Achilles tendon

Page may contain affiliate links. Please see terms for details.

Danny

Legendary Member
Location
York
This is really a running related injury, but was hoping someone here would have some suggestions.

Back in June my right achilles tendon was getting very painful whenever I went for a run, so I thought I would rest it, and have not done any running for two months.

However I can still feel it pulling if I walk a long distance, or do exercises at my weekly circuit training class. Fortunately though there are no problems when I cycle.

Should I just rest it for longer, or is it time to see a doctor or physio?
 

eldudino

Bike Fluffer
Location
Stirling
I've got the same problem, not from running though, I think I got a bit too carried away trying to improve my climbing. It doesn't seem to be tight, more of a pain in my heel most of the time. I only started having problems last week so I'm resting up at the moment and following the RICE treatment plan but I'm going to go to a sports physio to see what they say about it and try and get it healed properly asap.
 

Crankarm

Guru
Location
Nr Cambridge
Try massaging your Achillies whilst watching TV or before you drop off to sleep in bed ;). Pull your leg up and heal onto the sofa to take the tension off it and gently massge it. It will feel very sore and a bit painful at first but as you gently push and pull it this will loosen it up bringing relief. I found this great for reducing aches in it as I do a fair bit of running and cycling so they are taking a regular hammering. Recently though when running I have avoided going full speed to build the strength up again by just taking a gentle jog as my Achilies have been feeling a little sore as a had a few months break in running due to another injury. Hope this helps.
 
A heelpad in my shoe sorted mine out - that is unless you would like to wear high heels instead. And avoid any shoes that are totally flat while it's playing up. Sorted it within days after being prescribed all sorts of weird potions, banned from exercise and threatened with a cast!
 

ASC1951

Guru
Location
Yorkshire
Danny said:
Should I just rest it for longer, or is it time to see a doctor or physio?
I wouldn't bother with the doctor, Danny, because that will just treat the symptoms. If it's still there after a couple of months' rest it's time for the physio.

Swimming and cycling never give me any injuries, but I do get posture-related running niggles because apparently my right leg is nearly 1cm longer than my left; and all my running is on roads. Targeted stretches sort them out in a couple of weeks, usually, and I am then fine until I have a long lay off and forget to do them.

Once you have correct running shoes and don't go off like a mad thing in the cold, most running injuries come down to posture.
 

Globalti

Legendary Member
Unfortunately you've got tendonitis. Rest, ice packs and Ibuprofen will sort it but having had this several times in various places I can tell you it will take 6 to 12 months to sort it out. Physiotherapy certainly helps, ultrasound and shortwave will contribute to the recovery and at the very least you could buy a tube of Neurofen or Brufen gel and rub this in twice a day. My worst problem was caused by walking down a mountain with hot swollen feet and boots too tight, so make sure nothing is pressing on the tendon. I was at the start of a 15 week season as a walking guide for Ramblers' Holidays in The Alps so I suffered with it in some misery for many weeks.

I would stop running and stick to cycling as the range of foot movement is much smaller and less violent.
 

ASC1951

Guru
Location
Yorkshire
Rigid Raider said:
Unfortunately you've got tendonitis. .... I can tell you it will take 6 to 12 months to sort it out.

I would stop running and stick to cycling as the range of foot movement is much smaller and less violent.
I don't agree with that at all. Yes, obviously you have inflammation of a tendon, but the prognosis depends entirely on what has caused yours. I have never had a running injury which took more than 12 weeks to sort out, never mind 12 months. Weight-bearing exercise (not cycling) is an important part of keeping fit and giving up running is about as necessary as never going swimming again just because you have an ear infection.

Go to a proper sports physio, find the cause and get some exercises to stop it happening again.
 
OP
OP
Danny

Danny

Legendary Member
Location
York
Thanks for the various responses.

I have very good running shoes so I don't think they are the problem. Will try Crankarm's gentle massage technique, but if that doesn't work will go to a physio.
 
OP
OP
Danny

Danny

Legendary Member
Location
York
punkypossum said:
A heelpad in my shoe sorted mine out - that is unless you would like to wear high heels instead. And avoid any shoes that are totally flat while it's playing up. Sorted it within days after being prescribed all sorts of weird potions, banned from exercise and threatened with a cast!
Why do you think high heels (or a heel pad will help)?
 

ASC1951

Guru
Location
Yorkshire
A heel pad can help by altering effective leg length and therefore reducing load on one Achilles. Not something to try without a proper diagnosis IMO.
 

