You’re rushing to catch the bus or running up the stairs, when you feel a sharp twinge in the back of your ankle. At first, you brush it off as nothing, but over the next few days, the pain deepens, making every step more uncomfortable. Sound familiar?
If you’re experiencing pain or stiffness in your Achilles tendon, you might be dealing with Achilles tendonitis. The Achilles tendon connects your calf muscles to your heel and enables walking, running, and jumping. Despite its strength, it’s not immune to wear and tear. Here’s what you need to know to get back on your feet.
Symptoms and Diagnosis
Achilles tendonitis typically presents as pain and stiffness in the back of the ankle, especially in the morning or after physical activity. Other symptoms include:
- Pain along the tendon: This might worsen with activity.
- Swelling and tenderness: Particularly noticeable after exercise.
- Reduced range of motion: Difficulty flexing the foot upward.
Early diagnosis is crucial. Left untreated, what begins as inflammation may progress into Achilles tendinopathy or even an Achilles heel rupture. If you experience persistent pain in this area, seeking professional advice promptly may help prevent further complications.
Treatment Options
Conservative Approaches
For mild to moderate cases, the following treatments may support recovery and pain management:
- Rest and Ice Therapy: Resting the foot and applying ice may help to manage inflammation.
- Achilles Physio Exercises: Stretching and strengthening exercises tailored to the tendon can improve flexibility and support recovery.
- Orthotics and Supportive Footwear: Customised insoles and properly fitting shoes may help relieve strain on the tendon.
When Surgery is Needed
In severe cases, surgery may be required for Achilles tendon rupture. Recovery involves a structured rehabilitation protocol to restore function.
For an Achilles tendon rupture, surgery recovery time may last for a period of several months, with swelling and discomfort gradually subsiding. Regular follow-ups will be scheduled to ensure your rehabilitation is on track.
Managing Achilles Tendonitis with Diabetes
Individuals with diabetes face an increased risk of developing Achilles tendonitis due to potential changes in tendon health caused by high blood sugar levels. Poor blood circulation and delayed healing also pose challenges. To help reduce this risk:
- Maintain controlled blood sugar levels.
- Follow a tailored exercise program that supports foot health.
- Regularly inspect your feet for signs of injury and consult a podiatrist promptly if concerns arise.
Prevention Tips
Preventing Achilles tendonitis involves adopting habits that support tendon health:
- Strength-building exercises: Regularly performing exercises to strengthen your calf muscles may help to protect the tendon.
- Stretching: Include gentle stretches for the Achilles tendon as part of your routine.
- Proper Footwear: Choose shoes that offer good arch support and cushioning, especially for physical activity.
- Gradual Increase in Activity: Avoid sudden increases in the intensity or duration of exercise to reduce strain.
How can we help?
At Hong Kong Foot Clinic, we pride ourselves on delivering comprehensive care for all foot and ankle conditions, including those relating to the Achilles tendon. Whether you’re seeking conservative management or require surgical intervention, our team of podiatrists experts work closely with patients to develop personalised treatment plans to suit your unique needs.
If you’re dealing with Achilles tendon pain, contact us today to schedule a consultation.
Disclaimer
Results of treatment may vary depending on individual circumstances. Our podiatrists follow evidence-based practices to recommend treatments that are most appropriate for your condition.
References:
Healthline, Achilles Tendon Stretches and Strength Exercises, https://www.healthline.com/health/achilles-tendon-stretch [ Accessed 4 December 2024].
Mayo Clinic, Achilles Tendinitis, https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/symptoms-causes/syc-20369020 [ Accessed 4 December 2024].
Vaidya R, Lake SP, Zellers JA. Effect of Diabetes on Tendon Structure and Function: Not Limited to Collagen Crosslinking. Journal of Diabetes Science and Technology. 2023;17(1):89-98. doi:10.1177/19322968221100842
