Understanding Achilles Tendon Pain: FAQs and Insights
Understanding Achilles tendon pain is crucial for effective treatment and recovery. Here, we address some of the most common concerns and questions related to this condition.
The Gold Coast is a hub for triathletes and runners of every age and kind! As a consequence, we commonly see Achilles Pain and Achilles-related injuries in our Ferry Rd Physio Southport Clinic.
Research has indicated that the Achilles Tendon has a degenerative “point of no return”, whereby the damage to the tendon has reached a level where it does not recover. The normal process of Achilles tendonopathy management involves unloading of the tendon from the aggravating activity (running), and a gradual increase in isolated load through the tendon itself via progressive eccentric, isometric and concentric exercises. A 2-4 month tendon loading diary can be a great way to achieve results and get the tendon back to running asap.
This gives you a great platform to continue running, and improve your running, provided the mechanical cause of the tendonopathy has been rectified! This is where gait analysis is essential to identify any underlying technical flaws, otherwise the pain will return as soon as you start to build up the km’s again.
This will enhance your running enjoyment, performance, and longevity, provided the Achilles tendon itself was the source of the pain in the first place, and not the paratennon (connective tissue around the tendon) or bursa (pad to stop the undersurface of the tendon rubbing / compressing on the heel bone). A good physio will be able to identify exactly where the pain is coming from and design a program suitable for your rehabilitation!
What causes Achilles tendon pain?
Achilles tendon pain is often caused by overuse, especially in athletes and runners. It can also result from improper footwear, sudden increases in physical activity, or biomechanical issues such as flat feet.
How is Achilles tendon pain diagnosed?
A physiotherapist will conduct a thorough assessment, which may include a physical examination and gait analysis. In some cases, imaging tests like ultrasound or MRI may be recommended to rule out other conditions.
What are the treatment options for Achilles tendon pain?
Treatment typically involves rest, ice, and anti-inflammatory medications. Physiotherapy plays a crucial role, focusing on exercises to strengthen the tendon and improve flexibility. In severe cases, more advanced interventions may be necessary.
Can I continue to exercise with Achilles tendon pain?
It’s important to modify your activities to avoid further aggravation. Low-impact exercises, such as swimming or cycling, can be beneficial. Always consult with your physiotherapist to tailor an exercise plan that suits your condition.
How long does recovery from Achilles tendon pain take?
Recovery time varies depending on the severity of the condition and adherence to treatment. Mild cases may resolve in a few weeks, while more severe cases could take several months. Consistent physiotherapy is key to a successful recovery.
When should I see a physiotherapist for Achilles tendon pain?
If you experience persistent pain, swelling, or difficulty walking, it’s advisable to consult a physiotherapist. Early intervention can prevent further damage and expedite recovery.