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Achilles Tendinopathy

The Achilles tendon, the strongest tendon in your body, connects the calf muscles to the heel bone and enables you to walk, run, and jump. Despite its durability, this tendon is prone to overuse and repetitive stress, making it susceptible to injury. Achilles tendinopathy, a common condition caused by chronic strain, can result in significant discomfort and mobility limitations. Timely diagnosis and an appropriate treatment plan can help restore function and alleviate pain. Keep reading to understand the symptoms of Achilles tendinopathy and the available treatments to help you recover.

What is Achilles Tendinopathy?

Achilles tendinopathy is a degenerative condition affecting the Achilles tendon, typically caused by repetitive strain or improper biomechanics during physical activity. Unlike acute injuries such as tears, tendinopathy develops gradually, with symptoms often worsening over time. Based on the location of the tendon damage, this condition is divided into two main types including, non-insertional and insertional Achilles tendinopathy.

Types of Achilles Tendinopathy

Non-insertional Achilles Tendinopathy

Non-insertional tendinopathy affects the middle portion of the tendon above its attachment to the heel bone. Over time, the tendon fibers can sustain small tears and become inflamed, leading to pain and reduced flexibility. Non-insertional tendinopathy is common for individuals who engage in high-impact activities like running or jumping.

Insertional Achilles Tendinopathy

Insertional tendinopathy impacts the lower part of the Achilles tendon, where it connects to the heel bone. This condition may result in the calcification of tendon fibers and the formation of bone spurs. While often seen in athletes, it can also occur in people with lower activity levels, making it a condition that spans various age groups and lifestyles.

Symptoms of Achilles Tendinopathy

Key indicators of Achilles tendinopathy include:

  • Pain or stiffness along the tendon
  • Swelling or thickening of the tendon
  • Tenderness at the heel or along the tendon
  • Limited mobility while climbing stairs or running

If left untreated, these symptoms can progress, causing chronic pain and difficulty with everyday tasks.

Causes of Achilles Tendinopathy

Achilles tendinopathy is typically the result of repeated stress and microtrauma to the tendon. Common factors that contribute to its development include:

  • Sudden increases in physical activity intensity or duration
  • Inadequate preparation or warm-up before exercise
  • Poor ankle mobility or weak calf muscles
  • Wearing unsupportive footwear

Diagnosing Achilles Tendinopathy

A timely and accurate diagnosis is essential for effective treatment. Physical therapists and physicians can identify Achilles tendinopathy through physical examinations and medical reviews. In some cases, imaging techniques like ultrasound or MRI may be used to determine the extent of the damage.

Treating Achilles Tendinopathy

Treatment for Achilles tendinopathy often begins with non-surgical treatments. Physical therapy can help by focusing on strengthening the tendon and restoring flexibility. Adjusting physical activity levels and wearing supportive footwear can reduce stress on the tendon. Applying ice and taking anti-inflammatory medications can help alleviate pain and swelling. For severe cases that do not respond to mild treatments, surgical intervention may be necessary to repair damaged tissue or remove calcifications. A personalized treatment plan ensures recovery and helps prevent future injuries.

Why Choose Physical Therapy?

Physical therapy is a proven, non-invasive approach to treating Achilles tendinopathy, offering long-term benefits. Using targeted exercises, physical therapy strengthens the Achilles tendon, improves mobility, and enhances overall function. Physical therapists also focus on correcting underlying issues, such as poor ankle mobility or muscle imbalances, to prevent future injuries. Physical therapy equips you with the tools and knowledge to safely return to your normal activities while reducing the risk of recurrence.

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If you are experiencing pain or discomfort from Achilles tendinopathy, fill out our online contact form to schedule an appointment with Resilient Performance Physical Therapy in NY, NJ, and CT today. Our team can help you regain your mobility and achieve lasting relief through customized care and proven treatment strategies. 

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