![]() A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. This treatment uses low-dose sound waves.Ī.D.A.M., Inc. If there is a bone spur irritating the tendon, surgery can be used to remove the spur.Įxtracorporeal shock wave therapy (ESWT) may be an alternative to surgery for people who have not responded to other treatments. If these treatments do not improve symptoms, you may need surgery to remove inflamed tissue and abnormal areas of the tendon. However, the tendon can become even weaker following injection and should be protected after the injections. Other treatment include injections, such as platelet rich plasma or steroids, to reduce the inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, can help ease pain or swelling. Wearing shoes that are softer in the areas over and under the heel cushion.Placing heel lifts in the shoe under the heel.Using a brace, boot or cast to keep the heel and tendon still and allow the swelling to go down.You may also need to make changes in your footwear, such as: Your provider or physical therapist can show you stretching exercises or eccentric loading exercises for the Achilles tendon. Switch to biking, swimming, or other activities that put less stress on the Achilles tendon.Run or walk on smoother and softer surfaces.Decrease or stop any activity that causes pain.Remove the ice if the area gets numb.Ĭhanges in activity may help manage the symptoms: Try putting ice on the Achilles tendon area for 15 to 20 minutes, 2 to 3 times per day. It is important to remember that it may take at least 2 to 3 months for the pain to go away. The main treatments for Achilles tendinitis do not involve surgery. Flat feet will put more tension on the tendon. This may irritate the Achilles tendon and cause pain and swelling. A bone spur or growth may form in the back of the heel bone. Tendinitis from arthritis is more common in middle-aged and older adults. You do not wear shoes that give your feet proper support.You jump a lot (such as when playing basketball).You run on hard surfaces, such as concrete.Your calf muscles are very tight (not stretched out). ![]() There is a sudden increase in the amount or intensity of an activity.It can occur in walkers, runners, or other athletes.Īchilles tendinitis may be more likely to occur if: Tendinitis due to overuse is most common in younger people. Heel pain is most often due to overuse of the foot. The large Achilles tendon connects these muscles to the heel. These create the power needed to push off with the foot or go up on the toes. The body also loses some of its sense of thirst and its ability to sense and respond to changes in temperature.There are two large muscles in the calf. As you age, your muscles cannot work as hard or as quickly as they used to. Older people are more susceptible to muscle cramps due to normal muscle loss (atrophy) that begins in the mid-40s and accelerates with inactivity.Cramps often develop near the end of intense or prolonged exercise, or 4 to 6 hours later. Athletes are more likely to get cramps in the preseason when the body is not conditioned and therefore more subject to fatigue.Muscle cramps are very common among endurance athletes, such as marathon runners and triathletes, and older people who perform strenuous physical activities. Taking certain medications, such as pseudoephedrine (a decongestant) diuretics, and statins (used to treat high cholesterol).Other factors that put people at greater risk for muscle cramp include: Those at greatest risk for cramps and other ailments related to excess heat include infants and young children, and people over age 65. Some people are predisposed to muscle cramps and get them regularly with any physical exertion. Loss of these nutrients may also cause a muscle to spasm. Muscle cramps are more likely when you exercise in hot weather because sweat drains your body's fluids, salt, and minerals (i.e., potassium, magnesium, and calcium). Sports Nutrition Heat, Dehydration, and Electrolyte Depletion
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