The Achilles tendon is not only the largest tendon in our body, it is also the strongest, having the ability to withstand up to 1,000 lbs of force!Achilles Tendinitis is a common condition found in anyone from runners to women wearing heels. The Achilles tendon is the longest and most powerful tendon in the body but can become inflamed and painful resulting in a condition caused Achilles Tendinitis. Prolonged Achilles tendinitis without treatment and diagnosis by podiatrists can result in tearing and weakening of the tendon. Typically, Dr. Sophia Solomon treats Achilles tendinitis through conservative measures such as stretching, custom orthotics, physical therapy and Xrays which can be implemented during an office visit. In some instances, further imaging such as an MRI may be necessary to rule out tearing or fibrosis of the Achilles Tendon. If torn, the Achilles tendon may require surgical repair to ensure the best quality of life for the patient. Schedule an appointment with the best podiatrist in NYC and foot surgeon today and begin your path to a full recovery! An evaluation by a doctor is always necessary for an accurate diagnosis and treatment.
Your podiatrist will typically start with a conservative treatment plan. If Conservative treatment is unsuccessful or a tendon tear is present, surgery may be necessary to repair the tendon. Your foot doctor will help guide you in the right direction based on your symptoms and lifestyle.
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- I.C.E., or rest, ice, compression and elevation
- Various stretching exercises as determined by a podiatric or sports specialist or physical therapist
- Strengthening exercises
- Special shoe inserts or orthotic footwear
- Noninvasive shockwave therapy
- Walking boot
- Surgery to repair the Achilles Tendon may be recommended by your podiatrist if conservative measures are not adequate
Xrays and sometimes MRI’s are used by Dr Sophia Solomon to evaluate Achilles Tendonitis. Visit our podiatry clinic and meet New York podiatrist and foot surgeon in Manhattan Dr. Solomon. She is one of the best podiatrists in NYC and among the top foot specialists in New York.
Areas of this important Achilles tendon lack a direct blood supply causing weakness and delayed healing in those regions.
Achilles Tendon Pain
Insertional Achilles tendonitis occurs on the back of the heel bone where the Achilles tendon attaches to the heel. It may be accompanied by additional bone growth referred to as either a bone spur Achilles tendon is not only the largest tendon in our body, it is also the strongest, having the ability to withstand up to 1,000 lbs of force! With every step, the Achilles acts to propel our body forward over our feet. Life in an active city such as New York inevitably results in an incredible amount of stress to this tendon even on a typical day. Achilles tendon pain, tendinitis, tears, or other injuries can significantly affect quality of life, ability to achieve health and fitness goals, and ability to work.
Despite its power, the Achilles tendon is also prone to injury. Areas of this important Achilles tendon lack a direct blood supply causing weakness and delayed healing in those regions. Achilles tendon injuries are particularly common in tennis, basketball and soccer and should be seen by a foot and ankle specialist immediately. Podiatrist, Dr. Sophia Solomon, is a specialist in Achilles injuries and offers conservative and surgical treatments.
All symptoms should always be evaluated with a thorough consultation and examination by your Manhattan-based foot doctor or New York City podiatry office for an accurate diagnosis and treatment plan to exclude any underlying serious condition.
Causes of Achilles Tendinitis
Achilles Tendinitis is a typically caused repetitive stress injury such as running. As the most reputable and trusted NYC foot doctor, Dr. Solomon differentiates between two groups of Achilles tendon causes:
- Extrinsic factors: age, sex, foot cavity, metabolic dysfunction, muscle weakness, dysmetria, lateral instability of the ankle, and anatomical variation of the plantaris muscle.
- Intrinsic factor: mechanical overload, inappropriate equipment, constant effort, improper footwear, lack of stretching or warning, and direct trauma.
Symptoms of Achilles Tendinitis
Early treatment and diagnosis are vital for fast and effective treatment of the condition. Visit your foot doctor as soon as you experience any discomfort to prevent further damage.
- Cramping in tendon
- The tendons just behind your heel become extremely sensitive to the touch
- A small hard lump (or bone spur) on the back of your heel
- Morning stiffness and discomfort
- Pain in back of heel
- Pain that gets worse as you move around
Types of Achilles Tendinitis
There are two main types of Achilles Tendinitis and podiatrists will help you diagnose which type you have. The location and pathology of the injury will determine what treatment plan your Manhattan based podiatrist uses.
- Insertional Achilles Tendinitis– this type occurs on the back of the heel bone where the achilles tendon attaches to the heel. It may be accompanied by additional bone growth referred to as either a bone spur or heel pain. Frequently this damage at the tendon attachment occurs in people who aren’t active.
- Noninsertional Achilles Tendinitis– Occurs just above one’s heel along the length of the Achilles tendon. This is the most common form and is primarily seen in athletes and active adults. Your New York City podiatry doctor can evaluate and diagnose the cause of this pain and treat it from its root. With this type of tendinitis, swelling and inflammation will often be observed by your podiatric doctor during the early stages of this condition. Your podiatric doctor will spend time to create a patient specific treatment plan for your tendinitis.
All symptoms should always be evaluated with a thorough consultation and examination by your podiatrist for an accurate diagnosis and treatment plan to exclude any underlying serious condition.
Your podiatrist may also order a magnetic resonance imaging, or MRI, test to determine the extent of the damage. Your foot doctor doesn’t need an MRI to diagnose your pain; he needs it if he deems you a candidate for Achilles tendon surgery.
Diagnosing Achilles Tendon
Dr. Sophia Solomon, as a world-class Achilles tendon specialist, uses the following tests to diagnose this ailment:
- Ultrasound. This test assists in assessing the degree of injury to the tend. It is also used to estimate the risk of rupture and tendinopathy.
- Magnetic Resonance Imaging. It allows for more in-depth information about the condition of joint structures with a study in multiple planes.
- Computed Tomography (CT). This scan is useful for excluding trabecular structural changes of the calcaneus in Achilles pathology of insertion.
- Lateral and axial calcaneus x-rays. It might spot calcifications in the proximal extension of the tendon insertion and rule out pathological bone tumors.
According to the research on “Achilles Tendon” published on PubMed, approximately 85% of the Achilles tendon injuries are deemed to be running-related. Tennis players and gymnasts are more likely to develop this ailment compared to football players. Various studies report a cumulative lifetime injury incident rate of:
- 9% in dancers
- 5% in gymnasts
- 7% to 18% in runners
- 2% in tennis players
- < 1% in American football players
An increased incident rate of Achilles tendon injury in the U.S. is strongly associated with an increased number of people getting involved in sports activities. Achilles tendon injuries are more common among males and this is explained by greater participation in sports activities. People between the ages of 30 and 50 are more likely to exposed to this condition as they rarely warm up and are only active intermittently.
Do you have any questions about Achilles Tendon? Would like to schedule an appointment with an internationally recognized, top NYC Podiatrist and foot doctor, Dr. Sophia Solomon of Manhattan Foot Specialists? Please contact our office for a consultation.Dr. Sophia Solomon has either authored or reviewed and approved this content.
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