

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Persistent by significant numbness

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Persistent by significant swelling

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An inability to bear body weight

Treatment Options

Treatment for Achilles tendinitis aims to reduce inflammation, relieve pain, and promote healing. Options include:
Conservative Treatments:
  • Rest: Avoiding activities that aggravate symptoms to allow the tendon to heal.
  • Ice: Applying ice packs to the affected area to reduce inflammation and pain.
  • Medications: NSAIDs to manage pain and inflammation.
  • Footwear: Wearing supportive shoes with cushioned heels.
  • Orthotics: Using custom or over-the-counter orthotic devices to support the foot and reduce stress on the tendon.
  • Stretching and Strengthening Exercises: Performing exercises to stretch and strengthen the Achilles tendon and calf muscles.
  • Physical Therapy: Engaging in physical therapy to improve flexibility, strength, and gait mechanics.

Pain Interventions

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Platelet-Rich Plasma (PRP) Therapy:Injecting concentrated platelets from the patient’s own blood to promote healing and reduce inflammation.

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Prolotherapy: A novel therapy where solutions of dextrose are injected around the tendon to promote natural healing and recovery.

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Corticosteroid Injections: Injecting corticosteroids near the tendon to reduce inflammation (used cautiously to avoid tendon weakening).

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Prevention

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Gradual Increase in Activity:Gradually increasing the intensity and duration of physical activities to avoid overuse injuries.

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Proper Footwear: Wearing shoes with adequate support and cushioning.

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Stretching: Regularly stretching the Achilles tendon and calf muscles to maintain flexibility.

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Strengthening: Performing exercises to strengthen the calf muscles and Achilles tendon.

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Avoiding Sudden Changes: Avoiding sudden changes in physical activity or training routines.

Conclusion

Achilles tendinitis can significantly impact mobility and physical activity, but with proper diagnosis and treatment, most individuals can manage symptoms and return to their regular activities. Early intervention, a tailored treatment plan, and preventive measures are crucial for successful management and long-term tendon health. If you experience symptoms of Achilles tendinitis, consult our specialists at [Your Clinic Name] for comprehensive care and personalized treatment options.

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At ALGOS, we specialize in treating a wide range of chronic pain conditions without the need for surgery to help you achieve lasting relief and regain your mobility.

Located centrally on Cunningham Road, Bengaluru, opposite Indian Express, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.

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