Achilles tendonitis explained

Achilles tendonitis is an inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. This condition can lead to relapses or complications requiring surgery if not properly managed.

The Achilles tendon's role and vulnerability

The Achilles tendon is the largest and strongest in the human body, supporting significant pulling forces when the foot lifts off the ground. However, it has limited blood supply, and its collagen renewals are slow, making it prone to damage from overuse.

Common symptoms and progression

Symptoms of Achilles tendonitis often start with mild discomfort, such as pain upon waking or stiffness in the lower calf. The pain may ease as the tendon warms up but can return later in the day. Over time, the tendon may become sensitive to touch and even thicken.

Treatment approaches and challenges

Treatment for Achilles tendonitis varies, with no single method working for all patients. Techniques such as shock waves and pulsed electromagnetic fields have not consistently proven better than traditional rehabilitation. Eccentric exercises, like the Stanish protocol, are commonly recommended but may not suit all cases.

Risks of untreated tendonitis

Ignoring Achilles tendonitis can increase the risk of a rupture, a sudden injury that may require a long period of immobilization or surgery. Proper management is crucial to prevent severe complications.