How to prevent and treat Achilles tendonitis while running


Achilles tendonitis is a common injury among runners that involves inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. Here are some tips to prevent and treat Achilles tendonitis while running:

Prevention:
  • Gradual increase in training: Avoid sudden increases in mileage or intensity. Gradually increase your running volume and intensity to allow your Achilles tendon to adapt to the workload.
  • Proper footwear: Wear running shoes that provide proper support and cushioning for your foot type. Consider shoes with a slightly elevated heel to reduce strain on the Achilles tendon.
  • Stretching and strengthening exercises: Incorporate calf stretches and eccentric strengthening exercises into your routine. Stretch your calves before and after running, and perform exercises like calf raises to strengthen the calf muscles.
  • Cross-training and rest days: Include cross-training activities in your training plan to reduce the repetitive stress on the Achilles tendon. Also, take regular rest days to allow your body, including the Achilles tendon, to recover.
Treatment:
  • Rest and ice: If you experience Achilles tendonitis, rest is crucial. Avoid activities that exacerbate the pain. Apply ice to the affected area for 15-20 minutes several times a day to reduce inflammation.
  • Stretching and strengthening exercises: Once the acute pain subsides, start gentle stretching exercises for the calf muscles and the Achilles tendon. Gradually progress to eccentric strengthening exercises under the guidance of a healthcare professional.
  • Physical therapy: Consult a physical therapist for a personalized treatment plan. They can provide targeted exercises, manual therapy, and modalities such as ultrasound or laser therapy to aid in the healing process.
  • Footwear modifications and orthotics: Consider using orthotic inserts or heel lifts in your shoes to provide support and reduce stress on the Achilles tendon. A podiatrist can help you determine the appropriate modifications or recommend custom orthotics if needed.
  • Strapping or bracing: Taping or using a brace around the Achilles tendon can provide support and reduce strain during activities. Consult a healthcare professional for proper strapping techniques.
  • NSAIDs and anti-inflammatory measures: Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. However, consult a healthcare professional before taking any medication. Additionally, using compression socks or sleeves may help reduce swelling.
  • Gradual return to running: Once you've recovered, gradually reintroduce running into your routine. Start with shorter distances and lower intensity and gradually increase them over time. Listen to your body and be mindful of any signs of discomfort or pain.
Remember, if the pain persists or worsens despite conservative treatment, it is important to consult a healthcare professional for further evaluation and guidance. They can provide a proper diagnosis and recommend additional treatments if needed.

It's essential to prioritize the health of your Achilles tendon by implementing preventive measures, seeking timely treatment, and listening to your body. By taking care of your Achilles tendon, you can continue to enjoy running and minimize the risk of Achilles tendonitis.

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