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Achilles tendinitis is an overuse injury of the Achilles tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone. Achilles tendinitis is caused by repetitive or intense strain on the Achilles tendon, a tendon is used when you walk, run, jump or push up on your toes.
A naturally flat arch in your foot can put more strain on the Achilles tendon leading to tightness and eventual inflammation. Obesity and tight calf muscles also can increase tendon strain leading to injury. Running in worn-out shoes increase your risk of Achilles tendinitis as does running frequently on hilly terrain.
Firstly measures including ice to reduce inflammation can be used. A heel lift should be used to reduce strain on the Achilles tendon immediately. Once the acute phase has passed specific stretching and strengthening exercises are often prescribed by our team to promote healing and strengthening of the Achilles tendon and its supporting structures.
Orthotics should be prescribed to reduce the over-pronation. It is also advisable to have heel lifts added to the orthotics which slightly elevates your heel and so relieves strain on the tendon, the orthotics also provide a cushion that lessens the amount of force exerted on the Achilles tendon.