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Achilles Tendonitis

Inflammation, irritation and swelling of the Achilles tendon, which is attached to the gastrocnemius (calf muscle) at the attachment to the calcaneus (heel bone). The underlying cause of Achilles tendonitis is the result of aggravation caused by pronation or supination – or a combination of both.

As the caclaneus inverts at heel lift, the calf muscles assist and as the foot accelerates into an excessively pronated or supinated position, the calcaneus is everted or inverted causing medial/lateral tendo-achilles traction. This results in transverse shearing of the tendon and sheath, leading to inflammation and pain being experienced.

CAUSE:
Pronation is a major contributing factor to medial Achilles pain. Bilateral Achilles pain is associated with Pes Cavus (high arch) foot structure or a forefoot valgus.
Achilles pain can be associated with a structural or functional length discrepancy.

SYMPTOMS:
Inflammation and swelling where the Achilles tendon attaches to the calcaneus (heel bone). Pain can be experienced either on the medial (inside) or lateral (outside) aspects of the Achilles.

TREATMENT:
* Orthotics to control pronation and supination
* Temporary heel lift, applied to both left and right orthotics
* Deep tissue massage. DO NOT stretch the Achilles tendon
* Anti-inflammatory medication

Call Manjimup Physiotherapy today, where Michael Christofis and Damian Parolin are available to treat you.

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