Achilles tendon pain and plantar fasciitis are common conditions that affect the foot and ankle, causing discomfort and limiting mobility. Achilles tendon pain is typically felt at the back of the heel or along the tendon and can be exacerbated by physical activities like running or jumping. Plantar fasciitis presents as a sharp pain at the bottom of the foot, especially noticeable during the first steps after waking up or after long periods of sitting.
Management of these conditions generally involves rest, physical therapy focused on stretching and strengthening exercises, and appropriate footwear that provides adequate support. Pain relief may also be addressed with anti-inflammatory medications or more targeted treatments such as orthotic inserts for plantar fasciitis or ultrasound therapy for Achilles tendon pain. In cases where conventional treatments do not provide relief, diagnostic measures and sometimes more invasive procedures like injections or surgery may be considered to alleviate symptoms and restore function
Symptoms of Achilles Tendinopathy
Pain: Pain and tenderness 2-6cm along the Achilles tendon.
Activity: Stiffness that lessens with activity but worsens after prolonged exercise.
Swelling: Swelling that gets worse throughout the day with activity.
Pattern: Stiffness and pain is more pronounced in the morning
Management of Achilles Tendoninopathy
Rest: Avoid activities thatstress the Achilles tendon, like running and jumping.
Ice Therapy: Apply ice to thetendon to reduce pain and swelling.
Exercises: Exercises to strengthen the calf muscles and the Achilles tendon can help relieve pain and improve flexibility.
Orthotics: Placing a small wedge a reduce acute pain.
NSAIDs: Nonsteroidalanti-inflammatory drugs can help reduce pain and inflammation.
Symptoms of Plantar Pain
Pain: Sharp, stabbing pain in the arch of the foot or near the heel.
Pattern of Pain: Pain that is usually worse in the morning or after periods of inactivity, easing with mild activity but worsening with prolonged exercise.
Sensitivity: Tenderness in the heel or along the arch of the foot.
Management of Plantar Pain
Rest: Reducing activities that cause heel pain, like long walks or standing for long periods.
Ice Packs: Applying ice to the heel for 15-20 minutes several times a day to reduce inflammation.
Exercises: Following the Rathleff Protocol and stretching the plantar fascia can help relieve pain and inflammation.
Proper Footwear: Supportive shoes that have good arch support and a slightly raised heel reduce stress on the plantar fascia.
Orthotic Inserts: Custom or over-the-counter inserts can help distribute pressure to the feet more evenly.
