The Achilles tendon is a crucial player in our daily movement but often bears the brunt of our activities, causing it to become susceptible to chronic issues. If you find yourself grappling with persistent Achilles tendon problems, you are not alone.
Keep reading to explore chronic Achilles tendon conditions you should be aware of and how an orthopaedic doctor in Singapore can help.
Learn more: Achilles Tendon Injuries: Risk Factors & Treatments
Understanding the Achilles Tendon
Composed of fibrous tissue, it connects important muscles in the calf to the heel bone, allowing for the transmission of force and enabling the foot to push off the ground during activities like walking or running. The elastic properties of the Achilles tendon store and release energy, enhancing the efficiency of these movements. Beyond propulsion, it also plays a vital role in maintaining balance and stability, especially during weight-bearing activities.
However, the repetitive stress of certain activities can lead to a range of problems, making it more difficult to complete everyday activities.
Chronic Achilles Tendon Problems
1. Paratenonitis
Paratenonitis refers to the inflammation of the paratenon, a thin sheath of tissue enveloping the Achilles tendon. Some contributing factors to the condition include repetitive stress on the Achilles tendon from running and jumping, ill-fitting or inappropriate footwear that increases friction and irritation around the tendon, and anatomical factors such as flat feet or high arches.
Recognising the symptoms of paratenonitis is important for early intervention. Some clear indications are inflammation, tenderness and localised pain around the Achilles tendon, especially during movement.
2. Insertional Tendonitis
Insertional tendonitis occurs at the insertion point of the Achilles tendon, where it attaches to the heel bone. Engaging in activities that place excessive stress on the Achilles tendon, such as running or activities involving frequent jumping, can contribute to the condition. Furthermore, anatomical factors like flat feet or high arches can alter the biomechanics of the foot, potentially leading to increased stress on the Achilles insertion point.
Look out for heel pain during physical activities, discomfort and stiffness in the morning or after periods of inactivity, and swelling. It is advisable to visit an orthopaedic doctor for treatment early should you notice these symptoms.
3. Non-Insertional Tendonitis
Non-insertional tendonitis affects the middle portion of the Achilles tendon, away from its attachment to the heel bone. This condition often arises from overuse, repetitive stress, or age-related degeneration, making it a prevalent concern for individuals engaged in regular physical activities.
Learn more: 5 Useful Tips To Avoid Orthopaedic Injuries As We Age
Take note of discomfort in the middle of the Achilles tendon that is often exacerbated by movement, inflammation, and reduced flexibility. Consulting with an orthopaedic doctor is crucial for a thorough assessment and a tailored treatment plan.
4. Achilles Tendon Rupture
The Achilles tendon is renowned for its strength but under certain circumstances, it can succumb to the forces it endures, resulting in a rupture. This injury often manifests as a sudden and sharp pain, sometimes mistaken for severe tendonitis. Athletes participating in sports that involve explosive movements are particularly susceptible, while natural wear and tear as an individual ages can increase the risk as well.
It is important to identify the signs of a rupture as it is essential for swift medical attention. A sharp pain often described as a “pop” or “snap” at the back of the ankle, immediate swelling and bruising, and difficulty walking or standing on toes are common signs.
Nurturing Achilles Health
Maintaining a healthy Achilles tendon can help to reduce the risk of problems mentioned above and it involves a combination of mindful practices:
1. Proper Warm-up and Stretching
Adequate warm-up and stretching before physical activities can prevent tendon injuries.
2. Strengthening Exercises
Targeted exercises to strengthen the calf muscles can provide added support to the Achilles tendon.
3. Choosing Proper Footwear
Choosing appropriate footwear reduces friction and irritation, contributing to overall Achilles health.
Safeguard Your Steps and Cherish Your Stride
By incorporating preventive measures and seeking timely intervention when needed, we can ensure that our Achilles tendons continue to support us through life’s activities.
Dr Kannan Kaliyaperumal at the Specialist Orthopaedic Centre provides a range of services including Achilles tendonitis treatment in Singapore.