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DR. DAVID ROSENTHAL |
Sorry it took so long for my first post. 2 offices, 4 kids and a wife are taking up most of my time.
My posts will be brief but full of useful info. The shorter it is, the more you will retain. Enjoy!
Achilles Tendonitis
Achilles Tendonitis or AT is a condition affecting the tendon of the Triceps Surae. The Triceps Surae are the two thick muscles in the posterior calf, the Gastrocnemius and the Soleus. The AT is the tendon of these two muscles or the tail of the calf muscles. It inserts onto the Calcaneus or heel bone. The tendon helps in the push off phase of gait. In otherwords, every time you jump or stand on your toes, the Achilles is working.
As a group, dancers commonly complain of pain in the heel, calf or area of the tendon. Many times it gets inflamed and is painful to the touch. Traditional treatment has included; ice, stretching, taping, and heel cups. Corticosteroids are not recommended due to recent studies indicating weakness of the tendon when injected.
Massage directly on the tendon is not recommended due to the possibility of injuring it further. When working the tendon, it is best to come at it from the side and work anteriorly.
I have found that in all cases of AT, one must look at the two calf muscles, the Gastroc and Soleus. The two calf muscles are constantly being contracted, and in time will develop muscular contractions or trigger points. These trigger points will stress the tendon and in many cases cause pain. I have seen many cases where treating the Gastroc and Soleus eliminate the tendon and heel pain.
There are other causes of AT including; inflammation of the bursa or fluid filled sac between the tendon and calcareous, bony spurs, and tears of the tendon. These injuries usually need physical therapy, anti-inflammatory meds, stretching and strengthening.
Remember, LOOK TOWARDS THE CALF MUSCLES.
I hope this was helpful.
DR. R
