The Achilles tendon is the largest tendon in the body.
Unfortunately, it is also vulnerable and prone to injury. It attaches at the
back portion of the calcaneus bone or commonly called the heel bone to the
calf muscles of the lower leg. Tendons are strong fibrous tissues that have
limited flexibility making them prone to inflammation, irritations, tears or rupture.
Achilles tendinitis is the medical condition where the
Achilles tendon becomes irritated or inflamed causing heel pain at the back portion
of the foot. This occurs because of overuse of the tendon and is commonly seen
on athletes. Overuse or pushing the tendon to its limits causes minute or micro
injuries within the tendon. In some cases, a tear can occur or worse, total
tear can occur where the calf muscles are totally detached from the heel bone.
The most common cause of Achilles tendonitis is ignoring the
early signs of tendon injury and continuing activity despite of the pain. In
some cases when pain is already severe, patients tend to take pain killers and
continue with their daily activities. This is an erroneous practice and any
foot pain should be taken seriously because this can lead to chronic heel pain,
which could be debilitating later on.
Achilles tendonitis is easily treated by basically allowing
the foot to rest. This gives the Achilles tendon ample time to heal any injury
involved. Also, cold compress can help
with the pain and can suppress any swelling. Calf stretching and massage can
help reduce muscle tension on the Achilles tendon.
Some modalities like ESWT or extracorporeal shockwave
therapy is an excellent non-invasive treatment especially for chronic heel
pain. This machine sends multiple ultrasonic shock waves to the heel producing
microscopic injuries. This in turn improves circulation because this creates
vasculogenesis or new blood vessel growth. ESWT uses the own regenerative
healing properties of the body to treat chronic heel pain. Pain relief is
instantaneous in some patients after one treatment, while others will experience
a tingling sensation and significant pain relief.
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