Running Injury Clinic
Solihull Birmingham
The achilles pain syndrome is divided into two main areas which involves both tendon and sheath
( paratenon tissue )  The achilles tendon does not in fact have a true tendon sheath but has paratenon tissue which surrounds the tendon and assists lubrication of the tendon on movement.  Inflammation of the paratenon tissue usually shows as a thickening and increases the size and appearance of the tendon.
Palpation over the area is usually painful and any running is difficult.

Overuse and lack of conditioning will both irritate the achilles tendon as will overstretching, which may come from running up hills or steep inclines on a treadmill.  Tight calf muscles due to lack of proper stretching can also result in a sore achilles tendon which will result in inflammation and pain.

Previously mechanical irritation from badly designed training shoes with a high achilles protector used to be a problem but manufacturers have altered this by designing a “V” cut into the top of the protector which has helped considerably. 

Stretching the achilles when painful is not advised as you will irritate the condition. Generally it is the overstretching of the tendon that has caused the damage in the first place.  Some practitioners suggest eccentric stretching during treatment, but sound advice is to leave this until after the injury has healed. Achilles tendon stretches are basically calf stretches and should be a latter part of achilles rehabilitation.

As you are dealing with inflammation you must ice the area and wear suitable heel lifts in your shoes to reduce the stretch on the tendon.  Although rest from running is important you must also get the correct treatment or  be out of action for months.

Correct management of the inflamed achilles is vital if you want pain relief and a return to full running activities.

This common condition can severely interfere with your running plans so select your therapist carefully!

If you need help  telephone  0121 745 8792  and arrange an appointment with our Solihull Running Injury team.

We have a Staffordshire Sports Injury Clinic based in Tamworth if you live near Lichfield or Sutton Coldfield
Achilles Tendonitis
[Shinsplints]
[Orthotics]
[Laser Foot Scanning]
[Biomechanical Evaluation]
[Video Gait Analysis]
[Knee Pain]
[Calf Strain]
[Pronation]
[Achilles Tendonitis]
[Plantar Fasciitis (Heel Pain)]
[Patella Tendonitis]
[Hamstring Strain]
[I T Band Syndrome]
[Sprained Ankle]
[Blisters]
[Bursitis]
[Back Pain]
Achilles Tendonitis is very common in runners. This is usually inflammation of the achilles tendon resulting in an achilles injury.
Achilles pain is usually located just above the achilles heel at the back of the foot and can hinder a marathon runner training.

Common belief is that rest works well in the treatment of achilles tendonitis.  As most people will testify, this in fact is not the case and careful management of this condition is needed.

Usually the painful symptoms around the achilles tendon return when training resumes. Felt as pain at the back of the heel, the sore achilles tendon can develop a lump on it and be painful when squeezed.

Continual bouts of exercise and rest periods develop a chronic situation and will eventually prevent the runner from performing
. A programme of rehabilitation is needed to assist full recovery and prevent further bouts of this irritating condition.
Achilles Tendonitis