Achilles Tendinitis
(Part 5)
This is a continuation of the topic on Treatment for Achilles Tendinitis
Calf stretch
As the pain improves, you can increase the difficulty level of the exercise by holding a small weight in each hand.
Single leg heel drop
This exercise is performed similarly to the bilateral heel drop, except that all your weight is focused on one leg. This should be done only after the bilateral heel drop has been mastered.
Cortisone Injections
Cortisone, a type of steroid, is a powerful anti-inflammatory medication. While injections can be used in other injuries and conditions, cortisone injections into the Achilles tendon are not recommended because they can cause the tendon to rupture (tear). In fact, research has shown significantly decreased tendon strength after steroid injection.
Other injectable substances, such as platelet-rich plasma (PRP) have been studied for Achilles tendinitis, and several studies on PRP injections have shown improvements in pain. However, more information is needed to determine how effective PRP truly is for this condition.
Night Splinting
Night splinting can provide significant relief for morning pain when you first get out of bed. These removable braces work by holding your foot in place with your toes pointing upward (similar to the calf stretch position) while you sleep. This helps to maintain calf flexibility and decrease the pull of your Achilles tendon on your heel.
Supportive Shoes and Orthotics
Insertional Achilles tendinitis is often relieved by certain shoes and orthotic devices. For example, shoes that are softer or open at the back of the heel can reduce irritation of the tendon. Heel lifts are another option and can decrease the amount of strain off the tendon.
If your pain is severe, your doctor may recommend a walking boot for a short time. This gives the tendon a chance to rest before initiating therapy. However, extended use of a boot is discouraged because it can weaken the calf muscle. (To be continued)