9 Heel Pain Treatment Options for Achilles Tendonitis
Achilles tendonitis occurs when the tendon at the back of the ankle become irritated and inflamed,. This type of injury is common among athletes, who tend to engage in activities that make excessive use of the Achilles tendon. Other causes of Achilles tendonitis include wearing of improper footwear, lack of flexibility, and aging.
Usually, people suffering from this injury experience chronic pain when they get up after a long period of sitting down, as well as in the morning. The pain is generally felt behind the heel where the tendon attaches to the heel, although it can occur a little higher or anywhere along the tendon. When it comes to heel pain treatment for Achilles tendonitis there are many options, each working to differing degrees depending on the exact nature of the injury.
Rest
Inflammation resulting from this condition can subside by simply resting the Achilles tendon. Taking a rest for a few days can help contribute to the control of acute tendon-related injuries. This is true for most orthopedic injuries in the initial stages following the injury
Physical Therapy
Another helpful method in treating Achilles Tendonitis is physical therapy, which includes stretching and strengthening exercises. Such kinds of therapy can help ensure the flexibility is maintained in the tendon. A licensed physical therapist will be able to come up with an effective and individualized rehabilitation program to improve your flexibility, strength and range of motion.
Cross training
This is a routine which involves different exercises like biking and swimming to help build the strength of your muscles and improve conditioning of the tendon, without overworking it. Generally, cross training aims to help patients maintain a high level of fitness, whilst easing the strain on the tendon. Stopping running or exercises and sports which place a large strain on the tendon is ideal.
Application of Ice Packs
When applied to the inflamed area, ice helps improve blood flow, and eases inflammation, swelling as well as acting as a good pain killer. Ice is an effective vasoconstrictor, as it helps constrict the blood vessels to promote rapid healing. You can use ice packs after exercising or several times a day.
Shoe Inserts
You may also insert a heel wedge into your athletic shoes or work shoes to reduce the stress placed on your Achilles tendon. Shoe inserts work by lifting up your heel, thus, decreasing the amount of force placed on your tendon. Whilst not a long term solution, as they can lead to a shortening of the tendon, they can be highly beneficial.
Anti-Inflammatory Medications
You may also take anti-inflammatory medications to control the inflammation around your Achilles tendon. Non-steroidal anti-inflammatory drugs (NSAIDs) like Motrin, Celebrex, and Ibuprofen are quite effective as a heel pain treatment method.
Cortisone Injections
In rare cases, a doctor may recommend cortisone injections, but this method is not the first-line treatment for tendonitis because of its potential complications. Whilst it may be an instant heel pain treatment, cortisone can weaken the tendon which could lead to a full tendon rupture.
Surgery
If all the conservative treatments do not work, then you may consider Achilles tendon surgery. Surgical options range from removal of the damaged tendon or moving the tendon attachment. Usually, the problem experienced after the surgery is the long amount of time needed to heal the resulting wounds, and surgery may actually weaken the tendon. It is a last line of treatment in most cases.
Percutaneous Needle Tenotomy
Recently, Percutaneous Needle Tenotomy has been demonstrated to work as an effective heel pain treatment option. In this method, a small needle is inserted into the tendons, where small holes are made to stimulate blood flow. Platelets are then injected into the small holes. Generally, this treatment has been the choice for patients who do not want to undergo surgeries.
The diagnosis of Achilles tendonitis may be through X-rays or MRI scans. At the first sight of this injury, it is very important to reduce your training sessions and to immediately consult a doctor for expert medical advice. Pain in the bottom of the heel is not due to Achilles tendonitis, but plantar fasciitis.
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