- The biggest contributing factor is ignoring the pain in the tendon.
- Achilles pain commonly occurs from shearing and stretching forces placed on the Achilles tendon.
- Excess pronation (rolling over of the foot) causes extra strain on the tendon. Inflammation of the tendon is a common result along with tightening of the calf muscles. Since the calf muscles are connected to the Achilles tendon, the Achilles turns out to be the 'weakest link' in the chain. The Achilles tendon ends up being overstretched, resulting in irritation and inflammation.
- Sudden increases in training can lead to Achilles tendonitis.
- Excessive hill running or speed work.
- Inappropriate shoes. If the soles of the shoes are too stiff, this causes the forefoot to have limited movement. This can lead to increased tension to the Achilles tendon.
- Studies have shown that excessive heel cushioning can be a contributing factor. Air filled heels are not very good for Achilles tendonitis.
- Tight calf muscles.
- Women who take up running are at a greater risk. This mainly affects women who wear high-heeled shoes, which effectively shortens the Achilles tendon. When the individual then takes up running in "flat shoes", the Achilles tendon is put under increased tension.
Preventing Achilles Tendon Injury
The best way to prevent an Achilles tendon injury is to a) stay in overall good shape, and b) warm-up, stretch, and strengthen the Achilles tendons. The best way to prevent an Achilles tendon injury from getting worse is to address the injury immediately: it will get worse if not addressed. For more information on preventing Achilles tendon injuries see: Preventing Achilles Tendon Injury.
Treatment of Achilles Tendonitis
Treatment of Achilles tendonitis begins with resting the tendon to allow the inflammation to settle down. In more serious situations, adequate rest may require crutches or immobilization of the ankle. Learn more about different treatments for Achilles tendonitis, including ice, medications, injections, and surgery.
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