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INTRODUCTION TO ACHILLES PAIN
Achilles tendonitis is a painful and often debilitating inflammation
of the achilles tendon, also called the heel cord. This large
tendon is an extension of the two calf muscles; it runs down
the back of the lower leg and attaches to the heel bone (calcaneus).
The Achilles tendon connects the strong leg muscles to the foot
and gives us the ability to rise up on our toes, facilitating
the act of walking. The Achilles tendon is vital to our ability
to walk upright and Achilles tendonitis can make walking almost
impossible.
Symptoms include pain that may be present at the achilles tendon
during exercise. The pain may increase once activity has ceased.
There may also be tenderness may be felt along the course of
the tendon along with the presence of a localized nodule on
the tendon. The soles of the patient’s shoes may show an abnormal
shoe wear pattern.

CAUSES OF ACHILLES PAIN
The biggest contributing factor is ignoring the pain in the
tendon and trying to run through the pain. Sudden increases
in training can lead also to achilles tendonitis. Excessive
hill running or speed work and Inappropriate shoes can be contributing
factors. 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. The most common cause of Achilles
tendonitis is due to abnormal pronation that causes the arch
of the foot to flatten too much and the leg to twist more than
normal. This, in turn, causes the lower leg muscles (the gastrocnemius
and the soleus) to stretch more than normal. Like a rubber band,
the further the muscles stretch, the tighter they become. The
force on the Achilles tendon and the heel cone increases, resulting
in inflammation and pain, foot insoles provide an immediate
relief to over pronation.
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