Problems with the Achilles tendon? Take time out and fix it now!

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The Achilles tendon connects the calf muscles at the back of the leg to the heel bone. It is the largest and strongest tendon in the body and also the most frequently injured. It can withstand tremendous force, but it can also be easily pushed beyond its limits. Sports activities frequently cause Achilles tendon injuries, and it doesn’t matter if you’re a professional athlete or a weekend sports enthusiast, an injury can happen to anyone. Achilles tendonitis occurs when the tendon becomes inflamed and is frequently a result of overuse from running or other activity that can strain the tendon.

Achilles tendonitis may be treated at home with a high rate of success, but there are instances when the tendon tears (ruptures) that need you will quick medical attention. Symptoms that you should watch out for include:

• Pain at the back of the leg and above the heel
• Creaking noise when you touch or move your Achilles tendon
• More severe pain in the morning that diminishes with light activity
• Swelling or bump on the tendon

Mild cases of tendonitis may be treated at home. To relieve painful symptoms try:

• Ice application to affected area
• Over-the-counter anti-inflammatory medication
• Change of routine to reduce stress to tendon

In order to avoid the onset of tendonitis do the following:

• Increase activity, intensity, and frequency gradually
• Always allow for appropriate warm up time
• Avoid hard and uneven surfaces when running
• Footwear should be changed out every 300 to 500 miles if you run
• Check footwear insoles for proper cushioning and support for all sport activities and make sure you are in the right shoe for that sport.
• Stretch before and after any type of activity

Sudden and intense pain may indicate a tear or rupture of the tendon. It’s important to seek immediate medical attention. Other symptoms that indicate a rupture include the inability to walk normally or bear weight and inability to flex and walk on toes of the affected extremity.

A rupture of the Achilles tendon may be partial or complete. It may be accompanied by a pop or a snap followed by intense pain and the inability to walk normally. Treatment may depend on your age, your level of activity, and the level of tear. Dr. Bowman has extensive training is this area and can evaluate your condition and discuss your best treatment options. There will be a period of rehabilitation for a ruptured tendon. A typical time frame is four to six months for return to prior activity level. 

If you suspect Achilles tendonitis, or possibly a rupture, do not delay treatment and call Dr. Bowman at (713) 467-8886. With his state of the art technology and expertise, Dr. Bowman will diagnose and prescribe a treatment plan developed specifically for you, and you will be speeding along on the road to recovery.  Online appointments available at www.houstonfootspecialist.com.

References:

http://www.mayoclinic.com/health/achilles-tendinitis/DS00737
http://www.mayoclinic.com/health/achilles-tendon-rupture/DS00160

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Running in the bare …

There is a growing trend occurring among runners – running without shoes.  You may think “ouch” right away; I know I did, but some studies from Harvard have proven that running barefoot enhances stride and prevents injury.  And surprisingly some runners find that it’s more enjoyable than running with shoes.

However, before you make the decision to try running barefoot, you should look at all the factors and decide if this is best for your feet.

Pros of running barefoot:

    •        You could develop a more natural gait, and strengthen the muscles, tendons and ligaments of the foot.

    •        You will land on the forefoot rather than your heel.  When you land on your heel it puts on the breaks every step.  But when you land on your forefoot it allows your arches to act as natural shock absorbers.

    •        You could improve your balance.  Without shoes you activate the smaller muscles in your feet, ankles, legs and hips that are responsible for better balance and coordination.

    •        When you run barefoot you may feel more grounded.  It helps you improve balance and becomes a more solid and connected base that supports your movements. 

Cons of running barefoot:

    •        You have no foot protection from cold weather and road debris, such as glass, nails, and rocks.

    •        Running with bare feet can increase Achilles Tendinitis, calf strain and Plantar pain. 

    •        Blisters!  Until you have acclimated to running barefoot, expect blisters until calluses have formed. 

    •        The fat pads on the bottoms of your feet will get thinner overtime, which make barefoot running a long-term risk and could result in more problems with your feet.

    •        No shoes will lead to funny looks from people.  It’s not a common practice among people to run without shoes, so get ready for looks and questions.   

Still unsure?  I would encourage you to consult with Dr. Jeffrey Bowman, DPM before you decide to venture into a world of running barefoot. 

Related articles

• Running Barefoot: The First Steps (onlineshoes.com)
• Barefeat a Father and Daughter Journey into Barefoot Running (barefeat.wordpress.com)