Paul_iow

New Member
Using a heel raise in the affected leg will take some of the pressure off the achilles tendon therefore allowing it to rest and heal itself. My advice is rest the leg as much as possible, take a week or 2 of completely from exercise and long walks, and ice it to reduce the inflammation, Ibuprofen gel works well to help this.

Once the leg is feeling better begin to gently stretch the muscle by standing on a step with your heels hanging over the edge and slowly drop your heels down. You should feel the stretch in the back of the leg. Hold for 10-15 seconds to start with and repeat on both legs, as it will benefit your other leg, 3 times. try that morning and evening each day.
 

lanternerouge

Veteran
Location
Leafy Cheshire
Hi Danny I have the same problem - which is one of the reasons i started getting on a bike! My physio recommended to me heel pads which did help playing rugby etc as they soften the impact of the heel. She has told me though that I really need orthotics as there is not much else I can do for it. So I'm getting hold of some of them in October through Salford Uni where it's a bit cheaper.

Hope that helps. I sympathise, it hurts!
 

Crankarm

Guru
Location
Nr Cambridge
Paul_iow said:
Using a heel raise in the affected leg will take some of the pressure off the achilles tendon therefore allowing it to rest and heal itself. My advice is rest the leg as much as possible, take a week or 2 of completely from exercise and long walks, and ice it to reduce the inflammation, Ibuprofen gel works well to help this.

Once the leg is feeling better begin to gently stretch the muscle by standing on a step with your heels hanging over the edge and slowly drop your heels down. You should feel the stretch in the back of the leg. Hold for 10-15 seconds to start with and repeat on both legs, as it will benefit your other leg, 3 times. try that morning and evening each day.


I was doing these stretches as you describe on my stairs. I had not done them before. Two weeks in having done them everyday twice a day in reps of 10-15 and feeling good but now while out running after about 5 miles I felt my left Achillies "give way". I had to hobble 2 miles home. As I was hobbling my right Achillies started playing up. I was in agony the next day. So hit on the idea of massaging them myself as I previously described having had a hot shower. Four weeks later I could cycle again and 6-8 weeks later I was running gently again building up strength. I no longer do those particular stretching the Achillies exercises on my stairs, but I do other stretching.

One stretcherize that has really helped is sitting on the floor/carpet with legs out in front of you. With your right hand reach to your left leg to hold the outside edge of your foot. Keep your leg not quite straight. Then once you have a good hold of the outside of the foot with opposite hand try to raise your leg, straightening your leg into a locked position. Use you other hand to GENTLY press on your knee to straighten your leg. It will hurt!!! But do not press too long or too hard. A matter of seconds. Feel the muscles of the lower leg heat up as they are stretched. Repeat a couple of times. Gently press on your knee to straighten your leg feeling the limit as you stretch the muscles and tendons. DO THIS GENTLY. DO NOT DO LOTS OF REPS OR USE ALOT OF FORCE. Be gentle. Once you've done it a few occasions your leg suppleness and strength will greatly improve. After stretching both legs put legs out in front of you and gently bounce them on the carpet relaxing the leg muscles for a minute or so. Stretch forward and touch your toes. Repeat a few times. lightly bounce your legs on the carpet again to loosen the tension in the muscles.

I too have very good running shoes Nike Air Max Volumetrico top of the range jobbies. I tried other makes of shoes suggested by specialist running shops despite telling them I can only run in Nikes as they are the softest, but found the shock absorption on the heels of New Balance, Asics, Adidas, etc. insufficient for me. Plus I run on grass around football fields not road running to mimimise impact on my heels and lower leg muscles. In previous years I have run a lot of road miles and started to collect frequent injuries, but now avoid road running.

IMHO cross training is very bad for injuries especially running and cycling. Chapeau to triathletes.

There's an article about self massage on bikeradar to rejuvenate your muscles. It's not a bad thing to stretch regularly and massage after a long ride or run. I always massage my Achillies now when watching TV. Multi-tasking :laugh:. A great way to relax and strenghten them.
 

Bill Gates

Guest
Location
West Sussex
Rigid Raider said:
Unfortunately you've got tendonitis. Rest, ice packs and Ibuprofen will sort it

I find that ice packs on the spot for 10 minutes three or four times a day sort out most tendon and muscle strains. I even use this method on my lower back.
 
Top Bottom