Let’s take a look at achilles tendinopathy.
Achilles tendinopathy is a common overuse injury caused by repetitive energy storage and release with excessive compression. This can lead to a sudden injury, or in the worst case, can cause a rupture of the Achilles tendon. In both cases, a lack of flexibility or a stiff Achilles tendon can increase the risk of these injuries.
Morning pain is a hallmark symptom because the Achilles tendon must tolerate full range of movement including stretch immediately after getting up in the morning. Symptoms are typically localized to the tendon and the immediate surrounding area. Swelling and pain are less common. The tendon can appear to have subtle changes in outline, and can have noticeable thickening. Men older than 30, and people with suboptimal ankle biomechanics (such as previous ankle injury, over-pronation or over-supination, poor choice of footwear) are particularly prone to this injury.
The POLICE protocol for tissue healing should be applied; with ice massage and the optimisation of the tissue load (rest, massage, gradual strengthening) being particularly useful forms of treatment for these conditions; whilst more severe or chronic cases may require steroid injections or even surgery.
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