Achilles Tendonitis
The Achilles tendon is a tough fibrous tissue that connects the heel bone to the calf muscles. It can become inflamed when exposed to constant torsional forces or running too many miles without a buildup. This ailment is an all too common one among runners with an estimated 10% of all running attributed to it. A contributory factor is the very nature of the Achilles tendon itself. I has a poor supply of blood which can make it slow to heal.
Achilles tendonitis takes two forms. It can be acute or it can be chronic. The acute type usually is a result of overuse, excessive hill training, or the old bane of over-pronation. The acute stage is distinguished by pain that subsides after warm-up but returns after cool down. If left untreated, acute Achilles tendonitis can evolve into chronic. Once it has reach this stage, rest becomes the primary therapy.
Therapeutic steps during stage one should include icing after exercise and several times a day if possible. Ibuprofen and massage to reduce inflammation and encourage blood flow are good measures. It might be necessary to insert wedges to lift the heels slightly alleviating strain on the tendon. If over-pronation is the the culprit, new shoes, orthotics or shoe inserts can correct the mechanical flaw. Ultrasound treatments might be necessary to promote healing as well. Proper stretching of the calf muscles is good preventative medicine.