Relative rest or avoiding painful and aggravating activities is necessary to prevent further inflammation. Ice applied over the tendon can be used to decrease pain and control the inflammatory response. Often, a heel lift worn in the shoe is prescribed to decrease the forces on the tendon and allow healing. Cross-training (i.e. replacing a few weekly running sessions with cycling or swimming) is a great way to prevent this condition as it decreases the repetitive load placed on the tendon and allows recovery between periods of exercise. Incorporate a lower extremity flexibility program into your daily routine with an emphasis on stretching the calf muscles to prevent re-injury. Strengthen the foot intrinsics by scrunching a towel or picking up marbles with the toes. Make sure you use footwear that is appropriate for your activity and that provides adequate arch support.
Asia E Lo, DPM
Location and Office HoursFoot & Ankle Institute
Houston, TX 77082
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How is acute achilles tendinitis treated?
National Academy of Sports Medicine answered
What can cause heel pain?
James Ioli, Podiatry, answeredHeel pain may occur when the Achilles' tendon, which runs up the back of the heel, suffers damage, inflammation, or degeneration. With Achilles' tendinitis, the tendon becomes inflamed. A separate yet related problem, Achilles' tendinosis, occurs when the tendon actually degrades -- much like a rope fraying. Because the symptoms and treatment of these two problems are virtually the same, you may not know whether you have Achilles' tendinitis or tendinosis unless you ask your doctor. Many patients have both disorders. But it's good to know, because if you develop Achilles' tendinosis, it's vital that you take steps to protect your tendon from further structural damage.
What are symptoms of Achilles tendonitis?
Christopher Chiodo, MD, Orthopedic Surgery, answeredSymptoms of Achilles tendinitis and tendinosis include:
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- Pain at the back of your heel
- Pain that intensifies if you exercise
- Possible tenderness and swelling at or above the back of the heel