Best Custom Orthotics for Achilles Tendonitis

Best Custom Orthotics Toronto Achilles Tendonitis

Best Custom Orthotics for Achilles Tendonitis

Best Custom Orthotics Toronto Achilles TendonitisBest Custom Orthotics for Achilles Tendonitis

Even though the Achilles tendon is the strongest tendon in the body, Achilles tendonitis or tendinopathy is a common problem especially among athletes and runners. Achilles tendonitis particularly affects those individuals who do a lot of speed training, uphill running, or play sports that have sudden stop start movements such as tennis.  Achilles tendinopathies have “an annual incidence of 2.35 per 1,000 adults registered with a GP,”de Jonge S et al; Incidence of midportion Achilles tendinopathy, Br J Sports Med. 2011. The reason for this high rate of achilles injuries is that during running, the force transmitted to the Achilles tendons can be as much as three times your body weight.  This causes stress, stretching, and micro tearing to the tendon and unfortunately due to the limited vascular supply to the tendon, it is unable to heal rapidly.  Often the first line of defense to preventing achilles tendon injuries or to provide for optimal healing is to see a Chiropodist and get fitted for Orthotics for Achilles Tendonitis.

Anatomy of Achilles Tendons

The Achilles tendons are located at the lower parts of the legs that connect the calf muscles to the back of the heel.  The achilles tendon is the thickest and strongest tendon in the body.

What is Achilles Tendinopathy?

Today the term Achilles tendinopathy is used to refer to a group of Achilles tendon problems which include tendinosis (microtears) and tendinitis (inflammation). Achilles tendinopathy is divided into two groups including non-insertional and insertional. In the first group, fibers in the middle part of the tendon have begun to loose their quality. Insertional Achilles tendinitis involves the lower portion of the achilles, where the tendon inserts to the calcaneus or heel bone.

Causes of Achilles TendinopathyCustom Orthotics Chiropodist Toronto Achilles Tendinopathy

This condition results mainly from overuse and repetitive stress to the Achilles tendon. It is also a maladaptive response to the sudden intensification of exercise activities. Achilles tendinopathy may also occur in individuals with tight calf muscles, who suddently start a forceful exersice program. Bone spurs which rub against the tendon, excessive pronation (rolling in of the foot), poor footwear, improper running technique can also lead to tendinopathy. Family history, some drugs (such as ciprofloxacin), hypertension, and diabetes may increase the incidence of Achilles tendon injuries as well.

Signs and symptoms of Achilles Tendinopathy

The main symptom of Achilles tendinopathy is pain and stiffness along the tendon in the morning. There is also a pain in the back of your heel that intensifies with strenuous activity. Severe pain may occur the day after exercising. Bone spurs, tenderness of the area, thickening of the tendon, persistent swelling, and limited range of motion in your ankle can be other signs and symptoms of achilles tendinitis.

Home remedies for Achilles tendinopathy

 The first step is to reduce the aggravating activities. Placing ice for 20 minutes over the area can be helpful. Medications such as NSAIDs will reduce the pain and swelling.

Physiotherapy Treatments for Achilles Tendonitis

  • Exercises: exercises such as calf stretching and eccentric strengthening protocol (bilateral heel drop, single leg heel drop) can make the muscles  and Achilles tendon stronger and more resistant to injury. 
  • Shockwave Therapy: this is a noninvasive procedure in which high-energy shockwave impulses stimulate the healing process in damaged tendon tissue.
  • Laser Therapy:  helps to reduce inflammation, swelling, and pain
  • Custom Orthotics: Custom orthotics can improve Achilles tendinopathy by reducing stress on the achilles and putting the foot in an advantageous biomechanical position. A 2008 study reported “between 50 and 100% relief (average 92%) from Achilles tendinopathy symptoms with the use of custom foot orthoses,” Donoghue OA, et al,Orthotic control of rear foot, Sports Biomech, 2008.  Some of the orthotics include heel lift, standard cast fill, Achilles sleeves, heel cup, and medial heel skive our Physiotheapists and Chiropodists can advise you on your specific needs.

The professional Chiropodists and Physiotherapists at Ace Physio can help you recover from Achilles Tendinopathy.
Call Ace Physiotherapy Clinic in downtown Toronto today at 416-900-6653 to book your appointment.

About the Author

Brad SaltzBrad is a Registered Physiotherapist at Ace Physio, a highly respected Physiotherapy clinic in downtown Toronto. Ace Physio provides high quality one on one Physiotherapy that combined state-of-art technology such as; Shockwave Therapy, Laser Therapy, and Spinal Decompression with traditional Physiotherapy.View all posts by Brad Saltz