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Chronic Achilles tendinopathy is a common overuse injury affecting athletes and active individuals. Proper management is essential to restore function and reduce pain. This article outlines effective guidelines for managing this condition.
Understanding Achilles Tendinopathy
Achilles tendinopathy involves degeneration of the Achilles tendon, often caused by repetitive stress, improper training, or inadequate recovery. Symptoms include pain, stiffness, and swelling around the tendon, especially during activity.
Initial Management Strategies
Early treatment focuses on reducing pain and inflammation. Rest, ice application, and non-steroidal anti-inflammatory drugs (NSAIDs) can help manage acute symptoms. However, long-term management emphasizes rehabilitation and activity modification.
Activity Modification
- Avoid high-impact activities such as running and jumping.
- Switch to low-impact exercises like swimming or cycling.
- Gradually reintroduce activity based on pain levels.
Rehabilitation and Exercise
Rehabilitation is crucial for recovery. A structured exercise program focusing on eccentric strengthening of the Achilles tendon has been shown to be effective.
Eccentric Exercises
- Heel drops from a raised platform, performed slowly.
- Perform 3 sets of 15 repetitions, 2 times daily.
- Progress by increasing repetitions or adding resistance.
Additional Treatment Options
Other therapies may include physical therapy modalities, such as ultrasound or shockwave therapy, and in some cases, orthotics or heel lifts to reduce strain on the tendon.
When to Seek Medical Attention
If pain persists beyond 6 months or worsens despite conservative management, consult a healthcare professional. Advanced cases may require imaging studies or surgical intervention.