Where To Start With Achilles Tendon Pain.
Achilles pain is a common issue affecting walkers, athletes, and especially runners. At the Foot & Ankle Albury Podiatry Clinic, we frequently encounter this condition. In this blog post, we'll explore where to start with Achilles pain, focusing on accurate diagnosis and understanding the different types of Achilles-related issues.
Understanding the Achilles Tendon
The Achilles tendon, located at the back of the ankle, is a critical structure connecting the calf muscles to the heel bone. It's composed of collagen fibres, making it elastic and efficient. This elasticity allows the tendon to store and release energy efficiently, similar to an elastic band.
Diagnosing Achilles Tendon Pain. Foot & Ankle Podiatry Clinic Albury.
Common Types of Achilles Pain
Achilles tendon pain can be categorised into three primary conditions: Achilles Tendinopathy, Peritendinitis, and Insertional Tendinopathy. Understanding the differences between these conditions is essential for effective treatment.
Achilles Tendinopathy
This is the most common form of Achilles pain, often seen in individuals who experience stiffness and pain in the morning that eases with activity. Key symptoms include:
- Morning stiffness and pain
- Pain that warms up with activity but may persist or recur during the day
- Pain localised to a specific part of the tendon
Achilles tendinopathy often results from increased or repetitive activities such as running, jumping, or high-intensity training.
Peritendinitis
Peritendinitis affects the sheath surrounding the tendon rather than the tendon itself. Symptoms include:
- Generalised pain along the tendon, rather than a specific spot
- Pain that worsens with continued activity
- Often seen in cyclists and rowers due to repetitive, non-spring-based movements
Peritendinitis is caused by friction and inflammation in the sheath, leading to persistent discomfort during activities.
Insertional Tendinopathy
This condition involves pain at the point where the tendon attaches to the heel bone. Symptoms include:
- Pain at the back of the heel, especially with pressure
- Aggravation from activities that involve bending the foot upward, such as climbing stairs
Insertional tendinopathy often results from compression and repetitive pressure on the heel.
Diagnosing Achilles Tendon Pain
Diagnosing Achilles pain involves understanding the patient's history and specific symptoms. Here are some key diagnostic indicators:
- Achilles Tendinopathy: Pain that improves with activity, localised tenderness, and history of increased load.
- Peritendinitis: Generalised pain along the tendon, worsening with activity, often associated with repetitive motions.
- Insertional Tendinopathy: Pain at the heel insertion, aggravated by activities involving compression or pressure.
Achilles pain is a complex condition that requires careful diagnosis and personalised treatment. By understanding the different types of Achilles-related issues and their symptoms, you can take the first step towards effective management and relief.
Stay tuned for our next blog post, where we'll dive deeper into the management and treatment of Achilles tendon issues.
For expert advice and treatment for Achilles pain, visit our Foot & Ankle Albury Podiatry Clinic. Our experienced podiatrists are here to help you get back to your activities pain-free!