Global Running News  Global Running News
Injuries and Treatment  Injuries
Nutrition Information  Nutrition
Running Training Information  Training
Running Information Forums  Forums

   Running Information      USA Running      Running South Africa      Running New Zealand      Running UK      Running Ireland      Running Ireland      Deutsch Laufzeit      Copenhagen Marathon      Suomen Juoksu      Sverige Löpning      Tel Aviv Marathon      Running Australia      Running Kenya      Running Europe      Running Malta      Running Namibia

Achilles Tendonitis

Teri BurgessThis article covers Achilles Tendonitis and is provided by Teri Burgess, resident Physiotherapist, from time-to-run Cape Town

Achilles Tendonitis Definition and Treatment

Definition: Inflammation of the Achilles tendon. The Achilles is the large tendon connecting the two major calf muscles, gastrocnemius and soleus, to the back of the heel bone. Under too much stress, the tendon tightens and is forced to work too hard. This causes it to become inflamed (that is tendinitis), and, over time, can produce a covering of scar tissue, which is less flexible than the tendon. If the inflamed Achilles continues to be stressed, it can tear or rupture.
achilles tendonitis

Symptoms for Achilles Tendonitis:

Dull or sharp pain anywhere along the back of the tendon, but usually close to the heel. limited ankle flexibility redness or heat over the painful area a nodule (a lumpy build-up of scar tissue) that can be felt on the tendon a cracking sound (scar tissue rubbing against tendon) with ankle movement.
Tight or fatigued calf muscles, which transfer the burden of running to the Achilles. This can be due to poor stretching, rapidly increasing distance, or over-training excessive hill running or speed work, both of which stress the Achilles more than other types of running.
Inflexible running shoes, which, in some cases, may force the Achilles to twist.
Runners who overpronate (feet rotate too far inward on impact) are most susceptible to Achilles tendinitis

Achilles Tendonitis – Treatment Methods

Stop running
Take a course (5 – 7 days) of non-steroidal anti-inflammatory drugs(ibuprofen/voltaren/cataflam/mobic)
available from your general practitioner or pharmacist

Apply ice to the Achilles – for 10 minutes every 2 hours, in order to reduce the inflammation.

Avoid weight-bearing activities and keep foot elevated where possible

Self-massage – using arnica oil or anti-inflammatory gel. Rub in semi-circles in all directions away from the knotted tissue, three times a day once the nodule is gone, stretch the calf muscle gently do not start running until you can do heel raises and jumping exercises without pain return to running gradually full recovery is usually between six to eight weeks.

Medical treatment:

If injury doesn’t respond to self-treatment in two weeks, see a physiotherapist or orthopaedic surgeon, surgery to scrape scar tissue off the tendon is a last resort, but not very effective.

Alternative exercises:

Swimming, pool running, cycling (in low gear) “spinning”

No weight-bearing exercises

Preventative measures:

Stretching of the gastrocnemius (keep knee straight) and soleus (keep knee bent) muscles. Hold each stretch for 30 seconds, relax slowly. Repeat stretches 2 – 3 times per day. Remember to stretch well before running strengthening of foot and calf muscles (eg, heel raises) correct shoes, specifically motion-control shoes and orthotics to correct overpronation.

Gradual progression of training programme.

Avoid excessive hill training

Incorporate rest into training programme

The BIG five – the 5 most common running injuries [ in English ]

The BIG five – die 5 häufigsten Laufverletzungen [ auf Deutsch ]

The BIG five – Viisi yleisintä juoksuvammaa – TOP5 [ Suomeksi ]

The BIG five – De 5 vanligaste skadorna – TOP5 [ Svenska ]


  1. […] 2013, when AB trained alone for the marathon, she experienced many problems, groin, hip, knee and achilles. The biggest hope, was to try avoid these niggles as much as we could, with the full knowledge that […]

Leave a Reply to Water running can be beneficial to athlete Cancel reply